Chronic Cough Explained Clearly by MedCram.com | 1 of 2
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- เผยแพร่เมื่อ 23 ส.ค. 2013
- Part 2 of this lecture is at www.medcram.com/?Y...
Understand the three main causes of chronic cough with this clear explanation from Dr. Roger Seheult of www.medcram.com/?Y...
Includes discussion about asthma, gastroesophageal reflux (GERD), allergic rhinitis, allergies, chest xrays and more. This is video 1 of 1 on chronic cough.
Speaker: Roger Seheult, MD
Clinical and Exam Preparation Instructor
Board Certified in Internal Medicine, Pulmonary Disease, Critical Care, and Sleep Medicine.
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I’ve had a chronic cough for ALMOST ONE YEAR..still going.. it got a bit better over some periods during the year but sometimes it gets worse..I feel like I have to educate my doctor after watching this video because nobody has been able to help me so far…
My father is suffering from chronic cough/ All Viewers are requested to pray that Almighty Allah give shifa to all patients either at home or admitted in Hospital caught by Bodial or Rohani diseases. Ameen
Here's another cause for a cough. I'm not sure if there is any relation between this and cough variant asthma. This is how it works. Coughing for any reason whatever, even swallowing a drink the wrong way, irritates the throat, which causes a tickle that induces more coughing, which causes more irritation, which causes more coughing. This is a vicious cycle. I'm not a medical professional. I'm someone who has had this syndrome since being a teenager. For me, typically, once this gets started, it gets worse and worse until there's medical intervention.
I’ve had a chronic cough for several months. I can feel fine for several hours and then suddenly something sets it off and can turn into wheezing at times. Turns out it’s GERD related. The number one thing that has helped is weight loss. I had gradually gained weight over the years but I have lost over 20 pounds in the last few months and still losing. Having less fat around my abdominal area has greatly improved both the GERD and cough. Other things that have helped greatly - sleep on my left side with upper body propped up, eat last meal in afternoon or early evening, avoid acidic foods later in the day, eat more fruits and vegetables and high fiber foods like oatmeal, avoid snacking between meals, avoid drinking liquids right before bedtime, good posture especially when sitting (I put a pillow behind my mid-back when sitting on the couch to prevent sitting back and slouching), walk 1 hour daily, avoid caffeine and fried and fatty foods which worsens GERD.... Also when I bend over at the waist I immediately begin coughing or cough soon afterwards, so I am conscious of finding ways not to bend over and to pick things up by bending my knees and keeping upper body upright as much as possible. Very few coughing episodes now.
YES, GERD plays a big role as well and I agree with that 100%. But let me show you something.... Link: th-cam.com/video/QLJwsUbtc_s/w-d-xo.html
Thank you so much for these videos; especially Chronic Cough, PFT etc. I've experienced almost annual Bronchial Pneumonia, or Bronchitis and Chronic Coughing lasting 3 - 4 months. 2 prescriptions of Antibiotics this year (Jan. and Mar. 2015). I am resisting family pressure and the traditional medicine approach to go for a third. I've joined a private clinic which practices an integrated medicine approach and we're investigating the 3 pronged causality outlined in your Chronic Cough video. I, at last, have hope. Thank you again.
Dr. Roger Seheult... I didn't know you were the MedCram Lecturer!! Small world... Great Information for residents, TEACHERS and lay people🙂.
Thank goodness I found this video. I was in a loss of what could be wrong. Now I can clearly speak with my physicians
Very clear and simple. Thanks Dr. Roger!
I learned so much from this video than I did seeing my Doctor for the past four years. Thank you!
Me too, I have allergic rhinitis. Now I need to figure out what I'm allergic to. I only get it at work, so I think it's work. No but seriously, that's the truth.
Many thanks to you for sharing this information with us. I suffer pretty badly from 2 of these conditions. I'm being seen tomorrow by a specialist & I'm thrilled!
Easy to understand with solutions to try. Loved it.
