Hello Eli, I am Dr. Arun and will be helping you today.Are you taking any blood pressure or heart medicine?Are you on any supplement or herbs?
No blood pressure or heart meds. I take CoQ10, 5-HTP, mult vit, vit D. Lots of water and a reasonably healthy diet. No alcohol or drugs.
Hello Eli,Were tests / investigations like endoscopy for GERD / Hiatal hernia performed?
No, and I've never had problems with heartburn.
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 antibiotic like trimethoprim-sulfamethoxazole or cefuroxime.
2) Cough variant asthma; this will require bronchodilator medications used in asthma or steroid inhalers. This in your case has been ruled out.
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), 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.
I would be happy to assist you further, if you need any more information.
Thanks for using Just Answer.
Also, more recently, when I have a bad coughing fit, I get a sudden severe headache at the back of my head.