Question For Don Brady

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Steven D. Litvintchouk - 25 Sep 2004 22:01 GMT

Don,

you indicated in previous posts that even after your successful sinus
surgery, it took quite a while for your cough to resolve itself.

What do you believe was the reason for this? Did it take a long time
for the postnasal drainage to stop, or was your lower respiratory tract
already inflamed from the sinusitis and needed time to heal?

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Don Brady - 26 Sep 2004 05:11 GMT

>Don,
>
[quoted text clipped - 4 lines]
>for the postnasal drainage to stop, or was your lower respiratory tract
>already inflamed from the sinusitis and needed time to heal?

Steven

I think both are completely true and contributors to the cough.

If my sinusitis starts to come back, my cough does just as surely.

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Steven D. Litvintchouk - 26 Sep 2004 17:16 GMT

>>Don,
>>
[quoted text clipped - 8 lines]
>
> I think both are completely true and contributors to the cough.

If you suspected inflammation of the lower respiratory tract, perhaps a
steroid inhaler (like the asthmatics use) might have knocked down that
inflammation.

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Don Brady - 27 Sep 2004 03:17 GMT

>If you suspected inflammation of the lower respiratory tract, perhaps a
>steroid inhaler (like the asthmatics use) might have knocked down that
>inflammation.

Well that's a good point Steven.

However, I have more or less given up seeking definitive answers as to
underlying causes in these matters. It seems that everything can have multiple
simultaneous causes and explanations.....

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Don Brady - 27 Sep 2004 03:39 GMT

>If you suspected inflammation of the lower respiratory tract, perhaps a
>steroid inhaler (like the asthmatics use) might have knocked down that
>inflammation.

Actually come to think of it I have had lung function tests a couple of times,
which included inhalation of a drug and then rerunning the test to see if lung
function improved.

It did not improve. So the conclusion was that I do not have asthma......

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Steven D. Litvintchouk - 27 Sep 2004 03:50 GMT

>>If you suspected inflammation of the lower respiratory tract, perhaps a
>>steroid inhaler (like the asthmatics use) might have knocked down that
[quoted text clipped - 5 lines]
>
> It did not improve. So the conclusion was that I do not have asthma......

I didn't say you did.

The inflammation might not be in your lungs, but in your trachea, which
is after all the first place that post nasal drip gets to. I know in my
case, the "tickle" that makes me cough is just a couple of inches below
my larynx--not deep in my chest as with bronchitis or asthma.

But a steroid inhaler could knock down the inflammation there too.

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Don Brady - 27 Sep 2004 05:56 GMT

>The inflammation might not be in your lungs, but in your trachea, which
>is after all the first place that post nasal drip gets to. I know in my
>case, the "tickle" that makes me cough is just a couple of inches below
>my larynx--not deep in my chest as with bronchitis or asthma.
>
>But a steroid inhaler could knock down the inflammation there too.

Ah good point. You're probably right.

I tihnk it is probably due to exactly what you say.
It is chronic but it actually does clear up when things are perfect. It is
actually not too bad right now. I tihnk it would be gone if I can get my
sinuses where I want them - wide open. They have improved. I can actually tell
exactly how how free and clear tey are by the echo of my voice in my head. I
can distinguish one side from the other. Allergens have a profound effect, as
does rest.

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