Doctor insights on:
Cough Syncope Treatment
Some people are susceptible to changes in their blood pressure when they change position, move their head suddenly, or cough. The resultant fall of blood pressure leads to decrease blood flow to the brain. Your brain's idea of a solution to this problem is to make you faint. Now that your head is at the same level as your heart, the problem is solved. A true ...Read more
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Not yet, but...: I'm not aware of a genetic linkage for cough syncope. That doesn't mean it doesn't exist, just that its not strong enough to appear on current genome-wide association studies, or other linkage analyses. Single gene diseases are the easiest to track and link to a gene. Most complex diseases (like cough syncope) are caused by multiple interacting genes, and are therefore very hard to characterize. ...Read more
Fainting with cough: Some people are susceptible to changes in their blood pressure when they change position, move their head suddenly, or cough. The resultant fall of blood pressure leads to decrease blood flow to the brain. Your brain's idea of a solution to this problem is to make you faint. Now that your head is at the same level as your heart, the problem is solved. A true solution is more complicated. ...Read more
Too much pressure: Cough syncope is a condition where you pass out after a coughing spell. Many times this is due to simply being dehydrated. The reason this can happen is this: when you cough, you generate a lot of pressure in the chest. This can compress the veins leading to your heart, which then supply the rest of the body. If you are dehydrated, the veins can more easily collapse, causing the fainting. ...Read more
Not uncommon: Violent coughing can trigger cardio-depressive reflexes that can functionally slow the heart rate, but also because of the high pressures in the chest cavity produced by the fits of coughing, impair blood return to the heart. All this can combine to drop th cardiac output and blood pressure, resulting in faintness or overt (but very transient) loss of consciousness. ...Read more
Having dry cough for last 2.5months. Had 12 episodes of cough syncope, losing consciousness for 2 seconds. Did all the tests related to Neuro, Cardiology, ENT & Pulmonology. Echo shows normal. HOLTER Monitor test for 24 hrs shows normal. MRI & CT
OTC Meds: Several over the counter medicines can help suppress a cough including delsym or robitussin (guaifenesin). These medicines contain a cough suppressent called dextromethorphan. Other home remedies include cool mist humidifier in your bedroom. There was an excellent study that showed a teaspoon of honey before bedtime suppressed a cough better than dextromethrophan. If your symptoms don't improve call your doctor. ...Read more
Hard to treat: Cough is a basic reflex that keeps us alive. The airway is the most sensitive part of the body for a reason. It keeps food out of our lungs. When the airway is irritated, there is no way to tell the body to ignore it. If the cause of the airway irritation can be found and treated, that can help the cough resolve sooner. Mucus draining down the throat is a common cause of prolonged cough. ...Read more
Tips: Hydrate well. Consider using a warm air vaporizer. Mix several teaspoons of honey into herbal tea with a squeeze of lemon juice. Or make tea with 2 tsp of marshmallow root bark per 1cup of hot water (steep in a covered pot for at least 5 minutes). Drink several times a day or as needed to relieve coughing. See a physician if your cough is not resolving, difficulty breathing or temp > 104. ...Read more
See your doc: It really depends on the source, which may be out of the scope of this forum. I would follow up with your doc for a longer discussion. Two very common causes are acid reflux and seasonal allergies, but this all depends on where you live. You can always consider a trial of allergy or reflux medication, but the better bet is see your doctor. ...Read more
Probably.: But it is best to inform the md or your provider the adverse event that you experience with your breathing treatment. ...Read more
I have a productive cough that keeps me up at night after having bronchitis and not getting treatment for it?
After 14 months of mabthera treatment which I stopped having in feb. I have been having chronic cough attacks. What can I do to stop them?
See ylour doctor: You need to see your md for re-evaluation, and discuss treatment options and alternatives to mabthera. ...Read more
My 03 months son get cold cough, what should be ideal treatment. No ronchi or creps found, what about cough syrup, as there are so controversy?
No cough syrup: Cough syrups aren't given to infants, actually they're not recommended for children under 2 years of age. For a 3 month old, you can use a humidifier and suction out his nose. Saline drops in the nose are useful prior to suctioning. Such a young infant should be seen by his/her pediatrician. ...Read more
I work in a icu, ex smoker, had cough history past 3 months onwards and treatment had taken, pft, montex showed normal. Still cough on morning?
See Below: The top 3 causes of chronic cough are in order, post nasal drip>asthma>acid reflux which may be silent. That and an ACE inhibitor cough account for 90ish percent of all chronic cough. Given smoking history I absolutely agree with getting a chest x-Ray. If all of these are not problems and x-Ray is normal consider high res CT. ...Read more
I feel very evident pain on the two sides of my ribs when I cough. It started yesterday. Please be more explicit on the name, cause and treatment. Thks?
Coiugh/rib pain: Several possibilities - strained ribs from hard heavy coughing - try hugging a pillow when you cough - that might ease it pleurisy can also cause painful ribs with cough - the lining of the chest is inflammed and when you cough it hurts. Ibuprofen might help lastly - unlikely - rib fractures due to heavy coughing Hope that helps ...Read more
The cough reflex is a protective mechanism that uses muscles in your throat and chest to expel mucous and saliva that may contain pathogens that would otherwise possibly be inhaled via aerosol or to expel pathogens infecting the throat and respiratory system. Cough benefits the host by reducing load and benefits the pathogen which may then spread via aerosol. ...Read more