So what's causing my cough?

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Bateluer

Lifer
Jun 23, 2001
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Back in March, I came down with what I thought was a typical cold. These usually begin with a sore throat, then move to a stuffy nose with lots of extra snot, then move to a cough and fade away entirely from there. This illness followed that pattern, however, the cough never faded entirely, lingering until 30 April, when I developed a sore throat again. Prior to it developing the sore throat, the cough was relatively mild, maybe coughing every 5 to 10 minutes, depending on how much speaking or physical activity I was doing. I was able to complete my runs without trouble, but usually would have a coughing fit at the end. During the run, there wasn't much in the way of coughing.

The coughs themselves feel fairly dry. They are not extremely phlegmy nor is it a dry hacking cough. It feels like there is some phlegm or other substance at back of the throat though.

I didn't look in March, but on 30 April, I noticed white bumps on the back of my throat, just one. I attempted to poke or dislodge it with a cotton swap, but my gag reflex prevent this. On 1 May, I scheduled an appointment with medical, however, the earliest available appointment was 4 May because they needed to be able to process insurance paperwork.

Between 1 May and 4 May, the sore throat followed the typical course, fading to the stuffed up nose with abundance of snot, and moving to a cough by the evening of 2 May and very cough-y on 3 May.

At the doctor's office on 4 May, I didn't actually see an MD, rather a physicians assistant who was able to prescribe medication. She listened to my breathing and lungs, checked my temperature, and peered down my throat. She did not take any tissue samples, no nasal swap, throat culture, or blood sample.

She wrote a prescription for Erythrom, a generic version of E.E.S, an antibiotic. This was a thrice a day oral pill, 400mg each. Between 4 May and about 8 May, the illness ran a course nearly identical to what it did in late March. Today, the cough is about where it was in late April. This morning was the final dose of the EES. I have my doubts that the antibiotics did anything useful.

I've been reading at WebMD and WrongDiagnosis, but I don't want to self diagnosis myself. I am not a doctor and my medical training stops after basic first aid and CPR.

But this cough is very annoying because it never goes away. Some co workers suggested Valley Fever and various strains of the Flu, but I don't have the joint pain, rash, or fever associated with valley fever. And it feels much too mild to be the flu, and it also lacks the fever.

Possibly related, for the last few years, I've had an issue with my nose. When I stretch my upper lip in such a way as to stretch the nasal tissue, it feels almost as if the tissue is dry and is being cracked as it pulls. Sinus issue, maybe? I had this looked at when I was active duty, and they basically shrugged. Military medical staff barely have IQs high enough to breathe though, so take that with a grain of salt. At the time, the amount of red tape you have to fight through with military health care made it too much of a pain to push the issue seeing as it wasn't affecting my PT or work.

I am debating whether or not I should make another appointment with the civilian medical and have them actually do some tests.

What does AT Health think?
 

Sust

Senior member
Sep 1, 2001
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Any cough that doesnt resolve after conservative support/treatment followed by a round of macrolides(I might have chosen azithromycin, but erythromycin still good too and should have made some definite improvement) should be re-evaluated.
Now they start looking for other causes that are out of the ordinary.
They might delve further into your medical/surgical history.
Pick through any and all meds you've taken or are taking.
Scour your social history to see who/what's at home and where you've travelled to recently in addition to strange places your hobby or job takes you.
Might even look into your family history if nothing really comes up.

The bottom line is to go and get re-evaluated sooner rather than later so that they can continue chipping away. Get your immunization records too btw.
 

Bateluer

Lifer
Jun 23, 2001
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Originally posted by: Sust
Get your immunization records too btw.

Heh, the military has those. Getting a hold of them will take an act of Congress.

If the cough is still going on Monday, I'll make an appointment. Now that they have my insurance information on record, there's more freedom with the appointment times.
 

fleshconsumed

Diamond Member
Feb 21, 2002
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Does your cough get much worse when you get in bed? Might be as simple as dust. At times I had cough real bad when we were living in an apartment with carpets. When we moved into a house with hardwood floors it got much easier. However, I was still having some problems, so I got myself an air purifier and the issue seems to have went away. Haven't had a cough like that since. Could be coincidence, but I'm fairly sure it's not.

Might not be the case with you, but I'd try to vacuum your carpets twice a week, clean up your apartment if necessary to reduce dust build up and regularly wipe dust from flat surfaces at least. Maybe you could also borrow air purifier from one of your friends if they have one.
 

Sust

Senior member
Sep 1, 2001
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Originally posted by: Bateluer
Originally posted by: Sust
Get your immunization records too btw.

Heh, the military has those. Getting a hold of them will take an act of Congress.

If the cough is still going on Monday, I'll make an appointment. Now that they have my insurance information on record, there's more freedom with the appointment times.

It's a good time to get to work on that then :)
Try to think about the stuff mentioned in my previous post in case they ask because a detailed history and physical will save you from a lot of unnecessary testing which would cost a lot of money.
Also, I forgot to mention that they might delve into sexual history so try to think back on people you might have had unprotected sex with in case they decide to investigate STIs as well.
 

Bateluer

Lifer
Jun 23, 2001
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Seems much better today, again, I'm going to wait until after work on monday though to make the determination.

 

alpha88

Senior member
Dec 29, 2000
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How old are you?

Is the cough worse at night? Does it wake you up? Is it worse in morning?

Like Sust said, the erythromycin you got should cover the important respiratory bugs.

Other thoughts: It's possbile to get multiple common colds. Sinusitis/Allergies can lead to post nasal drip and cause a cough. Acid reflux can cause a cough. Heart problems can cause a cough.
 

silverpig

Lifer
Jul 29, 2001
27,703
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White sores = AIDS! Well, at least it's one of the symptoms.

A friend's dad recently died of lung cancer. Never smoked a day in his life, 57 years old, in great shape and ran a couple of miles a day. He had a physical and was fine, then got a "cold" a month later. Coughed pretty solid for a month or so and just thought he couldn't get rid of the cold. Went back to have it checked, bam, stage 4 lung cancer. He lasted 6 months :(

Not to scare you or anything...
 

Bateluer

Lifer
Jun 23, 2001
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Originally posted by: alpha88
How old are you?

Is the cough worse at night? Does it wake you up? Is it worse in morning?

26. I'd say the cough is probably less at night because I'm not active. Its at its worst right after periods of physical exercise.
 
Jun 18, 2000
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It's possibly bronchitis, which is typically viral and will clear up on it's own in 2-3 weeks.

I'm actually just getting over a cold with the same symptons. The typical cold symptoms went away in about a week. Then a cough persisted for some time after, slowly getting better until I was cough free at around 3 weeks. An expectorant with cough suppresent, like Robutussin was my best friend.
 

zebano

Diamond Member
Jun 15, 2005
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I've had the same thing. The cold has been gone about 2 weeks now but the cough persists. It makes it hard to play sports or do any cardio.
 

presidentender

Golden Member
Jan 23, 2008
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Same thing here. The cold wiped me out for a whole week. I can still ride my bike to and from work, but it's annoying nonetheless.
 

Bateluer

Lifer
Jun 23, 2001
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Seems MUCH better today. Seems that when I actually press forward with some professional help, it clears up.
 
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