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    Old 10-02-2006, 05:09 PM   #1
    MinMin24
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    Chronic cough

    Hi I am 26 years old and suffer from severe asthma and bronchitis...but over the last 2 years have been dealing with a chronic cough that can't be controlled. I am sure that it is not asthma related as well as bronchitis related as I am being treated for both of those. So here is my problem my cough is a very deep cough in which I produce some pleghm...however no matter how much I seem to spit it out it seems like it always is filling up with more. The cough is so terrible that it keeps me up all night as well as I cough so hard I actually ache all over and give myself migarines. My cough can best be described as a smokers cough ...except that I dont smoke at all. I was jsust curious if anyone out there has experienced the same thing...If you did I would love hearing from you......I am scheduled to see a pulmonary specialist in a lil over 2 weeks but would like to hear something before that as I am a lil curious as to what it could be.

    Last edited by MinMin24; 10-02-2006 at 05:21 PM.

     
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    Old 10-03-2006, 07:34 AM   #2
    Howitt44
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    Re: Chronic cough

    What is your treatment for your asthma? I used to be the same way with my asthma - most mornings I would cough up quite a bit of phlegm. I have never smoked either. But I got on Advair, which is an anti-inflammatory drug, and it has made my cough go away. I hardly ever get sick with bronchitis either. My lung function has improved, but is still not normal, so I guess you could say I have chronic asthma.

     
    Old 10-03-2006, 07:44 AM   #3
    Hensylee
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    Re: Chronic cough

    This is my first post in this forum. I, too, have a productive chronic cough and it's embarrassing when in church~! This cough is the reason I did a search this morning and found this site. I have already found that some here have already discussed ACE inhibitors causing a chronic cough. My cough began in December and I just can't get rid of it. I am taking Benicar and Toprol XL. Could it be either or both of these. I was taken off Atenolol a few months ago and started on Toprol XL. Can't recall when I started Benicar but was changed from another drug to Benicar sometime last year.

    On Sunday mornings I take a Mucinex and carry cough drops!

    Any thoughts?

     
    Old 10-03-2006, 07:43 PM   #4
    MinMin24
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    Re: Chronic cough

    Howitt44- I have been taking advair for my asthma for the last 4 years as well as singulair, spiriva, prednisone and do nebulizer treatments for the asthma so I am sure that my cough aint related to my astma. I am glad to hear that advair has helped you. My cough is a productive cough that wont go away I have been given all kinds of meds and even special cough medicines to help contol it but nothing helped. I actually was squeezed in for a earlier appointment with the pulmonary specialist...I go and see him tomorrow and will hopefully get some kind of answers......I will keep everyone posted as to what the dr says. Thanks to everyone for there help it is greatly appreciated.

     
    Old 10-04-2006, 06:07 PM   #5
    aswaer
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    Re: Chronic cough

    I know what this is because I have it myself, and since I don't have a lot of time for this post, I need you to go and research "laryngopharyngeal reflux". It is the most common cause of cough that doesn't respond to asthma and allergy drugs. Basically, you're not getting heartburn, but a small amount of acid is traveling all the way up the esophogous and splashing your larynx. There is no natural protection there, and you chronically cough. This condition is abbreviated as "LPR". There is tons of information on the web about it if you search the whole term, "laryngopharyngeal reflux".

    The great news is that it's treatable! You take the same medications that people use for heartburn called PRoton Pump Inhibitors (PPIs), only instead of taking 1 pill a day (which is prescribed for heartburn), LPR patients must must must take 2 doses a day! By reducing the amount of acid in the stomach, less acid will splash the larynx. I know it doesn't cure the cause, only treats the symptoms, but it's the best shot you have at getting better. Surgery is recommended only for people who don't respond to the PPIs. And the surgery is basically irreversible - and about 10% of patients suffer horrible outcomes, so you really want the PPIs to work for you.

    I recommend the PPIs in this order:
    1. Nexium
    2. Aciphex
    3. Prevacid
    5. Zegerid
    6. Prilosec Brand (available only by prescription)

    In addition, there is Prilosec OTC and Protonix, but I don't recommend either one - they have terrible reputations for treating LPR (based on feedback at the acid reflux message board) - but they are good for treating heartburn.

    Check out the acid reflux message board!

     
    Old 10-04-2006, 06:09 PM   #6
    aswaer
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    Re: Chronic cough

    And yes, LPR can be the root cause of asthma. When the acid is able to travel as far north as your larynx, some of that acid makes it into the throat where it becomes gaseous, and some gets up your sinuses and some gets aspirated into your lungs, causing asthma or asthma-like symptoms.

    I suspect that after getting treated for LPR, the asthma will go away too!

     
    Old 10-04-2006, 08:13 PM   #7
    MinMin24
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    Re: Chronic cough

    aswander- I do know about LPR and have been treated for my acid reflux I take 60mg of prevacid twice daily and have had that condition controlled. I actually went to a pulmonary specialist who is pretty sure my cough comes from chronic sinusitis he plans for me to have a ct scan to confirm it then he plans to have me on antibiotic for several weeks to clear it out and hopefully reduce my coughing attacks by 50%....However I would like to thank everyone for there advice it was greatly appreciated!

    Last edited by MinMin24; 10-04-2006 at 08:14 PM.