Thank you so much. I can't explain how helpful this was. I went to several doctors and they examined my chest for asthma and they examined me for GERD on multiple occasions. But they could never figure out what was wrong with me. Your vid explained the symptoms and how to treat them. It's a "HUGE!!!!!!!!!!" relief. After treating the symptoms the cough is just gone. I can't express how much relief and the peace of mind that I have. After treatment I felt exhausted. I had a cough ever since I was very little. People used to stare and get annoyed by me. It was torture. I hated myself because I couldn't stop. Every "Doctor" was useless other than my current Doctor. It's a dramatic change. I can live.
Thanks you so much for explaining the topics very clearly. I wish you would add more topics commonly encountered in ambulatory and hospital setting.
Good job. I've suffered for almost 3 months with a chronic cough after aspiration. The initial infection was cleared after a few days of antibiotics, but the cough never left. This video shed light on why my doctor ordered a bariatric test (to test for GERD), put me on Singulair (which can actually worsen GERD), and started me on asthma pills, even though I have no wheezing,. It all makes more sense now!
very very helpful in explaining presenting symptoms
A chronic cough improves if it is the coughing kind of asthma such as I had and my father had, eliminating dairy eliminated my asthma, and therefore my cough. I still have some allergies which means my nose runs more than some people but I no longer have any wheezing either. The amount of phlegm has been greatly reduced. Additionally removing dairy improved my skin, reduced arthritis and ended my lifelong battle with constipation. I use Soy milk now. I have also become vegan, best thing for my health. The arthritis which remained after getting off of dairy, has been reduced so that I am not spending up to 4 months per year in a wheelchair. Now I may get sore, but it does not last long, several hours vs. several weeks. My symptom of soreness is controlled by taking turmeric and works better than MoveFree.
When I had asthma, a pump or albuterol delivered by a nebulizer did not help my breathing. I eat as little processed food as I can. Limit it to like once a week.
Thank you for this video. I thought I was crazy as I exhibit all three signs. When you said a person could experience all three symptoms, it helped me understand I should try to help 3 conditions instead of one!
Thank you 🙏 after my sinus surgery i stopped the nasal rinse & dry non stop cough and can’t swallow food solids for 38 days now. I am starving and beyond traumatised. Hospital treatment is beyond a joke. My brain is so traumatised can’t even speak sometimes I’m so traumatised can’t live like this and there’s no help. Trying to get to a professor before I totally lose it.
My doctor prescribed Gabapentin 100mg and it went away, after coughing for a year, now no more chronic coughing and no more Gabapentin
Great video, super helpful! Thanks
I am a medical student and that video helped me a lot
+Rami Q Good to hear- thank you
These clips were very
interesting.and I formative.
Presentation was easy to follow and was very informative. Thanks!
Thanks 😊
Thank you for this excellent, helpful video! 😘
Very straightforward, thank you! I would really appreciate more videos like this where presentations are covered e.g. chest pain, shortness of breath, epistaxis, etc!
I wish you were my professor when I was in college 🙂I had a history of coughs when I was a student in MSU. I'm very careful now, but many living in CA helps?
Very informative..thank you...my son has severe food and environmental allergies...and also had to be treated for RAD for a couple years..it was difficult to understand why i had to treat him for a cough or it would turn into a full blown asthma attack 8-12 hours later...
Thanks so much for the explanation. I was diagnosed with Asthma (39% Case) some years back and been given the medication as you mentioned. This symptoms occurs mostly during Dec-Jan months.
Weather + Light and I agree with you 100%.
Let me show you something and it's one of my great discovery and FREE too.... Link: th-cam.com/video/QLJwsUbtc_s/w-d-xo.html
I was told I had bronchitis when I lived in Cleveland, OH. I was coughing for 6 weeks, I was almost was dying 😷
Excellent information thank you so much for sharing this incredible story God bless you
Wonderful video, thx
Very informative, thank you!
Odd my doctors first question for my chronic cough was 'so you smoke cigarettes?", then he listened to my chest, did a scan, never asked me about ace inhibitors or anything about infection.
A friend had a chronic cough that the M.D. kept giving cough syrup but after a trip to the ER it was correctly diagnosed as pulmonary emboli!
