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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes chronic cough and shortness of breath?

I m military and in basic and AIT (both located in GA) I developed a odd sounding chronic cough. I went through numerous tests to include XRAY, Methacholine challenge, GERD, Allergy and others I can t recall. I also have rhinitis which I m told by the allergist is not due to any allergy (I had a full skin test). It mostly subsided when I was stationed in Ft Lewis, WA while I was taking flonase and zyrtec. I ve since been stationed at Hunter AAF, GA and now the cough is back in full force and my rhinitis is no longer controlled by flonase. An allergist back at fort gordon told me it was cough variant asthma( after successfully reducing the symptoms with prednisone and then advair) but the pulmonologist at both fort gordon and fort lewis insist that I don t have asthma. While my symptoms are present I have a shortness of breath during running and similar exercises but to a lesser extent in washington. I had no issues during my deployment to Iraq (my 2 mile run times dropped four minutes with no changes in behavior) I was 18 when in Basic and AIT and now am 22 soon to be 23. Any ideas?
Tue, 4 Dec 2018
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General & Family Physician 's  Response
Hello,

I suggest you visit a cardiologist and do some other examinations like ECG, cardiac sonography, and a stress test. These are to rule out any possible cardiac problem related to the shortness of breath.

If your heart is well too, it may be possible to be asthma, a variant with a cough.

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

Take care

Regards,
Dr Anila Skenderi, General & Family Physician
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