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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for excessive coughing

This is in regards to a 47 year old male whom has never had any serious illnesses. He s 6 1 & weighs 185. He has been sick since last Nov. 2010. A lot of the systems have gone away, however he s continued to have a horrible cough that almost debilitates him at times. For 2 1/2 months straight, he coughed so hard that he would vomit pretty much every time. During that 2 1/2 months he lost 23 lbs. He no longer vomits but spits up something every time, to the point he now carrys around something to spit in during the day. He usually has to take a sleeping pill to get to sleep. However, that only last 3 or 4 hours before the cough will wake him up in the middle of the night, at that point we know we ll be up for at least an hour or more. Sometimes he coughs up a greenishj flem, other times more of a brownish flem, but most of the time it s foamy white flem. He s been on 3 different antibiotics, 2 different cough syrups, steroids, enhalers, cough drops and every other over the counter medicine we could find for his systems. They ve taken x-rays, had blood work done, stool samples, tested for Silicosis (glass dust), he s a tile setter and asbestos. It s been 7 months now, but the last 3 months the doctor told him he would just have to wait it out. Wait what out? He was stumped and never figured IT out. Nothing has changed in the last 3 months, he coughs as much as ever... PLEASE HELP!
Fri, 24 Nov 2017
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Drug/Medication
General Surgeon 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

Management of this typical issue requires the diagnosis of the root cause without which there is no meaning of any other remedy.

I strongly recommend to perform CT thorax, diagnostic bronchoscopy, and further line of action will depend on the report of these tests.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Bhagyesh V. Patel
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