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I would like a second opinion regarding my symptoms and evaluation so far.
Since January, I have had a persistent dry, chesty cough along with intermittent air hunger, chest heaviness/pressure, and breathlessness. I often feel unable to take a satisfying deep breath and frequently sigh or yawn. Symptoms worsen at night, when lying down, after prolonged talking, laughing, brushing teeth, and sometimes after meals. There is occasional mild wheeze on bit forced exhalation. I also experienced prolonged hoarseness and voice fatigue last year. Initially there was some mucus, but the cough later became mostly dry and vibratory. No recurrent fever.
ENT exam was normal. Tests showed normal PFT, FeNO 17 ppb, normal chest X-ray, and total IgE was also normal.
The pulmonologist suggested possible Cough Variant Asthma and started Foracort 400 Rotacaps for 1 month twice daily with Bilasure 20 for 10 days. Symptoms are better and magically improves after foracort.
Kindly guide on the diagnosis.
Answers (19)
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Continue same medicine
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Your symptom pattern â cough worsening on lying down, after meals, talking, and laughing, with a sensation of incomplete breath and air hunger â is very suggestive of Laryngopharyngeal Reflux (LPR) or GERD-related cough, possibly alongside functional breathing pattern disorder. Normal PFT and borderline FeNO make classic asthma less likely. A trial of anti-reflux therapy and evaluation by a speech therapist for breathing retraining may be more helpful than just inhaler therapy.
Next Steps
Ask your pulmonologist about a GERD/LPR trial and consider a gastroenterology consultation. Breathing retraining with a physiotherapist can also help. Please consult me directly on Practo for a detailed evaluation.
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Your treatment is alright
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U can completely rely on the treatment
Possibly its cough variant asthma
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Possible cough varient asthma
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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Your doctor is treating you right . Do follow his treatment don't overthink
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Suggestive of allergic asthma ... Please continue to take the medicine and do the regular follow up
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It is most likely to be allergic as your symptoms have improved. Continue with treatment and do followup as recommended.
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Maintain environment hygiene
Avoid dust, pollen ,smoke , pollution
Use mask when outdoor
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Continue the treatment as prescribed by pulmonologist
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Symptoms are improved by taking inhaler bronchodilator ,its mean you have allergic asthma .so continue the treatment, compliance is good in your case.
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Continue as prescribed and follow up with pulmonologist.
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Need few more details for proper understanding of your issue.
You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management
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Symptoms are related to allergic asthma
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Symptoms suggestive of allergic asthma.
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Walk
Do connect and consult
Will help you
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Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need few more details for further evaluation. Kindly consult
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Do consult with pulmonologist
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Its allergy
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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.