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From: jmc on 6 Mar 2006 15:13 This is the second time I've had this: A horrible choking cough, bad enough that sometimes I vomit. In fact, the cough is almost exactly like when one is going to vomit, except that there's no nausea or upset stomach. Just this horrific cough that often ends in a choking sound. It's like I'm trying to dislodge something way up high in my throat, it's often preceded by a sudden, intense cough tickle in the back of my throat. In between attacks, my throat feels completely fine, no stomach upset or other GERD symptoms that I can tell. When I had this before I was on antibiotics for months with an assumption of bronchitis (no diagnosis, this is the UK we're talking about here). It never really went away, but just turned down into a regular, nonproductive cough. I'm on 30mg/day lansoprazole, but again, there was no definitive diagnosis, just based on symptoms (a chest pain that wasn't my heart). Had a barium swallow that found nothing. Assumption: "floppy les". Before the chest pains I had a cough which I now think was a reflux symptom, just a nagging dry cough with no known reason. Could this cough be a worsening of my acid reflux symptoms? Is there any way I can safely test this myself (higher dose of my med, or add another different type?), since I have absolutely no confidence in my NHS gp? Oh, after it was bad and got better, it's been in this holding pattern where I'd barely cough during the day, but right at a certain point as I'm falling asleep, something would relax in my throat and I'd start to cough. I'm nearly afraid to go to sleep now. I don't cough while asleep, but almost always have a coughing fit just as I wake up. Again, does this sound like a GERD symptom? I've tried some other ideas - took an allergy med, still coughing. Cough medicine isn't doing much. Sinus meds, nada. I do have an appt with a thoracic doc in a couple of weeks, if I don't go insane before then. Incidentally, I've tried raising the head of the bed as is often recommended, but I just can't sleep that way. Any help appreciated. jmc
From: Howard McCollister on 6 Mar 2006 20:05 "jmc" <NOnewsgroupsSPAM(a)NOjodiBODY.HOMEus> wrote in message news:473jf1Fdh9jtU1(a)individual.net... > This is the second time I've had this: A horrible choking cough, bad > enough that sometimes I vomit. In fact, the cough is almost exactly like > when one is going to vomit, except that there's no nausea or upset > stomach. Just this horrific cough that often ends in a choking sound. > It's like I'm trying to dislodge something way up high in my throat, it's > often preceded by a sudden, intense cough tickle in the back of my throat. > In between attacks, my throat feels completely fine, no stomach upset or > other GERD symptoms that I can tell. > > When I had this before I was on antibiotics for months with an assumption > of bronchitis (no diagnosis, this is the UK we're talking about here). It > never really went away, but just turned down into a regular, nonproductive > cough. > > I'm on 30mg/day lansoprazole, but again, there was no definitive > diagnosis, just based on symptoms (a chest pain that wasn't my heart). Had > a barium swallow that found nothing. Assumption: "floppy les". > > Before the chest pains I had a cough which I now think was a reflux > symptom, just a nagging dry cough with no known reason. > > Could this cough be a worsening of my acid reflux symptoms? Is there any > way I can safely test this myself (higher dose of my med, or add another > different type?), since I have absolutely no confidence in my NHS gp? > > Oh, after it was bad and got better, it's been in this holding pattern > where I'd barely cough during the day, but right at a certain point as I'm > falling asleep, something would relax in my throat and I'd start to cough. > I'm nearly afraid to go to sleep now. I don't cough while asleep, but > almost always have a coughing fit just as I wake up. Again, does this > sound like a GERD symptom? > What you are describing is pretty classic for LPR (laryngeopharngeal reflux), a distinct subset of GERD. Look at http://www.google.com/search?hl=en&lr=&q=Laryngopharyngeal+Reflux&btnG=Search HMc
From: jmc on 7 Mar 2006 01:19 Suddenly, without warning, Howard McCollister exclaimed (07-Mar-06 1:05 AM): > "jmc" <NOnewsgroupsSPAM(a)NOjodiBODY.HOMEus> wrote in message > news:473jf1Fdh9jtU1(a)individual.net... >> This is the second time I've had this: A horrible choking cough, bad >> enough that sometimes I vomit. In fact, the cough is almost exactly like >> when one is going to vomit, except that there's no nausea or upset >> stomach. Just this horrific cough that often ends in a choking sound. >> It's like I'm trying to dislodge something way up high in my throat, it's >> often preceded by a sudden, intense cough tickle in the back of my throat. >> In between attacks, my throat feels completely fine, no stomach upset or >> other GERD symptoms that I can tell. >> >> When I had this before I was on antibiotics for months with an assumption >> of bronchitis (no diagnosis, this is the UK we're talking about here). It >> never really went away, but just turned down into a regular, nonproductive >> cough. >> >> I'm on 30mg/day lansoprazole, but again, there was no definitive >> diagnosis, just based on symptoms (a chest pain that wasn't my heart). Had >> a barium swallow that found nothing. Assumption: "floppy les". >> >> Before the chest pains I had a cough which I now think was a reflux >> symptom, just a nagging dry cough with no known reason. >> >> Could this cough be a worsening of my acid reflux symptoms? Is there any >> way I can safely test this myself (higher dose of my med, or add another >> different type?), since I have absolutely no confidence in my NHS gp? >> >> Oh, after it was bad and got better, it's been in this holding pattern >> where I'd barely cough during the day, but right at a certain point as I'm >> falling asleep, something would relax in my throat and I'd start to cough. >> I'm nearly afraid to go to sleep now. I don't cough while asleep, but >> almost always have a coughing fit just as I wake up. Again, does this >> sound like a GERD symptom? >> > > What you are describing is pretty classic for LPR (laryngeopharngeal > reflux), a distinct subset of GERD. > > Look at > > http://www.google.com/search?hl=en&lr=&q=Laryngopharyngeal+Reflux&btnG=Search > > HMc > > > Howard: Thank you. I'll keep that in mind. For now though, my research suggested sinusitis as well, and I found a nasal irrigation bottle in my medicine cupboard (actually, it's something with grapefruit seed extract). At any rate I used it and... it's a miracle! Didn't cough, sinuses have cleared up (tho there's a bit of pressure), I feel much better. But I have a question for you. I came across references that GERD can cause sinusitis. Can you explain how? jmc
