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What Causes Persistent Cough, Cold And Wheezing?

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Posted on Fri, 27 Oct 2017
Question: Good morning,
I have had a cough since August. It came on after a slight cold and I though it would go away. I have been to see 3 Gps as I am aware, although not paranoid, that a persistant cough should be investigated by the doctor. we went through a scare with my husband 5 yrs when nodules were found in his lungs , however it turned out to be nothing. the cough is productive , not dry. It is not constant but I feel the need to clear my throat often and if I laugh a lot I will cough a lot and sometimes gag. I am healthy, I run 10 miles a week. I am not short of breath or wheezing. One of the doctors said it could be a virus and another said it could be post-nasal drip. I read that pain in the knee could also be an early sign of some lung cancers and I do have pain in my knee from time to time, but have thought it could be due to running. I do not have pain anywhere else but sometimes if I bed down , I feel like I am pulling a muscle in my chest or in my abdomen, as soon as I still up straight and breathe, it disappears. Should I go back to the GP and insist on a scan? I don't want to appear as a hypochondriac but due to all the warnings there are today and also the worry we went through with my husband , should I be concerned?
doctor
Answered by Dr. Kaushal Bhavsar (37 minutes later)
Brief Answer:
Get done chest x ray.

Detailed Answer:
Thanks for your question on Healthcare Magic.
I can understand your concern.
No need to worry for occasional knee joint pain or pulled chest muscles.
These are absolutely normal and not related to serious lung conditions.
So don't think directly about lung cancer.
I would suggest to get done chest x ray first.
Chest x ray is screening tool for lung diseases.
If chest x ray is normal then no need to worry for lung diseases.
Please let me know if you have any allergies or you smoke.
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Kaushal Bhavsar (20 minutes later)
thank you, I gave up smoking in XXXXXXX but I was an occasional smoker, maybe 5 per week. I do nt have allergies but have suffered with hayfever in the past. I always have a runny nose in the morning and my nose is often red. I sneeze in the mornings but it settles by lunchtime
doctor
Answered by Dr. Kaushal Bhavsar (3 minutes later)
Brief Answer:
Have you ever undergone PFT?

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Females are more prone for smoking related lung damage.
So please let me know
1. Have you ever undergone PFT (Pulmonary Function Test)?
2. Have you ever undergone chest x ray?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Kaushal Bhavsar (22 minutes later)
i had a chest xray years ago about 8 when I went to live in Dubai as part of the medical screening.

Had a PFT couple years ago when I first went to give up smoking and it was a very good reading ( I have always been a social smoker, never smoked during the day)

I am very fit, I run am very active, walk a lot and do yoga. I am within the weight for my height and have always ate a healthy diet.

I never get out of breath.

My nose runs every day, Don't know if that could be related, somebody suggested it could be rhinitis that makes me cough, it appeared quite suddenly.
doctor
Answered by Dr. Kaushal Bhavsar (6 minutes later)
Brief Answer:
Yes, allergic rhinitis is a possibility.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Well, no need to worry for lung related cough because you sound quite healthy and fit.
Possibility of allergic rhinitis related cough is more likely.
So please let me know
1. Have you ever undergone allergy testing?
2. Do you have nose related symptoms since childhood?
3. Have you ever undergone tried nasal sprays or other allergy drugs?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Kaushal Bhavsar (1 hour later)
Never undergone allergy testing.

I have not had nose related problem since child, but have had problem with runny nose and sneezing for about 6 years

I have tried antihistamine but not for this, maybe a good idea to try, have never tried nasal spray although Dr that suggested post nasal drip did say to try an over the counter spray.

Maybe I should try all this before worrying unnessecarily.
doctor
Answered by Dr. Kaushal Bhavsar (28 minutes later)
Brief Answer:
You should definitely start nasal spray.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
In my opinion, you should follow-up these steps first.
1. Do warm water gargles and steam inhalation 4-5 times a day.
2. Drink plenty of fluids orally and keep yourself hydrated.
3. Take combination of antihistamine (levocetrizine or fexofenadine) and anti allergic (montelukast) once a day at night before going to bed.
3. Start combination of xylometazoline and fluticasone combination in nasal spray. One puff in each nostril twice daily.
Follow these for 1 month and see for improvement.
Please let me know whether you get these drugs over the counter or not.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Kaushal Bhavsar (7 minutes later)
Thanks so much, I will see if I can get this and start. I will let you know if we can get over counter in UK
Many thanks for your expert advice
doctor
Answered by Dr. Kaushal Bhavsar (2 minutes later)
Brief Answer:
Ok. Do let me know.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Yes, do let me know.
I will wait for your reply.
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Dr. Kaushal Bhavsar

Pulmonologist

Practicing since :2008

Answered : 14937 Questions

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What Causes Persistent Cough, Cold And Wheezing?

Brief Answer: Get done chest x ray. Detailed Answer: Thanks for your question on Healthcare Magic. I can understand your concern. No need to worry for occasional knee joint pain or pulled chest muscles. These are absolutely normal and not related to serious lung conditions. So don't think directly about lung cancer. I would suggest to get done chest x ray first. Chest x ray is screening tool for lung diseases. If chest x ray is normal then no need to worry for lung diseases. Please let me know if you have any allergies or you smoke. I will be happy to help you further. Wish you good health. Thanks.