     
    Old 10-12-2006, 09:20 AM   #8
    justme100
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    Re: Chronic cough

    Sinusitis and asthma are related. Sinusitis and bronchitis are related.

    Anything in your sinuses can find its way to your chest and cause all sorts of coughing and breathing problems.

    I used to have only head colds. In mid-life, I got a cold (probably a flareup of untreated chronic sinusitis in retrospect) that quickly went deep into my chest. I ignored it until I was coughing uncontrollably. The doctor told me I had bronchitis. I took the meds, but did not rest. The coughing became worse, and I went back to the doctor. I not only still had bronchitis, but I also had pneumonia in both of my lungs. I spent 3 days in the hospital and a week more pretty much in bed.

    Now, every time I get a cold, it rarely touches my sinuses, or so it seems. It goes from a sore throat right into bronchitis. Three times a year. Sometimes, it turns into pneumonia. Plus, every time I come down with bronchitis, I have asthma that flares up. (This only happens when I have bronchitis, not at any other time.) This happens 3-4 times a year, and I very definitely have noticable bronchitis for 4-5 weeks each time.

    So don't ignore your sinuses. I did, and now I'm stuck with this garbage that I'm treating and relieving, but which keeps coming back.

     
    Old 10-12-2006, 09:42 AM   #9
    Hensylee
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    Re: Chronic cough

    I went to my dr yesterday. He took me off Toprol XL and put me back on atenolol. He also gave me an antibiotic for sinus infection, Clarinex, a sample of nasonex. I can breathe better, no cough (except a wee one now and then) and I am already feeling better and no morning mouth gunky. Thanks for all the information in this thread. Very, very helpful.

     
    Old 10-13-2006, 12:38 PM   #10
    Howitt44
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    Re: Chronic cough

    I agree with everyone about sinus and asthma being related. When I first started going to my asthma specialist, she told me that any problem with the nasal passages will end up in the lungs. I started using a saline nasal rinse last year, but wasn't very consistent. I plan to start again , using it twice a day. It makes your nose feel so clear and clean! I would certainly recommend this to anyone.
    Cindy

     
    Old 10-13-2006, 09:20 PM   #11
    MinMin24
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    Re: Chronic cough

    Okay so my dr was wrong because today I got the results of my ct scan which showed that I have mild sinusitis. So Now I am waiting for him to call me back and see what the next plan of action is. I do have chronic bronchitis which causes my asthma to flare up. I am so fustrated because I have been unable to sleep....hopefully my dr will find a answer to this problem. well I am gonna go n try to get some sleep.....I will write when I know more. Thanks again for all the advice!

     
    Old 11-17-2006, 01:48 PM   #12
    chewbug
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    Re: Chronic cough

    Quote:
    Originally Posted by Hensylee
    This is my first post in this forum. I, too, have a productive chronic cough and it's embarrassing when in church~! This cough is the reason I did a search this morning and found this site. I have already found that some here have already discussed ACE inhibitors causing a chronic cough. My cough began in December and I just can't get rid of it. I am taking Benicar and Toprol XL. Could it be either or both of these. I was taken off Atenolol a few months ago and started on Toprol XL. Can't recall when I started Benicar but was changed from another drug to Benicar sometime last year.

    On Sunday mornings I take a Mucinex and carry cough drops!

    Any thoughts?
    Yes Hon, it could be the Toprol. Toprol is a Beta Blocker and can cause a persistent cough.

     
    Old 11-24-2006, 02:21 PM   #13
    Hensylee
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    Re: Chronic cough

    It WAS the toprol. My dr put me back on atenolol (also an ace inhibitor) and the cough went away. The atenolol only makes my feet cold! Thanks.......

     
    Old 12-12-2006, 07:38 PM   #14
    rbreunig
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    Re: Chronic cough

    I have had a cronic cough for over two years. I also have post nasal drip. A chest x-ray shows "white lines". I have passed a pulmary function test. I am a non smoker never near asbestos. What is this?

     
    Old 01-04-2007, 07:18 AM   #15
    BrandyBobs Lady
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    Re: Chronic cough

    Hi Guys,

    Not sure how to describe this but here goes. I've been on CPAP for nearly 5 years now. It causes my nasal passages to get very dry and bloody and I have a constant sniffling problem which I have been asked quite often if I'm doing cocaine. I'm not a drug user by any means. My sinuses constantly drip and I feel like my throat is always scratchy and I cough a lot. Over a year ago I had a chest x-ray which showed a single nodule about 5mm. The doctor asked me if I had ever had a chest infection. Heck if I know...could have and never knew it. Whenever I was sick I didn't always go to the doctor because I knew it would pass. I'd stay home from work and ride it out. I've had coughs that were pretty deep and hurt the dickens out of my chest so chances are I probably did. I went for a CT scan and it showed the same little nodule but I hadn't gone back since. The thought of having something bad scared the hell out of me and I didn't wanna know. So far I have nothing out of the ordinary happening to me other than what I am used to having all of my life and the start of friggin menopause. I can breathe deep just fine and have no problem with physical exertion. I can dance up a storm...get the normal breathlessness from that and when I exercise. Doesn't help I regained 25 lbs. I had just lost too and now have to try and get rid of it again. Too much belly fat and the fat around my neck and face can do a number of trying to breathe correctly as well. Its time to put my New Years Resolution into effect and lose this weight once and for all.

     
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