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Posted by: Dean Tolhurst | 08/04/2019

Q
Persistent cough for over 7 years

Hi i have had this cough for over 7 years. my doctors has done numerous tests. I think is started when i had Whooping cough. but prior to that i would cough frequently in winter and with air conditioning. I have had a lung specialist check me and look inside my lungs. He noted that my voice box does not close properly when i swallow. I have had a camera into my stomach as well and there were no problems there either. If i lay down on my back i cough. if lay on my left side i cough if i laugh i cough. if i bend over i cough. i cough after eating. my larynx seem to be constantly irritated. I sometimes have a sharp pain in my chest in the left side. i am told by my partner that i am snoring badly now. If you have any suggestions of what i can do i would really appreciate it.

EXPERT’S REPLY

Posted 15/04/2019

A
Firstly, I think you may need a sleep study to see if you have obstructive sleep apnea. That in itself can cause nasopharyngeal congestion and be exacerbating the cough because of swelling of the nasal mucosa.
I would try 3 months of a steroid nasal spray and antihistamines just to be sure that you don't have an occult post-nasal drip. Often you need to try different antihistamines and you need a protracted period of treatment to really know what's going. This doesn't sound like an acid up the food pipe problem. Have you been evaluated for lung diseases like asthma? Are you perhaps on blood pressure medication that might be causing chronic cough? After excluding all of the above you may need to try certain special medications for chronic cough. Your pulmonologist should be able to advise you on this.
The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical examination, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.
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