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Parkinson's and coughing
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An_244480 posted:
I have had PArkinson's for six years and am doing well except for coughing/choking. The coughing is all day but stops at night if I lay on my side. I am on Sinemet and Proscar. I am very active. I have tried asthma meds, post nasal drip meds, reflux meds all to no avail.
I am allergic to psudanephrine but have tried some cough medicines. The PD specialist says I should see my GP. e sent me to a respirologist who is stumped. I have a speech therapist who has dealt with the choking, some what. Is there an answer to this cough?
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DUKE MEDICINE
Mark A Stacy, MD responded:
Hi, An_244480,
Choking/coughing while laying on your back is likely from saliva pooling in the back of your throat. I am assuming that since the symptom disappears when you lay on your side, this may be the case.

If that is the case, the next leap of assumption is that there is a pooling of saliva when you are awake during the day. If you have increased salivation to the point that you need to carry a handkerchief with you, I think you may want a treatment to reduce your saliva production - that would likely be with injections of botulinum toxin to the parotid glands. If you do not have problems with drooling, it may be that saliva pools and you are not swallowing frequently enough. Try a piece of hard candy or gum - this will increase swallowing frequency and may be enough to help. (My sense is that this is a simple problem, since your doctors have looked at the difficult ones.)
 
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Chudleigh replied to Mark A Stacy, MD's response:
I spoke to my PD doctor and he has given me Isopto Atropine drops to put under my tongue. Have you used these and found them to work?
 
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susiemargaret replied to Chudleigh's response:
hello, C --

webMD info on atropine drops is at http://www.webmd.com/drugs/drug-6687-atropine Oral.aspx?drugid=6687&drugname=atropine Oral&source=2 . you may also want to take a look at http://www.mdvu.org/emove/article.asp?ID=364 .

-- susie margaret
what good is gold, or silver too, if your heart's not good and true -- hank williams, sr.


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