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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes chronic cough?

Hi. I have a chronic cough that is getting progressively worse and interfering with my life. Here are the triggers: food touching both sides of the back of my tongue, talking, singing, whispering, turning my head to the side and up, anxiety, Symptoms- cough until I gag, sometimes wet sometimes dry, and when I cough really hard I feel a burning in my chest and wrists and I get an instant headache on both sides of my head. Food gets stuck in my throat and I have trouble swallowing sometimes. And sometimes when I cough it feels like I am coughing up into my nose. Bizarre isn t it? I am on meds for high blood pressure and reactive airway disease. I don t have acid reflux. Barium swallow was normal. I am 55 years old and in great physical condition otherwise. :) I was thinking glossopharyngeal or another nerve. Good luck with this one!
Wed, 5 Nov 2014
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Pulmonologist 's  Response
Thanks for your question on HCM.
I want to ask few questions first.
1. Have you under gone PFT (Pulmonary Function Test).
2. Which medicines you are taking for high blood pressure.
If you are taking ACE inhibitors (AngiotensinConverting Enzyme) for blood pressure than your cough must be due to side effect of this drugs.
As 20-30% patients on long trm use with ACE inhibitors develop dry cough. You need to replace this drug. So consult your doctor and discuss about this possibility.
Reactive airway disease needs PFT to confirm. And once confirmed you need to take inhaled medicines. So better to consult pulmonologist and get done PFT and start treatment as untreated airway disease can also cause cough.
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