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I have a bad barking cough that I also had last year. No…

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I have a bad...

I have a bad barking cough that I also had last year. No other cold symptoms. There is no nasal drip and I have no sore throat. I had a chest exray last year and saw a ear nose and throat doctor. There is a constant tickle in my throat and my voice tends to get raspy.

Doctor's Assistant: How long have you had the symptoms? Do you have a fever?

I have no fever and have had this now for over 2 weeks. Last year I had it for almost 3 months

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

Nothing- I’m pretty healthy. My voice is often horse but I am a facilitator and talk often during presentations.

Submitted: 4 months ago.Category: Medical
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Answered in 12 minutes by:
12/31/2017
Doctor: Dr. Arun Phophalia, Doctor replied 4 months ago
Dr. Arun Phophalia
Category: Medical
Satisfied Customers: 38,123
Experience: MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist
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Welcome to Just Answer.
Answers here are for education and information.
I will respond shortly with an answer, or further information request.

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Doctor: Dr. Arun Phophalia, Doctor replied 4 months ago

Your symptoms can be due to Reflux laryngitis which is also called as laryngopharyngeal reflux or extraesophageal GERD., It may not manifest as heartburn and may occur when the patient is upright as opposed to lying flat. This silent GERD 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 should be also looked for;

1) Functional voice disorders

2) Infectious or allergic chronic laryngitis.

3) Diabetic neuropathy, if known diabetes.
4) Myasthenia gravis

5) Thyroid dysfunction or disease.

In functional voice disorder, which occur in people who need to speak for long hours or in loud voice; there is no anatomical larynx issue. Altered laryngeal muscle tension is suspected to result in altered laryngeal performance despite normal anatomy. Thus this is also termed as muscle tension dysphonia.This is treated by;

a) Vocal hygiene; avoid throat clearing, habitual loud speaking, habitual breath holding.
b) Avoid smoking if you do and any other toxic chemicals.
c) Acid reflux / Gastroesophageal reflux should be meticulously managed.
c) Plenty of fluid intake,
d) Medications with throat drying potential may be stopped.

Environmental pollutants and toxic products found in workplaces can cause chronic laryngitis. Infectious and allergic laryngitis is identified by following investigations;

a) MRI of larynx

b) Skin allergy test

c) Serologic markers for autoimmune disorders/ autoimmune panel.

d) Swab of the larynx, culture and sensitivities for bacteria, fungi, and viruses.

e) Sputum culture.

Chronic laryngitis is treated by;

1) Antibiotics

2) Anti allergic
3) Avoidance of fat, alcohol, and caffeine (if one does)

4) Avoid tobacco or smoking (if you do)

5) Avoid environment pollutants and irritants.
6) Steam inhalation
7) Room humidifier

8) Drinking plenty of liquids (2-3 liters a day).

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Doctor: Dr. Arun Phophalia, Doctor replied 4 months ago

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