What Causes Severe Cough?

Posted on Tue, 22 Sep 2015

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Tue, 22 Sep 2015 Answered on

Fri, 9 Oct 2015 Last reviewed on

Question : Sir I am suffering from severe cough. I have difficulty in breathing in & out. chest tightness. Previously I used to walk 3-4 km per day, now I am unable to walk even few yards. While I am sleeping wheezing in breath, because of this I am unable to sleep & talk properly. First time facing this problem in my life. I have sinus problem.

QUESTIONS:
1. I would like to know your opinion on my present health condition.
2. Is it dust allergy or asthma??
3 is this a resistance problem?

Answered by Dr. Drkaushal85 (1 hour later)

Brief Answer:
Possibility of asthma is more.

Detailed Answer:
Thanks for your question on Health Care Magic.
I can understand your concern.
By your history and description, possibility of allergy and asthma is more.
So better to consult pulmonologist and get done clinical examination of respiratory system, chest x ray and PFT (Pulmonary Function Test).
Chest x ray is needed to rule out other lung conditions.
PFT is must for the diagnosis of asthma.
It will also tell you about severity of the disease.
And treatment of asthma is based on severity only.
You may need inhaled bronchodilators and inhaled corticosteroid (ICS).
Antihistamine and anti allergic drugs are also useful.
With regular follow up and treatment, asthma can be controlled.
So asthma is not resistant disease.
Hope I have solved your query.
I will be happy to help you further.
Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Drkaushal85 (44 minutes later)

thank you for quick reply Dr. please find attached here with pft report as well as prescribed medication. based on the report can you let me know the following

1. severity complexity of the issue and your opinion.
2. is it due to decrease of resistance power?
3. is this due to stress work load?
4. request you to suggest supplementation for immunity increase

Answered by Dr. Drkaushal85 (5 hours later)

Brief Answer:
You are having mild to moderate obstruction.

Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
I have gone through the images you have attached.
Your PFT report is suggestive of mixed pattern.
But restriction is not actual. It is pdeudo restriction due to air trapping because of obstructive airway defect.
Severity is mild to moderate.
It is not due to low immunity. Possibility of allergy as a cause is more.
Stress may worsen bronchospasm. But it is not a causative factor.
Best treatment of allergy is identification of allergen and if possible complete avoidance of it.
Continue drugs prescribed by doctor.
Hope I have solved your query.
I will be happy to help you further. Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Drkaushal85 (11 hours later)

Thankyou very much for your immediate reply Dr XXXXXXX I am very much grateful to you. You have cleared all my doubts. I have used as per Dr advise Maxiflo rota caps 2 times per day and Coekastle-A one tablet during night time for 10days. But after this course also wheezing in breath and difficult in breath remained same and no relief at all. Now today morning i have visited my Dr. He asked me to continue rotacaps for 3 times per day and coeakastle -A during night time for next 3 weeks. Dr. prescribed one more new tablet Medrol 16mg morning time for 5 days. I will continue these medicines and definitely share my health status shortly. Thanks

Answered by Dr. Drkaushal85 (18 minutes later)

Brief Answer:
I will be happy to help you again.

Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
Medrol is methylprednisolome. And it is given for short time in asthma patients.
So continue this drug along with rotacap and other drug.
It's always encouraging for doctors to hear positive feedback from patients.
So thanks again.
Hope I have solved your query.
If you are not having further queries, then please close the conversation and rate my answer.
You can ask me directly on bit.ly/askdrkaushalbhavsar.
Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Prasad