To Dr. Roach • You once wrote a column about chronic cough and suggested medicines that might help treat this. Could you tell me the name of the medicine? I have an elderly mother who suffers from this pain every day.That made me unable to talk or callEven activities of daily living are interrupted by these episodes.. We have tried several options. Some people have been working for a while, but they haven’t done anything. I appreciate any information you can give me. -JN
Health
Dr. Keyslotch: Chronic cough needs to be investigated |
Answer • A severe cough like a mother deserves a thorough examination. While regular doctors can handle most cases of cough, specialists last for months and are suitable for the type of cough that resists diagnosis. There are causes of coughing on the outside of the lungs, such as the ears / nose / throat (post-nasal drip) and stomach (acid reflux), but I hope she can see a pulmonologist. Some drugs, especially ACE inhibitors, are well known to cause chronic cough.
Few people have made a thorough evaluation and did not get an answer. Some people have a neurological cause (laryngeal neuropathy) and respond well to medications such as gabapentin. I had a rare patient who had nothing to do and tried the narcotic cough suppressant tramadol. This drug should not be used lightly or by anyone with a history of substance abuse. Also, the ordering doctor should carefully monitor the treatment.
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