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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Hoarse Cough With Shortness Of Breath?

I ve had a hoarse cough with shortness of breath for 8 months now. Lately my lungs have been sore too. I ve had xrays, ct scans, bloodwork, a pulmonary functions test and even a bronchoscopy. Nothing was found. During the bronchoscopy, he removed a bunch of excess phlegm and told me that I was inflamed, but he couldn t see why. Both the fungal and bacterial cultures also came back negative. From the pulmonologist I was sent to the allergist. There I had blood work and allergy testing. All came back fine. What could this be???It feels like my airways themselves are open, but I have something in the middle of my chest. I was thinking maybe a hernia, but would that cause a hoarse cough? Also, they put me on gerd medicine. No improvement.
Wed, 4 Mar 2015
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Pulmonologist,  's  Response
Hello dear, thanks for your question on HCM.
I can understand your situation and problem.
In my opinion you are having uncontrolled GERD ( gastroesophageal reflux disease ) mostly.
Since your extensive pulmonary work up is normal, no need to worry much for pulmonary causes.
Uncontrolled acid reflux can cause chronic cough and breathlessness due to micro aspirations.
And following lifestyle modifications along with drugs are needed for complete control of GERD.
So avoid stress and anxiety.
Avoid hot and spicy food.
Avoid large meals, instead take frequent small meals.
Go for walk after meals.
Keep 2 - 3 pillows under head in bed to prevent reflux.
Avoid alcohol and smoking, if you have these habits.
Loose weight if you are obese.
Don't worry, you will be alright.
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What Causes Hoarse Cough With Shortness Of Breath?

Hello dear, thanks for your question on HCM. I can understand your situation and problem. In my opinion you are having uncontrolled GERD ( gastroesophageal reflux disease ) mostly. Since your extensive pulmonary work up is normal, no need to worry much for pulmonary causes. Uncontrolled acid reflux can cause chronic cough and breathlessness due to micro aspirations. And following lifestyle modifications along with drugs are needed for complete control of GERD. So avoid stress and anxiety. Avoid hot and spicy food. Avoid large meals, instead take frequent small meals. Go for walk after meals. Keep 2 - 3 pillows under head in bed to prevent reflux. Avoid alcohol and smoking, if you have these habits. Loose weight if you are obese. Don t worry, you will be alright.