37-year-old female. Since Dec/Jan, I’ve had a persistent dry nocturnal cough that often woke me from sleep, with intermittent mild air hunger. In 2025, I also had persistent hoarseness for ~2 months, which resolved on its own. In May 2026, I consulted an ENT for cough/air hunger and was referred to a pulmonologist. Pulmonologist suspected cough variant asthma and started Foracort 400. Investigations: Spirometry/PFT normal (FEV1 normal), FeNO 17 ppb, IgE normal, chest imaging normal. Since a viral illness in June, I’ve had persistent hoarseness. Cough improves with Foracort, and my voice becomes temporarily clearer for a few hours after each dose, but the hoarseness does not improve overall and becomes severe again between doses, especially if I miss a dose. Sometimes I have voice fatigue and mild breathlessness while speaking. Could this still be CVA, or should I be evaluated for vocal cord pathology/laryngoscopy or LPR/reflux? Should I continue the inhaler unchanged?
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Better if you get a laryngoscopy done and also check for sinusitis with X-ray PNS.
Give voice rest and do steam inhalation
Avoid anything cold
If all of them are normal. Get CT chest and neck done, to know the exact reason
Proper evaluation and personalised advice are needed for your concern. A detailed consultation would be best to provide accurate guidance.
Feel free to consult me for further assistance.
These symptoms need a proper history and examination to reach the correct diagnosis. If you'd like, you can book an online consultation with me—I can review your symptoms and reports in detail and guide you on the appropriate investigations and treatment, helping you avoid unnecessary tests.
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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.
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