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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Dry Cough And Wheezing?

Hi over last few weeks I have been waking up in the night unable to breathe. It starts as a dry cough with a metallic taste then progresses onto wheezing. Only occurs at night and has woke me up twice, one at 3am then a week later at 2am. Asthma has been ruled out and I had a chest X-ray and tests done previously for re-occurring coughing up blood but was advised I did not have asthma and my lungs were healthy. I am open to idea I may be allergic to my cats but as it only bothers me in my bedroom late at night I m not so sure. My bedroom cupboard is also prone to dampness.
Thu, 13 Apr 2017
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General & Family Physician,  's  Response
It appears to be a case of Sleep apnea. Sleep apnea is of 2 types
1)Obstructive-where soft tissues in oral cavity like tonsils, adenoids, soft palate, pharyngeal muscles collapse on the airway resulting in obstruction and breathlessness
2)Central- where brain fails to send signals to chest muscles to keep breathing.
out of these Obstructive type is the commonest.
I would recommend water vapor inhalation just before sleep, air humidifier to decrease airway inflammation, sleeping on your side, exercises for strengthening of throat muscles.
CPAP masks, other breathing devices, implants, dental devices are other treatment options available.
Also visit an ENT specialist to check for tonsil or adenoid inflammation.
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What Causes Dry Cough And Wheezing?

It appears to be a case of Sleep apnea. Sleep apnea is of 2 types 1)Obstructive-where soft tissues in oral cavity like tonsils, adenoids, soft palate, pharyngeal muscles collapse on the airway resulting in obstruction and breathlessness 2)Central- where brain fails to send signals to chest muscles to keep breathing. out of these Obstructive type is the commonest. I would recommend water vapor inhalation just before sleep, air humidifier to decrease airway inflammation, sleeping on your side, exercises for strengthening of throat muscles. CPAP masks, other breathing devices, implants, dental devices are other treatment options available. Also visit an ENT specialist to check for tonsil or adenoid inflammation.