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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Persistent Cough?

What s the cause of a cough that has persisted for months? I get a tickle in my chest and it makes me cough deeply until it goes away. I can feel a little mucus in my airway, and sometimes in the throat. Sometimes I cough up white, bubbly phlegm. I have vomitted at times. No fever.
Wed, 22 Nov 2017
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Ayurveda Specialist,  's  Response
**
Thanks for contacting with your health concern

1. As far as the symptom of 'tickle in the chest' is concerned probably it could be post nasal drip- a sensation of mucus trickling from the back of your nose down into your throat due to hay fever, allergies or irritants.

PS. Consult an ENT specialist [for quick visual examination of the throat] and for any necessary investigation(s)

2. As the symptom [coughing] is there for months, thus following should be your approach:

i. Ask for investigations like
. Hb%, WBC for eosinophilia
. X-ray chest for TB, Pneumonia
. If other investigations are normal, HIV test [as routine]

PS. As cough is there for > 15 days, thus this is an indication for immediate X-ray.
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What Causes Persistent Cough?

** Thanks for contacting with your health concern 1. As far as the symptom of tickle in the chest is concerned probably it could be post nasal drip- a sensation of mucus trickling from the back of your nose down into your throat due to hay fever, allergies or irritants. PS. Consult an ENT specialist [for quick visual examination of the throat] and for any necessary investigation(s) 2. As the symptom [coughing] is there for months, thus following should be your approach: i. Ask for investigations like . Hb%, WBC for eosinophilia . X-ray chest for TB, Pneumonia . If other investigations are normal, HIV test [as routine] PS. As cough is there for 15 days, thus this is an indication for immediate X-ray.