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Chocking coughing
I have had intermittent episodes of throat irritation followed by coughing and a choking sensation since 2020. During episodes, breathing feels as if it does not clear properly, sometimes making me feel I may collapse, but it settles after some time. Episodes are more frequent in the morning/before 2 PM and may be triggered by going outdoors, balcony exposure, trees, dust, pollution, or humid/rainy weather. No usual chest pain or wheezing. Sometimes episodes occur after brushing teeth in the morning. I had an HRCT chest in Sept 2020 for similar symptoms. I would like evaluation for allergy, asthma/airway hyperreactivity, laryngeal sensitivity, post-nasal drip, reflux, or other airway problems.
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If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at nine one one nine two five five six nine nine. Alternatively, you can connect with me through the Practo app for a detailed consultation
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This pattern sounds like airway hyperreactivity. Thank you for the detailed history - it is very helpful. The pattern you describe (throat irritation then a choking cough, worse in the mornings, triggered by outdoor air, dust, trees, pollution and humid weather, no wheeze) most often comes from upper airway causes: allergic rhinitis with post-nasal drip, laryngeal hypersensitivity, or silent acid reflux, and cough-variant asthma or airway hyperreactivity is also possible. The tests that actually answer this are spirometry with a bronchodilator reversibility test, an ENT laryngoscopy, and allergy testing (skin prick or specific IgE); a repeat HRCT is usually not needed since 2020 was similar and normal. Meanwhile, saline nasal douching twice daily, an antihistamine or a steroid nasal spray as advised by your doctor, avoiding known triggers with a mask outdoors, and reflux measures (no late dinners, head end of bed raised, avoid smoking and alcohol) help most patients considerably. Please treat it as an emergency if you ever have true difficulty breathing at rest, noisy breathing (stridor), lips turning blue, or you nearly faint during an episode - go to the nearest emergency in that case. You can book a consult with me on Practo and I will help you plan these tests in the right order.
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It could be angioedema.
Ever time you are getting exposed to allergen, you are having recurrence of these symptoms.
Check your histamine levels and IgE levels.
And review with reports
Next Steps
feel free to consult me on practo for further evaluation and management
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No covid
Steam inhalation with Vicks or eucalyptus oil two times before meals.
Ab phyllinsr200 two times after food for five days. Taxim o200 two times after food for five days.
Zerodol sp three times after food for five days.
Montek lc one at night for five days.
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Do you feel it happens mostly at night?
Have you ever tried nebulising? If yes has it been benificial?
What is your base line spo2 ? Especially at night when u r asleep.
Have you ever assessed if there is a dip in spo2 levels during night times .
What type of cough do you experience? Dry or wet?
Do you feel that it’s difficult to breath in places that might be too dusty or has a lot of pollen?
Next Steps
Nebulisation with bronchodilator .
Health Tips
Consult for further evaluation and treatment .
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HRCT is normal
But your symptoms are needed to be dealt with
I would advise you on some tests such as CBC along with absolute eosinophil count, serum IgE, allergy panel, pft
Also I need to know more about your symptoms
Kindly consult with me on practo app with reports
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