You are my go to guru!!! Thank you so much
i like this video. you explained it clearly. I went to the doctor awhile ago and was diagnosed to have allergic rhinitis. now, i know what the doc was talking about. hahaha
Omg, thank you! Thank you! I'm gonna live! God Bless You! I love you!❤️
Paula Steroids and all the drugs he suggested will work for a while and then it becomes chronic. You need to deal with the allergic substance Netipot with salted water and breathing exercises are the only long term solution The abstinence of food for 3 hours is helpful. Eat a whole food plant based diet helps and no snacking or intermittent fast
My husband has had a chronic dry cough for more than 10 years-I had his GI do EDG, and a pulmonary doctor was astounded by his incredible pulmonary level of fitness during PFT. He is a big cyclist, takes no medications at age 58 and has the BP of a professional athlete. They ended up telling us his cough was “neurogenic.” I still don’t agree with this diagnosis. It means they can’t find a real diagnosis and if he gets sick I’m going to be livid.
Thanks for this wonderful lecture. A point I wanted to mention was regarding the mechanism of cough in gerd. as far as I know the reason for cough is not regurgitation but it is because there are some receptors at the end of esophagus that can induce cough when reflax happens. thanks
+Shahram Rafieian There is a wide spectrum of disease incluing all the way up to and including aspiration of gastric contents into the lung (usually superior segment of the right lower lobe). All of these can cause cough.
Excellent presentation!
my Quastion is what about the others 43 % that causes chronic cough?
I suffer from nasal rhinitis regularly. Flushing my ENT with a mild solution of sodium bicarb usually clears it in 10 mins. Occasionally it needs two applications. I only need anti-histamines once or twice a year, usually when I'm struck in public.
A very useful video, thank u
Can you address sensory neuropathic cough and could you have overlapping with this area too ( and the 3 you discussed?)
I get embarrassed when I cough in public especially when I'm talking one one to a acquaintance. Like when I choked on my saliva while talking to my doctor. At home I don't care how often I cough.
Very informative
I am thankful to you for such relevant information. Acc. To PNS CT I have left nose rhinitis. Coughing since almost 1.5 years now. Done Inhalers with spacer, isotonic nasal cleaners , nasal sprays, lozenges, rotahalers, steam, nebulization, GERD treatment. Nothing is working. I think its both of 9% now for me. Can you help?
Very clear .Thank you
I have chronic tonsil stones and I keep removing them, but they keep coming back. They make me cough loads. Also have GERD from ibuprofen use for myalgia and allergic rhinitis. Been coughing for 2 years, but now is a bad time for this condition. ENT appointment next week, thank god.
Thank you doctor
I found out I have NTM, m.abscessus and aspergillus. Been coughing on and off for awhile.
I’ve had a cough since second round of Covid last May. I live an active healthy life and eat clean. I am discouraged.
شكرا دكتور
Great.thanks
Thanks for sharing your knowledge
Thank you for your explanation. I do have a non-stop and non-deep coughing triggered only when the temperature drops below 65F often when I am sitting. It often starts with non-deep tickling feeling (just where the trachea splits) leading to the compelling desire to cough. It's often a short cough but at times it goes on and on with intermittent pauses. It stops when I move around and do some physical work. I am based in Belgium and would really appreciate if you PROMPTLY recommend any simple relief medication. Thanks, Paul
Thanx for sharing.
Grea lecture
Good video. Trying to get rid the after COVID cough. I had it some before COVID also.
I thought this vid was about coughing, in fact I didn't know that coughing was associated w/ GERD
God loves your knowledge...👍keep sharing and thanks a lot...
I have coughed for 3 months....do NOT cough if laying down, cough continually while standing / sitting....LOT of colorless flem coughing up when coughing....IF I suck on cough crops...ALL coughing stops. CANNOT find help
My doctors office refuses to see me because I have a cough. I’ve been coughing since Labor Day. It is now Oct. 26th. I’m tired of coughing.
I also have allergies and work in a dirty environment. So I’m kinda stuck.
