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Suggest Treatment For Asthma And Coughing With Wheezing?
Question: I've been coughing for three months. Xray was clear. Pain in upper back & ribcage, upper stomach region. Perfume taste in mouth. Cough so hard & deep. Wheeze & feelings of not being able to breathe. Have lupus SLE, asthma, GERD, IBS, Anxiety disorder.Sinus drips are clear. First running nose & then dry. What can be the cause of my continuous coughing? Perfume taste in mouth?
Brief Answer:
Bronchial Asthma
Detailed Answer:
Dear Friend.
When you already have asthma , coughing with wheezing is most likely due to that only. More over, your X-ray chest is also clear. So , infection is unlikely.
Dry Cough can be because of :
1. Allergic Bronchitis
2. Bronchial Asthma.
I suggest you to get a Pulmonary Function Test.
Also , discuss with your doctor regarding adding a Asthalin inhaler and a combination of Levocetrizine and Montelukast.
If required by clinical evaluation , you may also be prescribed inhaled steroids.
Even a bronchodilator like Doxophylline can be given for short term , if you have wheezes.
Avoid fumes , pollution. Don't smoke in case you do.
Some times , GERD also causes reflux and dry cough , specially in the morning time, which may be associated with bad taste in mouth. I prefer to add combination of Pantoprazole and domperodone once a day in such cases.
However , cough of GERD is not the kind of that you are describing.
Get in touch with your primary care physician , get evaluated , as clinical examination would help a lot in making your diagnosis.
My likely diagnosis is Bronchial Asthma based on history.
I hope i am able to solve your query , ask me if you have further queries.
Stay Healthy.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I Use Advair Diskus 250 Twice Daily, Including An Albuterol Inhaler. I've Been Taking Benzonatate Pills For The Cough, Also. My Cough Is Mainly Worse At Bedtime & In The Morning. Sometimes, Uncontrollable...No Matter The Medications. I Use Fluconazle Nasal Spray & Saline Nasal Mist. My Eyes Are Dry, Burning & Itching, Mainly After Sleeping. A Feeling Of "Hair" Like In Esophagus, When Swallowing. The Xray Was Conducted On: (11/01/13) At Hospital. Glands In Neck, Armpit (Left) Swollen & Painful. Could These Be An Allergy Based Cause Of Symptoms? Could This Be COPD?
I Have An Appointment With A Pulmonary Specialist On: (01/14/14). I'm Just Concerned & Have Had Many Sleepless Nights, Due To The Ongoing Coughing. My Mother Had COPD. Died Of Cardio/ Pulmonary Arrest. My Aunt (Mother's Sister) Died From COPD. My Uncle ( Mother's & Aunt's Brother) Died Of Asthma/COPD. My Grandmother (Mother's..Mother) Died Of CHF. My Father Died Of Stomach Cancer.
Brief Answer:
Details Follows
Detailed Answer:
Dear XXXX
Swollen nodes in arm pit requires evaluation.
They can occur in infections , tuberculosis and in some cases in lymphoma and other blood related disorders.
An infection can trigger an acute attack of asthma.
I suppose , you should be given antibiotics for a week so that , infection can be treated. Enlarged Lymph nodes will disappear once the infection is treated. Still if they persist , a biopsy might be required.
You should also get an ECG done.
You might require cough suppressants like codeine.
Yes , these symptoms can be related to allergy.
And also , this could be COPD if you are a smoker , and that is why i have advised you for a pulmonary function test.
I am glad you are meeting a pulmonologist , he will make a correct prescription for you following investigations and examination.
I wish you a speedy recovery.
If you do not have a further query , you may please close the discussion and rate it.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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