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Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor
Category: Medical
Satisfied Customers: 46832
Experience:  MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist
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Eslabra and I just want to consult about my cough. My cough

This answer was rated:

Hello
JA: Hello. How can I help?
Customer: I'm Mery Grace Eslabra and I just want to consult about my cough.
JA: How long have you been dealing with the cough? Are you having any other symptoms?
Customer: My cough is more than a 2 months now
JA: Anything else in your medical history you think the Doctor should know?
Customer: Only cough
Customer: replied 3 days ago.
Hello

What is your age?

What are the investigations done for cough?

What are the other symptoms, apart from cough?

Customer: replied 3 days ago.
I'm 35 years old
I'm just drinking boiled ginger
Lemon and honey
My voice is a little bit husky now

Thanks for the additional information.


I am writing the answer for you and will get back to you in 5 minutes. If you get a phone call request, you may ignore it as that is an automated site trigger. Thank you.

 

Reflux laryngitis or laryngopharyngeal reflux or extraesophageal GERD is a silent GERD that can be present in as many as 80% of patients with chronic cough. The investigations to confirm it are;

1) Ambulatory 24-hour pharyngoesophageal pH monitoring
2) Barium esophagography
3) Laryngoscopy
4) Upper gastrointestinal endoscopy.

You may also get a chest x-ray and spirometry for the complete evaluation of the chronic cough.

The common causes of chronic cough are postnasal drip (also called upper airway cough syndrome), asthma, and reflux laryngitis / gastroesophageal reflux disease (GERD). These causes are responsible for up to 90 percent of all cases of chronic cough. Less common causes include infections, medications, and chronic lung diseases. Another common cause of chronic cough is nonasthmatic eosinophilic bronchitis. Following causes are usually considered for the chronic cough;

 

1) Upper airway cough syndrome; they comprise of vasomotor rhinitis; acute nasopharyngitis; and sinusitis. The treatment is by steroid nasal spray or nasal antihistamine. Sinusitis may need antibiotics like trimethoprim-sulfamethoxazole or cefuroxime.

 

2) Cough variant asthma; this will require bronchodilator medications used in asthma or steroid inhalers.

 

3) Reflux laryngitis and Gastroesophageal reflux disease (GERD); treatment is by avoidance of reflux-inducing foods (fatty foods, chocolate), eating five small meals a day without snacking, avoidance of meals for two to three hours before lying down (except for medications), the elevation of the head of the bed and an H2 antagonist or a proton pump inhibitor.

 

4) Postnasal drip; would need antihistamines and inhaled ipratropium bromide.

 

5) Non-specific cough; Dextromethorphan and/or codeine can be used.

Was this information helpful to you?

 

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I would be happy to assist you further if you need any more information.

Thanks for using Just Answer.

 

Customer: replied 3 days ago.
How can I get an X Ray referral for now Doc. The gp did not accept personal consultation. What should I do and what medicines I can take.

You may start;

1) Omeprazole 20 mg in the morning.

2) Ranitidine 150 mg in the night.

3) Antacid.

All of these are without the prescription.

Customer: replied 3 days ago.
I only have omeprazole

You can order the rest of them online.

Customer: replied 3 days ago.
Ok doc. Is lemon and honey can help to cure
Customer: replied 3 days ago.
And the ginger

Mery,

Lemon, honey, and ginger can help.

Nutrition and supplements;

1) Multivitamins; vitamins A, C, E, the B vitamins, and trace minerals, such as magnesium, calcium, zinc, and selenium.
2) Probiotic supplement
3) Omega 3 fatty acid
4) Avoid; cookies, crackers, cakes, French fries, onion rings, donuts, processed foods, and margarine.

5) Also, avoid; white bread, pasta, and especially sugar, red meats,
6) Eat lean meats, cold-water fish, tofu, beans, olive oil.

Customer: replied 3 days ago.
Doc I just want to make it clear, my cough is it due to GERD? Does it means not connected to my lungs?
Customer: replied 3 days ago.
I don't need to take antibiotics

You don't need antibiotics.

It is related to GERD in all likely.

Wishing you a speedy resolution and all the very best in life.

 

 

 

" I sincerely hope that I have helped you and that I have earned my 5-star rating today! Please remember to rate my service by selecting the 5 stars at the top of the screen ( rating me now does not close your question). We can continue here until you are satisfied, simply use the reply box and let me know. Thank you!”.

Stay blessed.

 

Customer: replied 3 days ago.
Ok doc. So this means that I don't need to be worry about the coronavirus doc?

Not at all.

This is not due to coronavirus, I can reassure you.

Customer: replied 3 days ago.
Ok. Thank you doc. Can I consult to you anytime?

You are very welcome.

You may consult anytime.

Customer: replied 3 days ago.
Thanks again and God bless you doc��

 

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