From: Vanny on 7 Mar 2006 02:45 Yes, typical symptom and loved by docs. because it is generally the only one that they remember apart from heartburn. As well as that I have sorethroat and stomach ache. Life-style changes are required in addition to the mediine prescribed by your doc. for the management of GERD http://www.gicare.com/pated/ecdgs39.htm . GERD: http://www.reutershealth.com/wellconnected/doc85.html V. "jmc" <NOnewsgroupsSPAM(a)NOjodiBODY.HOMEus> schrieb im Newsbeitrag news:473jf1Fdh9jtU1(a)individual.net... This is the second time I've had this: A horrible choking cough, bad enough that sometimes I vomit. In fact, the cough is almost exactly like when one is going to vomit, except that there's no nausea or upset stomach. Just this horrific cough that often ends in a choking sound. It's like I'm trying to dislodge something way up high in my throat, it's often preceded by a sudden, intense cough tickle in the back of my throat. In between attacks, my throat feels completely fine, no stomach upset or other GERD symptoms that I can tell. When I had this before I was on antibiotics for months with an assumption of bronchitis (no diagnosis, this is the UK we're talking about here). It never really went away, but just turned down into a regular, nonproductive cough. I'm on 30mg/day lansoprazole, but again, there was no definitive diagnosis, just based on symptoms (a chest pain that wasn't my heart). Had a barium swallow that found nothing. Assumption: "floppy les". Before the chest pains I had a cough which I now think was a reflux symptom, just a nagging dry cough with no known reason. Could this cough be a worsening of my acid reflux symptoms? Is there any way I can safely test this myself (higher dose of my med, or add another different type?), since I have absolutely no confidence in my NHS gp? Oh, after it was bad and got better, it's been in this holding pattern where I'd barely cough during the day, but right at a certain point as I'm falling asleep, something would relax in my throat and I'd start to cough. I'm nearly afraid to go to sleep now. I don't cough while asleep, but almost always have a coughing fit just as I wake up. Again, does this sound like a GERD symptom? I've tried some other ideas - took an allergy med, still coughing. Cough medicine isn't doing much. Sinus meds, nada. I do have an appt with a thoracic doc in a couple of weeks, if I don't go insane before then. Incidentally, I've tried raising the head of the bed as is often recommended, but I just can't sleep that way. Any help appreciated. jmc
From: jmc on 7 Mar 2006 12:58
Suddenly, without warning, Howard McCollister exclaimed (07-Mar-06 1:05 AM): > "jmc" <NOnewsgroupsSPAM(a)NOjodiBODY.HOMEus> wrote in message > news:473jf1Fdh9jtU1(a)individual.net... >> This is the second time I've had this: A horrible choking cough, bad >> enough that sometimes I vomit. In fact, the cough is almost exactly like >> when one is going to vomit, except that there's no nausea or upset >> stomach. Just this horrific cough that often ends in a choking sound. >> It's like I'm trying to dislodge something way up high in my throat, it's >> often preceded by a sudden, intense cough tickle in the back of my throat. >> In between attacks, my throat feels completely fine, no stomach upset or >> other GERD symptoms that I can tell. >> >> When I had this before I was on antibiotics for months with an assumption >> of bronchitis (no diagnosis, this is the UK we're talking about here). It >> never really went away, but just turned down into a regular, nonproductive >> cough. >> >> I'm on 30mg/day lansoprazole, but again, there was no definitive >> diagnosis, just based on symptoms (a chest pain that wasn't my heart). Had >> a barium swallow that found nothing. Assumption: "floppy les". >> >> Before the chest pains I had a cough which I now think was a reflux >> symptom, just a nagging dry cough with no known reason. >> >> Could this cough be a worsening of my acid reflux symptoms? Is there any >> way I can safely test this myself (higher dose of my med, or add another >> different type?), since I have absolutely no confidence in my NHS gp? >> >> Oh, after it was bad and got better, it's been in this holding pattern >> where I'd barely cough during the day, but right at a certain point as I'm >> falling asleep, something would relax in my throat and I'd start to cough. >> I'm nearly afraid to go to sleep now. I don't cough while asleep, but >> almost always have a coughing fit just as I wake up. Again, does this >> sound like a GERD symptom? >> > > What you are describing is pretty classic for LPR (laryngeopharngeal > reflux), a distinct subset of GERD. > > Look at > > http://www.google.com/search?hl=en&lr=&q=Laryngopharyngeal+Reflux&btnG=Search > > HMc > > > Howard: Thanks. I have a weird question. I've not enough data yet to say this is actually happening in truth, but what if I was to tell you that if the cough starts when I'm sitting down, it'll stop or at least reduce in severity if I get up and walk away? Would I be hallucinating? I do still have the cough, can't tell at this point if it's my sinuses or GERD. I'll know more after dinner. If I get it again after we've eaten, then I'll put my $$ on GERD, though it's happening throughout the day - the first fit after I've eaten a meal seems to be the worse. jmc |