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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Chronic Cough And Wheezing?

I've had a dry hacking cough- off and on for about three months. This time it has lasted over a month straight. I lose my breath and have a cough attack to catch my breath. Nothing comes up and I can't really get behind the cough to be productive. No fever. No chest pain other than soreness coughing so much. I've taken a suppressant.... did'nt work. Tried expectorant... helped break it up... was able to blow my nose... but still coughing with wheezing sounds when exhaling and still breathing shallow to avoid coughing attacks.
My doctors appt is at the end of the month... any suggestions... ?
Tue, 28 Feb 2017
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General Surgeon 's  Response
Hello,
I have gone through your query and I can understand your concerns.

Probable diagnosis:
1-COPD (Chronic obstructive pulmonary disease)
2-Allergic cough
Whom to consult :
Pulmonologist/General physician

The symptoms you have mentioned suggest the possibility of two unrelated conditions,They are "COPD" and "allergic cough".COPD is a disease of smokers and present with chronic cough and wheezing.Allergic cough also present with similar symptoms a detailed history and evaluation may be needed to confirm the diagnosis.
I suggest you to consult a good pulmonologist and get the following done:
1.X-ray chest as a first line investigation.
2-Sputum examination to rule out TB(tuberculosis)
3-Spirometry to assess the severity of the disease.
Other investigations like CT scan may be needed based on initial evaluation will be advised by your doctor.

As of now you can do the following for symptomatic relief.
1.Avoid smoking.
2.Antihistamines like "levocetrezine"
3.nasal decongestants.
4.You can have nebulization which can be easily provided by a trained nurse from a nearby clinic.

Hope this information helps.
Wishing you good health.
Regards.

Dr.Shinas Hussain

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What Causes Chronic Cough And Wheezing?

Hello, I have gone through your query and I can understand your concerns. Probable diagnosis: 1-COPD (Chronic obstructive pulmonary disease) 2-Allergic cough Whom to consult : Pulmonologist/General physician The symptoms you have mentioned suggest the possibility of two unrelated conditions,They are COPD and allergic cough .COPD is a disease of smokers and present with chronic cough and wheezing.Allergic cough also present with similar symptoms a detailed history and evaluation may be needed to confirm the diagnosis. I suggest you to consult a good pulmonologist and get the following done: 1.X-ray chest as a first line investigation. 2-Sputum examination to rule out TB(tuberculosis) 3-Spirometry to assess the severity of the disease. Other investigations like CT scan may be needed based on initial evaluation will be advised by your doctor. As of now you can do the following for symptomatic relief. 1.Avoid smoking. 2.Antihistamines like levocetrezine 3.nasal decongestants. 4.You can have nebulization which can be easily provided by a trained nurse from a nearby clinic. Hope this information helps. Wishing you good health. Regards. Dr.Shinas Hussain