Q. Will persistent dry cough, wheeze and rattling in chest end up in chronic bronchitis?

Answered by
Dr. Amolkumar W Diwan
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on Feb 26, 2020 and last reviewed on: Feb 28, 2020

Hello doctor,

I am 19 years old and have had acid reflux for the past five years. I have had a cough and whistling sound (wheezing?) with it for five years and over the past few months I have had rattling in my chest. The doctors cannot hear the rattling, but I feel it mostly when I lay down. In addition to the rattling, the cough has gotten worse. It is much more of a dry cough and it burns. Also, for the past five years it feels like it is hard to breathe, but the doctor say my lungs and says it sound clear. An x-ray was also performed a few weeks ago and they said the results were normal. What could cause this? My biggest fear is chronic bronchitis. I am having another endoscopy soon, but would a bronchoscopy be better?

#

Hello,

Welcome to icliniq.com.

From your history, it is very clear that you are suffering from too many problems in your teenage. First thing, I want to clarify is you are having morbid obesity. Also, you suffer from chronic gastroesophageal reflux disease i.e. GERD. So you are having dry cough for such a long duration. The current symptoms you suffer are suggestive of bronchial asthma. GERD is the aggravating factor for your dry cough.

The most important investigation to rule out asthma is spirometry also called as pulmonary function test (PFT). Obesity is making all symptoms worse. So you should also concentrate on weight reduction and regular exercise.

If PFT is suggestive of asthma, you need definitive inhaler treatment to keep your asthma under control. Chest x-ray may appear normal but dry cough for such a long duration again suggest asthma. Priority should be given for weight reduction.


The Probable causes:

Allergy to dust, GERD, and obesity.

Investigations to be done:

PFT or spirometry, AEC (absolute eosinophil count) blood test.

Differential diagnosis:

Bronchial asthma, GERD.

Probable diagnosis:

Bronchial Asthma.

Treatment plan:

Inhaled corticosteroids through metered dose inhalers, antacids for reflux and weight reduction for obesity.

Preventive measures:

Avoid spicy food.

Regarding follow up:

Needs regular monthly follow up with your doctor to keep your asthma under control.


Was this answer helpful?

 | 


Related Questions:
I have a dry cough which gets worse at night. Please suggest a cure.

Hi doctor,I am 10 weeks pregnant and have developed a chesty dry cough ... It is definitely nothing more serious than a chesty cough ...   Read full

Is there any permanent solution for wheezing and dust allergy?

I am sorry to say that bronchial asthma or allergic bronchitis is just controllable and not completely curable ...   Read full

I have tickly dry cough and nasal congestion. Please suggest a medicine.

.. likely a viral infection of the throat and nose. At present, you should have betadine gargles four times a day and tablet Allegra (Fexofenadine) 120 mg once a day for three to four days for nasal congestion. For cough, you can have syrup Alex (...   Read full

 

This is a sponsored Ad. icliniq or icliniq doctors do not endorse the content in the Ad.

Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Also Read


COVID-19 Vaccines
A COVID-19 vaccine provides acquired immunity against the new Coronavirus. Read the article to know everything about the...  Read more»
The Perils of Social Media Addiction
Social media addiction affects both physical and mental health. Read this article to know more.  Read more»
COVID-19 - Second Wave
The second wave of COVID-19 is a red flag. Read more to know about the precautionary measures.  Read more»

Ask your health query to a doctor online?

Ask a Pulmonologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.