How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Thomas, MD Your Own Question

Dr. Thomas, MD
Dr. Thomas, MD, Board Certified Physician
Category: Medical
Satisfied Customers: 56049
Experience:  Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
Type Your Medical Question Here...
Dr. Thomas, MD is online now
A new question is answered every 9 seconds

I have a constant cough ever since having a tracheostomy 14

Customer Question

I have a constant cough ever since having a tracheostomy 14 months ago...I am sometimes able to bring up a small amount of sputum...I cough for so long sometimes I feel extremely light headed and it hurts my head to cough - I end up with really bad headaches, I also cough until I vomitm is this normal? Is there anything I can do about it? No cough medicine works, not honey, I have had a scope and there is no scare tissue...can you please help me it is driving me insane!! thank you, XXXXX XXXXX Angela
Submitted: 3 years ago.
Category: Medical
Expert:  Dr. Thomas, MD replied 3 years ago.
Hello
Why the tracheostomy
?
Customer: replied 3 years ago.
I had TTP? Renal dialysis and TPE..
Expert:  Dr. Thomas, MD replied 3 years ago.
OK
So this is closed now?
Customer: replied 3 years ago.

Yes, i was in hospital for about 5 weeks - have been home for 14 months...the cough/tickle in my throat is driving me insane..enough so I only get about 4 - 5 hours sleep (with help from meds) and wake approx 7 - 8 times a night coughing, dry heaving and vomiting..this also happens all day, I am exhausted

 

Expert:  Dr. Thomas, MD replied 3 years ago.
OK
And has the sputum been cultured
And have you had a recent chest x ray?
Customer: replied 3 years ago.

My sputum is clear...never cultured and x rays are clear....the cough is in the upper tract, the tickle is in my throat near the trache site but sputum is in the upper tract

 

Expert:  Dr. Thomas, MD replied 3 years ago.
Any sinus difficulties?
Customer: replied 3 years ago.
I tend to get sinus and infections +++ but this was a previous condition...never had a constant (for the most part) dry cough before
Customer: replied 3 years ago.

r u still there? nothing has come through

 

Expert:  Dr. Thomas, MD replied 3 years ago.
OK
Here are the areas that need to be considered.
CT of the sinuses as in some cases blocked sinuses will produce a hidden chronic infection, post nasal drip, and symptoms never get better until the sinuses are drained.

Culture the sputum although this sounds like it will have a low yield.

Most importantly: many times after an experience such as the one you have, had, plus with the chronic cough putting pressure on the diaphragm and stomach, there is actually GERD, or reflux disease without heartburn. This allows enough acid to wash into the throat to produce chronic mucus and cough. The test for this would be Ph monitoring of the esophagus, or a 3 to 5 week trial of proton pump inhibitor therapy, to see if reducing the acid helps. If not, Ph monitoring would then be essential.

This situation commonly allows a tickle in the throat and a cough to go on and on without resolution.

If you need help outside of your current docs, see a GI specialist for this.

Good luck
let me know if you have further questions
Dr. Thomas, MD, Board Certified Physician
Category: Medical
Satisfied Customers: 56049
Experience: Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
Dr. Thomas, MD and 9 other Medical Specialists are ready to help you
Customer: replied 3 years ago.

Ok, so is that GORD (we call it over here in Aus) could be helped by something like Somac...I was meant to have a turbenectomies however i fell ill about 2 months after the appt. I am now too afraid to have the surgery even though it is only minor...

Expert:  Dr. Thomas, MD replied 3 years ago.
GERD is gastroesophageal reflux disease, or acid reflux.
See ENT bout the turbinates...they might not be the problem but this can be examined and you can get a CT of the sinuses.
Yes I believe somac is also used for GERD.

Good luck again

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/DrThomasMd/2012-7-25_134438_Imagess1.64x64.jpg Dr. Thomas, MD's Avatar

    Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
  • http://ww2.justanswer.com/uploads/MY/mysticdoc/2012-6-8_15615_mysticdoc3.64x64.jpg Dr. D.J.'s Avatar

    Dr. D.J.

    Board Certified Physician

    Satisfied Customers:

    14679
    MD
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2562
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/DrDLove/2009-08-12_141522_DrDLove.jpg Dr. D. Love's Avatar

    Dr. D. Love

    Doctor

    Satisfied Customers:

    11961
    Family Physician for 10 years; Hospital Medical Director for 10 years.
  • http://ww2.justanswer.com/uploads/CO/commissure/2011-4-15_192514_REISD20080926JR1090.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    10667
    Experienced Physician trained in New York City. I'm ready to help.