You have a gift my friend
GERD-related chronic cough can often be caused by sleep apnea. The sphincter at the top of the stomach doesn't close properly if you're not properly asleep. Treating your sleep apnea with a CPAP can often cure the GERD and the cough overnight, even without weight loss.
What about SNC? And episodes of Laryngospasm
Thank you Roger for such a wonderful explanation! It will surely be helpful to many people.
+Debraj Dhar Thank you
Most welcome!
W My chronic cough was called by the vagel nerve this subject is not covered by this doctor on this video. But if you don’t get anywhere with what he is telling us and I tried all those things I would highly suggest that you check the vagal nerve. My allergist who treated me for asthma cough for eight years finally told me it was my vagal nerve when I was getting ready to leave his practice because we were moving. There are many videos regarding the vagal nerve on TH-cam. My best results came from no white flour, no chocolate, ice on the back of my neck for 20 minutes twice a day, and gabapentin 300 mg prescription at night. Along with vagal nerve exercises. This nerve is also called Vagus nerve
TRUTH EXACTLY thank you so much for sharing this story GOD BLESS
How common is Atopic Cough or eosinophilic bronchitis? in your experience with patients doctor?
I have at least first 2.. but also gerd can turn to asthma I've heard?
My grandma has chronic cough and has been coughing 24/7 for half a decade i wonder how what throat feels like
Had Gerd with a cough at night with irritation to my esophagus.... after many visits to the dr and Er.... my sister ( a nurse) suggested digestive enzymes with Betaine Hcl . After all these years ... my Gerd is gone. I take digestive enzymes 20 minutes before eating. Why my dr did not suggest this... instead putting me on antacids and meds to lower the ph of my stomach...
Chronic cough is caused by smoking too much of The Chronic according to Dr. Dre
In all seriousness though you are to humans as engineering explained is to cars, everything is concise and laid out on a board to see, with a thorough explanation
I had sort of a chronic cough last time I lived for a year with my parents.
Look what I just found can cause asthma and bronchitis.
What does it mean if you cough after you eat? Doesn't seem to matter much *what* I eat -- I have a tickle, both in my sinuses and in my throat, for a half hour afterwards.
super 👌 information
What about mold and fungus outside and inside body causes..?
I have a persistent cough for 15 days, I'm so worried about it
thanks
What is you have all these symptoms but, you also have glaucoma and cannot take steroids. My doctor has be on Singulair but, it doesn't completely stop the cough. Also, had me on Allegra. That seemed to make it worse. I used inhalers prior to being diagnosed with glaucoma but now only use an emergency inhaler.
another thing that can causes gerd at night is if you are on c-pap. I tried everything, tilting the bed AND a wedge, not eating 6 hours before bed, cut out all sugar, caffeine, alcohol and spicy foods. even switched to protein shakes for dinner. nothing worked. then my friend suggested I sleep with my neck bent chin to chest. cured in ONE night. its worth noting I had a sleeve gastrectomy, but didn't really have a problem until recently, about 3 years after the fact.
YES, GERD play a big role too. Let me show you something and it's one of my great discovery and FREE too.... Link: th-cam.com/video/QLJwsUbtc_s/w-d-xo.html
Not mentioned are food allergies that express themselves as lung congestion, no other symptoms just increased lung congestion which end in asthma if the offending foods are eaten too often.
I dont know most of these words but still understand it
I'm under the asthma branch. I've had my chronic cough at least 1-2 times a year for about a decade now and after taking an allergy and MC test, no obvious trigger was found. I'm usually given an albuterol inhaler to subdue the cough. Most of the time it works, but I have to avoid either being out in dry/frigid air or exerting myself when it's at its worst.
Thank you.
A long wirey brush with soft brissles on the end of it that I can shove down my throat to scratch away the tickle will do just fine, thank you. 😥
That big brush is called expensive "Premium Scotch"!😁
Why take PPI if it will only be for shirt-term? Because I read where serious side effects include kidney disease, fractures, infections and vitamin deficiencies, but these are very rare and are generally associated with long-term use (using these products for more than a year). And when it's stopped, there can be a bad rebound effect...no fun. Why can't synthetic drugs be created to effectively treat a problem and have no ugly side effects? Why?
thank you~
what about laryngeal ssensory neuropathy or neurogenic cough?
