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2-3 month old cough
I have had a tickling dry cough for more than 2 months. There is almost no sputum or only negligible mucus. Initially my doctor prescribed Clavam 625 (1-1-1 for 5 days) and Ambroxol syrup 30 mg, 5 ml (1-1-1 for 5 days), but the cough did not improve much. Later I was prescribed Levocetirizine 5 mg (once at night for 10 days). I also took Phensedyl DX cough syrup on my own. After this, the cough improved by about 80%. However, occasionally the cough still occurs, especially when I run or sometimes after eating tiffin. Ioften feel as if mucus is stuck in my throat and there is a heavy sensation in the throat. If I cough repeatedly, the cough increases, but if I suppress it, it gradually settles down. Overall, the cough frequency is very low now, but when I take a deep breath, I feel a tickling sensation in my throat. After completing Levocetirizine 5 mg, my cough has slightly increased. Earlier I was about 80% recovered, but now it feels around 70% recovery. Please advise.
Answers (8)
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This type of cough is usually due to allergy, throat irritation, or acidity, and should be treated accordingly.
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When u rbetter continue medicine prescribed by doctor.
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If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a detailed discussion
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Get cbc, x ray chest done and share results.
Then I can help you further to get 100% cured.
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Continue medicine and avoid triggers.
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This is a chronic dry cough (>8 weeks) that has partially responded to anti-allergic treatment, which strongly points toward:
• Upper Airway Cough Syndrome (post-nasal drip)
• Possible Allergic Rhinitis
• Mild airway hyperreactivity (cough triggered on deep breath/exertion)
Clues:
• Tickling sensation in throat
• Feeling of mucus stuck (but minimal sputum)
• Worse with running / after food
• Improved with levocetirizine → then worsened after stopping
Next Steps
• Restart anti-allergic therapy:
– Levocetirizine 5 mg at night for 2–3 weeks
• Add:
– Nasal steroid spray (very effective for post-nasal drip)
– Steam inhalation
• If cough persists:
– Consider trial of anti-reflux treatment (like Pantoprazole)
• If still not resolving → Pulmonology/ENT review (to rule out cough variant asthma)
Health Tips
• Avoid dust, cold air, and allergens
• Do not repeatedly try to clear throat (worsens irritation cycle)
• Stay hydrated → thins secretions
• Avoid late-night heavy meals (reflux trigger)
• Warm fluids (honey, ginger) can soothe throat
⚠️ Red flags:
• Weight loss, fever
• Blood in sputum
• Persistent worsening cough
⸻
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.