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Dr. Chip
Dr. Chip, Board Certified Physician
Category: Medical
Satisfied Customers: 31218
Experience:  20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
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I have had a cough and crackly chest least six months.

Resolved Question:

I have had a cough and crackly chest for at least six months. Chest X-ray clear and side effect of blood pressure medicine ruled out. Asthma also discounted.Yesterday I had two choking episodes which I found difficult to control .
My doctor is sending me to hospital to investigate unexplained cough but this appointment will take months to come through. I am concerned about this
Any advice please ?
Margaret B
Submitted: 2 years ago.
Category: Medical
Expert:  Dr. Chip replied 2 years ago.

Hi Margaret

Have you had your sinuses checked?

Any problem with heartburn or indigestion?

Is this a completely dry cough?

Customer: replied 2 years ago.
Have not had sinuses checked.
No heartburn
Yes dry cough
Expert:  Dr. Chip replied 2 years ago.
Just one other question--how has this been treated?
Customer: replied 2 years ago.
I have had antibiotics anti histamine and tests and preventative inhaler for asthma all of which made no difference.
Expert:  Dr. Chip replied 2 years ago.

OK--all I can do here Margaret is give you my thoughts--let me know if you need more information.

I would get a ct scan of your sinuses to look for a chronic infection there since post-nasal drip from that could be the problem

But much more likely is silent gastric acid reflux--no indigestion or heartburn, but the acid reflux is aspirated into the lungs causing a chemical bronchitis.

Were I your doctor I'd get the scan and give you a two week course of either Prilosec or Nexium to see if that clears this up.

Customer: replied 2 years ago.
Thank you for your thoughts which reassure me . My doctor is not helpful when you suggest to her that you have a diagnosis yourself! Can you advise me whether to wait for my hospital referral or should I pursue this more urgently?
Expert:  Dr. Chip replied 2 years ago.
Well actually for now you can try over the counter Prevacid or Prilosec on your own and I'd also suggest a saline nasal spray or irrigation system in case it's your sinuses. Let me know how it goes and please remember to rate my service to you Margaret
Dr. Chip and other Medical Specialists are ready to help you
Customer: replied 2 years ago.
Thank you for your advice I will rate your service now. Please confirm that I have not signed up for a monthly plan.
Regards
Margaret Bain
Expert:  Dr. Chip replied 2 years ago.
I'll make sure you don't have a subscription Margaret and thank you