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    Chronic cough
    jettcj posted:
    I too also have suffered from a chronic cough for over two years. 1st step was to have nose surgery and deviated septum fixed. But cough stayed and I had allergy testing done. Have allergies and I use nettie pot at least 1x a day. I was told to take zyrtec for they feel my cough is due to post nasal drip. The cough usually occurs mostly at night. I sleep in an elevated position in bed and take cough syrup like it is water. Everyone can tell me I cough because of allergies and asthma, but no one can make it go away. Has anyone had tests that or meds that made their cough go away? It is very frustrating, tiring, and annoying to those around me. Any input would be grateful.
    coughy16 responded:
    As a cougher myself, I sympathize. A couple of thoughts, if they think the cough is from pnd, is the pnd controlled? Have you tried a nasal steroid spray? That really helps me. Also if you are coughing mostly when you are lying in bed at night, have you been checked out for acid reflux? That can making coughing worse for many. What are you allergic to exactly? Is taking allergy shots something that you have discussed with your dr? That has helped me immensely. Also the coughing could be due to asthma. I have cough variant asthma, & asthma meds have helped with that. For me, when my asthma is flared, the only time I don't cough is when lying still in bed, but I think many asthmatics have problems when lying down. I am now taking a combination of allergy & asthma meds along with allergy shots, & my coughing is mostly under control. I take singulair, advair, clarinex, nasonex along with the shots. My advice is to work with your doctors & don't give up until you find the problem. Have you been seeing an allergist? If not, you might find it very helpful
    jettcj replied to coughy16's response:
    yes i am on nasonex. have not been checked for acid reflux yet, but I do take xantac and it helps. I am allergic to weeds, grass, trees, dust mites. I have taken allergy shots for 1.5 years - some improvement. I have been diagnosed with allergy induced asthma. I take combination of singulair, symbicort, zertec, nasonex and when I still cough I take cough syrup or ibrupropin to relax my shoulder and chest muscles because I get so tight. I am here to this website for my allergist feels they have done all they can for me. Next step is xolair shot. I was healthly all my life until 2 years ago...then I started wheezing and coughing!!!! I was hoping to connect with someone who has been cured. I am glad your cough is under control.
    Aqua14 replied to jettcj's response:
    Hi there,

    A couple of other thoughts on this, see below. I assume you use your rescue inhaler to see if that gets rid of your cough, before you take cough syrup or ibuprofen?

    1. Have you worked with your allergist to see if increasing your daily dosage of Symbicort, or using the higher concentration of Symbicort, would help stop your cough?

    2. Have you tried adding on a nasal antihistamine such as Patanase? And have you tried using Nasonex before bed (maybe taking an extra dose)?

    3. Have you tried other types of acid reflux meds such as Prilosec or Zegerid? Have you tried taking reflux meds before bed? Do you do the rest of the reflux lifestyle changes such as not eating 2-3 hours before bed, giving up trigger foods such as coffee, chocolate, etc.?

    4. Do you have allergy encasements on your pillow, mattress, and box spring, and do you wash all of your bedclothes weekly in very hot (>130 degree) water?

    I'm also one of those asthmatics who mainly coughs, and I know it can be incredibly frustrating not knowing whether a cough is due to allergies (PND), asthma, or reflux and trying to figure out what to do. The above suggestions are all things I have tried at various points, and hopefully some of them may help you. Take care and good luck. Judy
    It's never too late to be what you might have been. ~ George Eliot. A journey of a thousand miles begins with a single step.
    jettcj replied to Aqua14's response:
    hello Judy,

    yes I always try to get rid of cough with inhaler first. Answers to your points...
    1. I believe I am on max dose of symbicort 160/4.5 2 puffs 2x day. It seems my body has gotten use to this med. It used to work very well, but now I get maybe half a day of relief. I actually find myself looking at the clock to see how long before the 12 hour time hits because on bad days I start coughing sooner.

    2.Yes. I use Nasonex in morning then at night I use Ipratropium Bromide nasal spray (it helps dry nose for pnd).

    3.I have tried generic acid reflux meds. Have tried rantidine meds for reflux and have tried famotidine. I do not eat after 6 p.m. I have not been completely successful getting rid of coffee and chocolate out of diet
    4.Everything is wrapped on my bed and I do wash everything 1x a week and I also dust every other day with a mask on.

    I really believe that there is a food reaction occurring because a lot of the time, I will start to cough 20 minutes after I have eaten. But then what I have eaten may have had bbq sauce that has 25 ingredients in itself! So, I need to just get to basics of fresh cooked meat and plain steamed veggies and add one item at a time? What is odd is that some days when I eat whatever I want I have a good night of no coughing or symptoms. But yet, if I police sometimes that is when my nights are terrible.

    Night is my worst time to prepare for sleep I usually take my singulair and symbicort at 6-7 p.m. and a zantac. 8 p.m. I take a theophylline (bronco dilator). 9 I take 3 ibuprofen to try to relax my shoulders and chest from feeling so tight. I go to sleep and anywhere from 230-330 I wake up coughing and wheezing take an inhaler 2 shots to calm down..sometimes it takes over an hour to calm back enough to sleep taking a shot of inhaler every 20 minutes (Proair)

    I really am tired of the pill popping what will work today scenario...