I'm dealing with 1 and 2.
Hello Doctor. So what if my father is on an Ace inhibitor and has a chronic cough. What do we substitute his medication with?
There are many choices Dad can discuss with his doc that are not ACE Inhibitors, & therefore do not cause the cough. Choices include beta-blockers, alpha-blockers, vasodilators, combination medications, diuretics, & some not easily classified meds.
I had this Chronic cough all my life
I've had a chronic cough for more than twenty years.
@CarmineFragione that itch drives me crazy, I keep thinking someone should invent a throat scratcher
@CarmineFragione I had my asthma going for 5/months now it might sound crazy to you but I think the main reason is because our pet shed so much that I inhale its fur and triggers asthma and allergys any treatment for this?
I'm on Ramprill, & had a cough for ages. Is this bad, should I seek advise from my doctor?.
Let me show you something and it's one of my great discovery and FREE too.... Link: th-cam.com/video/QLJwsUbtc_s/w-d-xo.html
My husband has had a chronic cough for over 30 years. If he gets a cold or flu he coughs non stop all day long. It’s horrible for him but it is also horrible and embarrassing for me as everyone asks me what is he doing for his cough. We can’t go out as it is so loud and anti-social.
www.thedailybeast.com/miles-weinberger-the-doctor-behind-the-miraculous-habit-cough-cure
So hello guys, I really don't know if this is chronic cough but it seems like it. I have been diagnosed of Mild Tubercolosis last 2 or 3 years ago and with meds I got cleared from it. But it resulted to unecessary coughing. We went back and my doctor said It was left out/excess phlegm so she gave me an inhaler. I used it but suddenly I got Bell's Palsy so I had to stop using my inhaler because it's hard and the half of my face was numb. Meds were given to me and one of them is Corticosteroids. Due to drinking them my unecessary coughing went away. So I decided to stop using the inhaler after I recovered from my Bell's palsy. I didn't experience unecessary coughing after a couple of months. Then after that it went back and today I think it worsens because I cough almost a minute or two. Any advice please? I really want to get rid of this.
Let me show you something and it's one of my great discovery and FREE too.... Link: th-cam.com/video/QLJwsUbtc_s/w-d-xo.html
My elderly sister has had a chronic cough for 8 years and has had every test in the book to try and find out what's causing it. The doctors still don't know why!
I can help you.
Let me show you something and it's one of my great discovery and FREE too.... Link: th-cam.com/video/QLJwsUbtc_s/w-d-xo.html
th-cam.com/video/kFyRbLPilyE/w-d-xo.html
thx
I have also a problem with cronical cough, are almost 3 months since the cough is every day , is coming in waves without mucus just dry cough.
My Gp doesn't know why i still cough, he put some many antibiotics in me , nothing worked, tried to put me steroids also didn't work also.
The only thing that helps me sleep in the night is nebuliser before going to sleep.
But I don't want to depend on nebuliser all my life. So the xr didn't find anything and also the blood test nothing.
I've had a chronic cough for 2 years. I finally buckled down and went to the doctor. I was prescribed an inhaler and a nasal spray. Those, I imagine, are to differentiate whether it is allergies or asthma. I return in a month to see whether or not they work.
Jguy365 do you cough everyday??
@@armandemmanuelparcon7858 I have caused cough for last six month
Had chronic cough for six years ‘coughing up loads of mucus ‘have finally been diagnosed with eMobile oesophagus
I get a sinus infection around the change of seasons... Spring is the worst time cause I always get a bad sinus infection and I have a have a cough that last for weeks after the infection has been resolved. Sometimes I feel a little short of breathe or I just have a constant tickle in the back of my throat. I have Gerd and Seasonal Allergies.
Let me show you something and it's one of my great discovery and FREE too.... Link: th-cam.com/video/QLJwsUbtc_s/w-d-xo.html