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Reason for cough until feeling like vomitting.

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Hey doc, I've noticed that for the past year I've had this cough that comes and goes. When it comes I only cough for a few seconds but I cuogh to the point where I feel like I am going to vomit and then after that I may feel fine for days and weeks until it comes back. Any idea what could be causing this? I've only noticed it in the past year it may be going on for longer than that. I am 18 years old 6'1" and 165lbs with no medical conditions that I know of


Category: Internal Medicine Specialist

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Expert:  Dr. Deepu Sebin Sebastian replied 4 Days ago

Hello,
Thank you for your query at DoctorSpring.
So it appears from your query that you have chronic cough. There can be a few explainations for this: tobacco use, post nasal drip, asthma or gastro esophageal reflux disease.
If in the past year, if you have had increased exposure to smoke, even for example by hanging around people that smoke or a recent change in living environment, your cough could be in response to the irritation by tobacco or air pollutants.
Post nasal drip is a condition where your sinuses produce excess mucus which drips down the back of your throat and irritates it.
Even if you have never had asthma as a child, you can develop asthma when you become older which can show up as a cough. Asthma would have a tendency to follow either a change in season, or follow an upper respiratory tract infection or even exposure to certain fragrances.
Reflux disease is a condition happens when the acid from your stomach flows backward up your esophagus and irritates your throat.
These are some of the common causes for chronic cough. If you chose to post a reply, it would also be helpful to know whether you bring up any junk (sputum) when you cough and if yes, what is its color? Have you had a fever or chest pain whenever you have these episodes of cough?
Hope this helps, feel free to ask any fruther queries that you may have,
Regards


Patient replied :


i dont smoke but i am around people that do smoke, i am not often inhaling any of it though.
I recently moved out of the tropics (Caribbean) to Halifax, NS Canada. I think that my symptoms would have started when i moved here.
Never had ashma.
I cough hard enough that i may feel a little light headed after, maybe for a few minuites but back to normal after that. no fever.
its a dry cough, i dont bring anything up


Expert:  Dr. Deepu Sebin Sebastian replied 3 Days ago

Hello,
Thank you for the follow up.
The cough that you're having seems to be an allergic manifestation, in response to an environment irritant. It could be the excessive smoke that you have been subjected too, or could be the weather. There is no sputum ( junk ) and that rules out infective or other bronchial causes.
I will advise you to use Syp. Codeine for a period of 2 weeks, 2 teaspoons twice daily and Tab. Montelukast Sodium once daily 10 mg, at bed time.
This will relieve the bronchial secretions if any, and will also reduce the allergic response to the irritant. Kindly continue the medicines for about a week and update me on your symptoms.
Regards.


Patient replied :

okay i will try this but i cant even say that i will get the coghing within the week, it haooens completly randomly.
Is this over the counter medication?


Expert:  Dr. Deepu Sebin Sebastian replied 2 Days ago

Hello,
Yes Montelukast is OTC.
However codeine can be used when you get cough.
The issue with an allergic stimulant is it really can't be treated but can be prevented and suppressed.
So you can leave codeine as of now, if there is no cough at present. But i want you to try the Montelukast because at times bronchial secretions won't come out and that can intermittently keep causing cough. So with a course of one week Montelukast in case there are any trapped secretions they will come out and there will be lesser episodes of such intermittent cough in the future.
Regards.


Patient replied :

okay thanks ill try that and let you know in a week or so



Dr. Deepu Sebin Sebastian
Category: Select Speciality
Experience: 
MD, Internal Medicine - Stanley Medical School
Medical School - MBBS - Govt. Medical College, Kottyaam

Diagnostic Prediction - Stanford School of Medicine
Received Specialty training in Critical Care, Cardiology, Neurology, Gastroenterology, Nephrology from Stanley Medical College and in Endocrinology, Rheumatology.

Hematology and Geriatrics from Madras Medical College.
Dr. Deepu Sebin Sebastian and 4 other Medical Specialists are ready to help you

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