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Medical Forum / Diseases and Disorders / Asthma / June 2005chronic cough
I was diagnosed with asthma several years ago. Have had frequent bouts of pneumonia and bronchitis. But I have a new lung problem. I have been coughing almost non-stop for the past several days. No fever, no runny nose or any other usual signs of a cold. I just have a massive headache, feel very tired, my chest feels congested and I just cough and cough. The cough is mostly unproductive, just a dry hacking cough. I cough so hard, that I throw up. Other than the cough, my breathing is fine. Is this just a new stop along the fun road to Asthmaville? I live in a rural area and don't really have an "asthma doctor, per se, just my regular Internal Medicine guy. I hate to go, he always acts like I'm a hypochondriac as it is and with no fever, not sure if it's anything to be concerned about. Thanks in advance for any info G'day Emma, my interest in this kind of thing is really trying to identify what causes these kinds of things to occur. My interest is in allergy related situations, I am not a medical person. The history you mention has probably involved a substantial antibiotic history which by general evidence is heavily involved in these kinds of problems. The pneumonia is a common result. It would appear most likely that your problem would be associated with an airborne dust or substance problem, probably present in your home and likely in your bedroom. This could be related to carpet and substances from them or chemical perfumes, pets and that kind of thing. It may be in your interest to google "Gary Huffnagle's Research" you may find this interesting. There are many things that can be done to improve this kind of problem without resorting to drugs. Cheers, qldit. Enma, I was just like you - dry hacking cough and coughing until I threw up are so familiar. I coughed even in my sleep! The fact that you are tired, have frequent bouts of pneumonia and headaches may be a sign that you have an infection. Some of us with similar backgrounds have followed the advice of Dr Hahn and taken antibiotics long term to resolve this type of cough variant asthma. http://www.asthmastory.com/cp.asp I hope you can find a doctor to help you. I think that if you review the forum postings at Jim Quinlan's site, you can judge for yourself if the antibiotics will help you and if it is worth the effort it is going to take to talk a doc into them. : ) Joy > I was diagnosed with asthma several years ago. Have had frequent bouts of > pneumonia and bronchitis. But I have a new lung problem. [quoted text clipped - 13 lines] > concerned about. > Thanks in advance for any info G'day Emma, well you may have gathered there are at least two schools of thought with the problem you are experiencing. It is quite obvious that the same symptoms to allergy type asthma can be caused by "bugs" (for wan't of a better term) These could be chlamydia or others and by Joy's experience would appear to respond to long-term antibiotic treatment, and would probably be easiest referred to as "bug type" they are difficult to diagnose and difficult to obtain the treatment required.. There is also the allergy type problem which quite obviously commonly does involve frivolous antibiotic useage and the immune system degradation. More generally the allergy problem is generated over time and if the problem substances are repeatedly encountered can establish a greater sensitivity and increased allergen problems usually also involving hayfever and those kinds of problems. A similar coughing problem can also be apparent but generally will progress into a worse problem with time and quantity of problem substance exposure. This problem can be addressed by a desensitisation routine and identified with allergy testing. There are natural methods of achieving this kind of result which do not include medication and does provide address for the symptoms, including the "dopiness" or lethargy which often accompany the problem as it worsens. Cheers, Merlin And aren't you glad you asked. : ) Speaking of "dopiness." Joy > G'day Emma, well you may have gathered there are at least two schools > of thought with the problem you are experiencing. [quoted text clipped - 21 lines] > worsens. > Cheers, Merlin Sounds like having your physician is worse than no doctor at all. What are you taking, Enma? At least albuterol and Atrovent (ipratropim) or Spiriva (tiotropium) right? And a topical steroid, hopefully Pulmicort, Advair or Flovent? My news is this: a couple sprays of Atrovent can relieve the dry, unproductive cough. It does for me from time to time. If you take Spiriva you may have to redose with it four to six hours later, as, we are told, the Atrovent tends to block the Spiriva.---Jack just to add more things into the pot chronic cough can be caused by several things infection - viral or bacterial or rarely fugal asthma- where you cough instead of or as well as wheeze post nasal drip - an ENT problem treated with nasal topical steroids +/- antibiotics gastric reflux - treated with anti-acid meds drug side effects - ACE inhibitors, Beta blockers, and in some Ipratropim (atrovent) can cause cough (plus others I suspect) an obstructive process in the airways - tumour, goitre Smoking environmental polutants Also there is no point in taking Tiotropium and atrovent at the same time they both block the same receptors in the airways and as Tiotropium has an active time of 36 hours no atrovent could bind during this time (drug company recomends stopping atrovent completely when on tiotropium, no safety evidence for being on both, except for short term nebulised atrovent with tiotropium in hospitalised patients 2-3 days max) Tiotropium is sold on he fact that it actively competes for these receptors and usually wins. > Sounds like having your physician is worse than no doctor at all. > [quoted text clipped - 7 lines] > If you take Spiriva you may have to redose with it four to six hours > later, as, we are told, the Atrovent tends to block the Spiriva.---Jack |
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