Dear patient,
Thank you for your query at DoctorSpring.com
May I know your age, smoking status, job medications, allergic status also.
Does this cough have a diurnal or postural variation?
Do you have heart burn out reflux?
Any fever, weight loss, lots of appetite? Was a Spiro done?
Is the cough aggravated by anything specific?
Please answer it as it makes a difference.
Regards
Dr. Jacob George P
MD IDCCM FCCP
Patient replied :
Morning Doctor, i dont have a specific sympthoms when i cough just comes n my bofy forces me to cough is like i cant avoid it.I dont smoke at al.
Im 30.I havent lost weight, or loss appetite or anything im.doing a normal life.I just notice i cough also when im stressed for some reason.I dont know if it has something to do but i actually do.
Dear patient,
Thank you for the follow-up.
I suggest you try a proton pump inhibitor plus a pro kinetic agent in empty stomach daily morning. Plus a monteleukast levocetrizine combination before sleeping. It not improving, try to suppress the cough with benzonate capsules thrice a day. Hope it helps.
Regards
Patient replied :
Can i get all this in Uk?Do i need a doctor prescription?what do u think is the problem?
Hello,
I feel it is from a reflux disorder.
In some cases, the only symptom in GERD is a chronic unexplained cough.
You need prescription for Montelukast. Ca. Omperazole 20 mg once daily before breakfast for 2 weeks, can be taken to relieve the reflux induced cough.
Kindly try it for a week and update me.
Regards.
Patient replied :
Thank you.And by the way.If it helps i ve noticed i dont cough when im lying down.Thank u
Hello,
Cough can very with posture.
It does not change the diagnosis.
Kindly let me know in a week's time if there is any improvement.
Regards.