Wanted to discuss the possibility of Asthma. 7 weeks now with a
persistant cough. But it's taken a different direction over the past
week or so.
Someone opened a microwave at work and the smell set of a fit of coughing.
Then there's been times I've been laughing and coughing has been set off.
I still have the occasional feeling of a spam setting coughing off.
So I went to the doc who listened to my chest, said it sounds fine. Then
did a peak flow meter test, 3 blows, he said the readings were normal.
He said about how asthma is usually associated with wheezing and lack of
volume. As I didn't describe wheezing, and the volume is fine, I don't
have it.
Never mind the fact that actually blowing into the tube actually set me
off coughing again.
He said ruling out asthma, and acid reflux, it was most likely post
nasal drip.
I asked about Cough Variant Asthma. But he still ruled it out based on
the peak flow readings.
I've just taken an hour off work to see an idiot. Is it possible to have
asthma without wheezing or constriction and just the cough? From what
I've read, yes.
He's given me a nasal inhaler to treat the "post nasal drip". I wouldn't
mind, but this cough isn't even coming from that area.
A few people have suggested the possibility of Cough Variant Asthma. And
I want to make sure I get checked for that asap without too much waiting.
Given the fact most doctors are useless, should I just be pushing for
either the methacholine challenge test or standard asthma treatments on
trial to see if the cough subsides?
Im reluctant to let the cough run its course, because give it three,
six, 12 months, and I'll have to go through the same crap again.
Cheers
Simon
> He said about how asthma is usually associated with wheezing and lack of
> volume. As I didn't describe wheezing, and the volume is fine, I don't
> have it.
I believe your Dr. is wrong. You don't have to wheeze to have Asthma.
A shortness of breath, difficulty in getting air in or out (more often
out from what my Dr's say) etc. Peak flow tests are useful in
monitoring respiratory problems but I do not feel they can properly
diagnose asthma or other illness. A full pulmonary function test will
show more. I rarely wheeze but have chronic severe asthma.
> Wanted to discuss the possibility of Asthma. 7 weeks now with a persistant
> cough. But it's taken a different direction over the past week or so.
[quoted text clipped - 16 lines]
> He said ruling out asthma, and acid reflux, it was most likely post nasal
> drip.
Post nasal drip wpuld cause a chronic cough - often one that is worse with
lying down of at certain times of day. It usually isn't triggered by
thetypes of things you mention.
> I asked about Cough Variant Asthma. But he still ruled it out based on the
> peak flow readings.
That is not possible. Hopefully, the above just reflects poor communication.
> I've just taken an hour off work to see an idiot. Is it possible to have
> asthma without wheezing or constriction and just the cough? From what I've
> read, yes.
Yes.
> He's given me a nasal inhaler to treat the "post nasal drip". I wouldn't
> mind, but this cough isn't even coming from that area.
It can be hard to tell.
> A few people have suggested the possibility of Cough Variant Asthma. And I
> want to make sure I get checked for that asap without too much waiting.
>
> Given the fact most doctors are useless, should I just be pushing for
> either the methacholine challenge test or standard asthma treatments on
> trial to see if the cough subsides?
The methacholine challenge test is rarely done (in my experience) and would
never be done before regular pulmonary functrion testing.
> Im reluctant to let the cough run its course, because give it three, six,
> 12 months, and I'll have to go through the same crap again.
As I said before, you are getting to the end of the time frame where this
all may be related to your recent illness but it is still possible that this
is from that and will all go away. The trial of the nasal steroid will take
a week or two before you really know and by that time ot would be time to
start thinking of things like asthma and reflux.
My advice would be to take the nasal steroid, give it a week or two, and if
things are not better let him know. If he is still insisiting that a lack of
wheezing in the office and a normal peak flow excludes asthma then you do
need to see someone else. A chest X-ray, spirometry (pulmonary function
studies), and trial of medicine would be a reasonable start.

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