    Can you have acid reflux even if you don't really have heartburn or acid indigestion?

    Haveyou ever went on a yeast free/sugar free/dairy free detox to see if this helps?

    thanks for your suggestions Judy....also ironically that is one of my favorite quotes by George Eliot! Thanks again, Cheryl
    Aqua14 replied to jettcj's response:

    You might want to follow up with your primary or GI doctor on the reflux and see if it helps to address that in a more aggressive fashion. The reflux meds you've been trying are all in the same category (H2 blockers), and there are other types that you could try such as a PPI (proton pump inhibitor) which essentially reduces the amount of acid that your stomach makes. Prilosec OTC is a PPI, and Zegerid OTC is a fast-acting form of Prilosec. And of course there are many prescription reflux meds as well.

    Yes, you can have reflux even if you don't have heartburn or acid indigestion, and many of us with asthma have that silent type of reflux, as it is called. Some of the asthma meds (notably, the long-acting bronchodilators such as that found in Symbicort) relax the lower esophageal sphincter and allow acid to reflux and be breathed into the lungs, worsening our asthma.

    Also, how's your stress level? I have found that my reflux symptoms get far worse when I'm stressed out.

    I have not altered my diet to eliminate yeast, sugar or dairy. . . but I have totally given up caffeinated coffee, which caused me huge problems. (At least I can sometimes drink decaf.) I also try and limit foods I know will trigger me (chocolate, alas, and diet soda). You might want to give a GERD diet a try for a week or two and see if it helps you. (BTW, the BBQ sauce probably has vinegar in it, which might be a reflux trigger for you.)

    So give that a try and see if it makes any difference. Take care & good luck. Judy
    It's never too late to be what you might have been. ~ George Eliot. A journey of a thousand miles begins with a single step.
    jettcj replied to Aqua14's response:

    Great information...thanks. Tomorrow I go to a voice analysis group that will do a Laryngeal Videostroboscopy which will hopefully show something or at least provide another direction in ceasing this cough so that I can get some sleep!

    Have you ever heard of laryngopharyngeal reflux? Perhaps this is the what you spoke of above....I also read women who are approaching or in menopause can get asthma because of hormones estrogen and epinephrine fluctuations.

    At any rate, I appreciate the input...Cheryl
    Aqua14 replied to jettcj's response:
    Yes, laryngopharyngeal reflux (LPR for short) is the type of silent reflux I was referring to. As I understand it, the "LP" part means that the acid refluxes up to your voice box (larynx) and back of throat (pharynx), causing all kinds of problems.

    I've also read (and discussed with my allergist) that women tend to develop asthma (and other allergic diseases) at the times of great hormonal fluctuations. . . . puberty, pregnancy, and menopause. I'm not sure the medical researchers know why this is.

    I hope that your procedure goes well today and sheds some light on your cough (or at least rules out some things). Take care & good luck. Judy
    It's never too late to be what you might have been. ~ George Eliot. A journey of a thousand miles begins with a single step.
    TheBobster77 responded:
    I also suffered from chronic cough for over 7 years, plus 35 years in Indiana, now in Florida for 8 years; took cough syrup every evening just like you, to sleep and slept in elevated position with 2 pillows; then I switched washing detergents and stopped using the liquid and other "softeners" and voila...I am all but cured!!! Try one thing at a time to eliminate, and you'll probably find you are allergic to at least one of the ingredients in the laundry detergents or softeners, including softener sheets.
    Edit31 responded:
    My husband had an ongoing cough for months. Went to a specialist, and had all sorts of inhalers etc.Waited for the alergy season to be over, still no help.
    Acupuncture made the difference. I could not believe the change
    after just one treatment.
    The other thing that she suggested is to take a piece of ginger, about the size of a finger. wash and cut up a pear, and a tangerine. Take a large pot, and boil a large amount of water.
    ( 1-2 quarts) Add the above ingredients. Cover the pot, and boil for 1/2 hour. Drink 2-3 glasses a day. (Remove the ginger, and fruit, and refrigerate. It will keep for several days.) This is also good at the start of cold symptoms.
    I hope this helps
    conservart replied to jettcj's response:
    Just thought I'd add my 2 cents. As one who has food allergies and has been chronically ill for years (and also had cough, and pnd) and now restored to health with dramatic dietary changes, and also with watching my son and mother cough for years, due to environmental and food allergy (but not change their diets!), I have to say that I really recommend trying a wheat free, dairy free and processed food free diet. It might just get you off all those drugs and put an end to your cough. Other family members have had fantastic results with ending their asthma through going wheat & gluten free.
    I can go into lots more detail if you are interested.
    Best of luck,
    annblack responded:
    Do you take blood pressure medication? Most will cause me to cough. I haven't found one yet that doesn't. Some worse than others. You might want to change your meds to see if this helps.

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