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Dr. Wajid
Dr. Wajid, Doctor
Category: Medical
Satisfied Customers: 2349
Experience:  MBBS, FCPS (Internal Medicine)
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I have had a persistent dry cough for 3-4 months following

Resolved Question:

I have had a persistent dry cough for 3-4 months following acute sinusitises and acute
laryngitis treated with antibiotics. I have had CAT scan that indicates inflamed areas in both lungs. A bronchastomy and blood tests proved negative for infections and cancer.

My condition is not being treated because I do not have a clear diagnosis. What should I do? My pulmonary doctor wants to take a larger lung sample via open lung surgical procedure but I am concerned this will be another test with no results leading to a treatment and cure.
Submitted: 5 years ago.
Category: Medical
Expert:  Dr. Wajid replied 5 years ago.

Dr Wajid :

Hi

Dr Wajid :

Welcome to just answer

Dr Wajid :

What does your pulmonologist say about this?

Customer:

All he knows is that he has not found any infection other than an indication of lung inflamation.

Dr Wajid :

Hi again

Customer:

hi

Dr Wajid :

Well in this case I would suggest you go ahead and have a brochoscopy done and if possible a biopsy

Dr Wajid :

I dont think there is a need for a surgical intervention at his point

Customer:

A bronchoscopy and biopsy have both been done and analyzed. No infection or cancer has been found.

Dr Wajid :

Do you have bronchospasm on clinical examination?

Customer:

I am not sure what that means.

Dr Wajid :

Well in the absence of infection and cancer in the lungs, other causes of dry cough include constriction of the your bronchi's as in asthma

Dr Wajid :

This is known as bronchospasm

Customer:

An asthma test was done and there is definitely no asthma

Dr Wajid :

Well I would suggest you get Lung function tests done on a spirometer

Customer:

That has also been done with no conclusive diagnosis

Dr Wajid :

Do you have stomach acidity problems?

Dr Wajid :

Any history of water brush?

Customer:

some acid reflux treated with Prolosec from time to time

Dr Wajid :

Well then that should be treated effectively and seen whether your cough settles or not since reflux is a common cause of dry cough

Dr Wajid :

Thank oyu

Dr Wajid :

Thank you

Dr Wajid :

Do you have any further questions?

Customer:

Could the acid reflux cause the lung inflammation?

Dr Wajid :

Yes it does, a phenomenon known as reflux pneumonitis

Customer:

Thank you for your comments

Dr Wajid :

You are welcome

Dr Wajid :

Please press the accept button if you feel satisfied with my response

Dr Wajid :

Thank you

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