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Doctor insights on: How To Treat Cough Variant Asthma

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What over-the-counter drugs will treat symptoms associated with cough variant asthma?

What over-the-counter drugs will treat symptoms associated with cough variant asthma?

None: You need to see your doctor regarding this. Many people with cough-variant asthma actually needs a controller drug such as low-dose inhaled steroid or singulair (montelukast) to control the cough. Cough medicine is not recommended.

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Dr. Sue Ferranti
3,563 Doctors shared insights

Cough (Definition)

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


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How is cough variant asthma diagnosed?

How is cough variant asthma diagnosed?

Asthma: Cough is just a symptom of asthma. If your docotr hears wheezing and is recurrent problem, then you may have asthma for sure. Your docotr needs to do lung trests to establish diagnosis of asthma along with clinicla diagnosis. Some pts. Cough at night only & it becomes difficult 2diagnose as the docotr may not be able to listen for wheezing at this time unless u go 2 the er. All coughs is not asthma.

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How is cough variant asthma diagnosed?

How is cough variant asthma diagnosed?

Mostly by history: This is asthma which is primarily manifested by coughing and not measurable evidence of airway constriction. The response to low-dose inhaled steroid, bronchodilator, and/or leukotriene modifier supports the diagnosis. It is possible that this may be a prelude to persistent asthma later on in life.

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What are the symptoms of cough variant asthma?

What are the symptoms of cough variant asthma?

Cough: Cough and not shortness of breath or wheezing is the primary symptom. The lung function test is often normal but the patient usually responds well to anti-asthma drugs.

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How common is it to develop cough variant asthma as an adult?

Not Common: People often talk about cough variant asthma, but it really is asthma with cough as a symptom instead of wheeze. So if you are coughing see an allergist and have a breathing test called a spirometry. This will tell you if asthma is there or not. The most common cause of cough is post nasal drip and acid reflux can also play a big role.

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How is cough-variant asthma diagnosed, versus "regular" asthma?

How is cough-variant asthma diagnosed, versus "regular" asthma?

Difference...: "cough-variant" asthma is diagnosed when the primary symptom of bronchospasm is cough as opposed to wheezing, the usual sign of bronchospasm. The bronchospasm is treated with bronchodilator and steroid inhalers and the cough is controlled with this therapy. The cough in " cough-variant" asthma responds to the usual treatment of asthma. Cough is the primary sign instead of wheezing.

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Is it likely for an adult to suddenly develop cough variant asthma?

Is it likely for an adult to suddenly develop cough variant asthma?

Cough: Persistent cough can be due to sinus infections, asthma, smoking, lung infection or disease and GERD. If your cough has lasted more than 2-3 weeks whether persistent or intermittent you really need to see your doctor and go through the list of possibilities for you. A cough is a mechanical way for the body to eliminate mucous from the lung which is normally migrates out without any effort.

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Is cough variant asthma driven by inflammation? My child's is chronic but is worse in fall/winter?

Is cough variant asthma driven by inflammation? My child's is chronic but is worse in fall/winter?

Yes: As stated above, asthma involves inflammation of the airways and subsequent spasm and narrowing causing cough and/or wheezing. Allergies can definitely trigger asthma symptoms in some children, so an antihistamine such as Claritin (loratadine) or zyrtec is worth a try. Asthma can also be triggered by cold weather and viral illnesses such as colds. Talk to your pediatrician about what options are best.

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My child was diagnosed with cough variant asthma but is it more driven by inflammation vs a regular?

My child was diagnosed with cough variant asthma but is it more driven by inflammation vs a regular?

No...: Cough variant asthma means that the inflammation and bronchospasm results in coughing as the predominant symptom instead of wheezing. Other than that, cough variant asthma is still asthma.

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Dear sir I am having chronic cough for past years here they finally diagnosed couhh variant asthma. What should I do now. Its not settling easily?

Dear sir I am having chronic cough for past years here they finally diagnosed couhh variant asthma. What should I do now. Its not settling easily?

Asthma: You should be on medication for asthma. If you are still having asthma symptoms then revisit your doctor. You should be able to be symptom free with correct medications.

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Can you tell me things to keep in mind about cough variant asthma?

Can you tell me things to keep in mind about cough variant asthma?

Cough and asthma: Some people with asthma only have a cough and not the wheezing that the others get. There is a chance that you could progress to the standard form of asthma. With treatment the cough can improve. Usually the treatment. Is similar to other asthma treatments. Good luck feel better!

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What's the diff between asthma and cough-variant asthma, or asthmatic bronchitis? Never had asthma, but always get bronchitis with every cold now.

What's the diff between asthma and cough-variant asthma, or asthmatic bronchitis? Never had asthma, but always get bronchitis with every cold now.

Intensity: Asthma is a variable condition where the "average" patient experiences periods of wheezing brought on by infection or other personal triggering events. In cough variant asthma it is mild enough they may never know, but the cough stops with asthma meds.A feature is sibs or parents with asthma. Asthmatic bronchitis is more a label for infection triggered wheezing. One with CVA would be more prone to it

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My son has cough for the past two months, it gets worst when he runs, his dr said its cough variant asthma, but he still got the cough?

My son has cough for the past two months, it gets worst when he runs, his dr said its cough variant asthma, but he still got the cough?

Other considerations: Your doctor may consider adding another medication, reviewing the delivery of his albuterol and his other asthma triggers. Additional medications may include controllers, such as inhaled steroids or montelukast.

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Is it safe to use steriod tablets for 1 to 2 weeks on periodic basis if one has severe cough variant asthma? Or will it still cause many side effects?

Is it safe to use steriod tablets for 1 to 2 weeks on periodic basis if one has severe cough variant asthma? Or will it still cause many side effects?

Steroid use for resp: Steroid use in respiratory problems is routine medical therapy. I should be regulated by your medical provider, so hopefully it won't become chronic usage, which definately has many side effects. Beta2 agonists ie albuterol are still the basic meds for asthma type problems. Steroid are a secondary adjunct and do carry complications if used too frequently.

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Asthma vs. Rad my son has cough variant asthma, he never wheezes during an attack, just coughs violently and uncontrolably. He recently has had this cough for the past week that he just can't shake. It get really bad in the first thing in mornings and at

Asthma vs. Rad my son has cough variant asthma, he never wheezes during an attack, just coughs violently and uncontrolably. He recently has had this cough for the past week that he just can't shake. It get really bad in the first thing in mornings and at

Kids: Kids do not have to wheeze to have asthma, as you have indicated that your son has cough variant asthma. The Flovent and ventolin are appropriate management from your physician. I am not sure what the urgent care physician was treating with the amoxicillin. Antibiotics are not used to treat wheezing or cough variant asthma or rad (simply meaning the airways react/narrow to stimulus such as infections, exercise, or allergies). Was the physician concerned about a bacterial infection? In that case the antibiotic would be appropriate.

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I've late onset asthma cough variant since 2009. It is under control with inhaler use. My blood test shows 8 percent eisonophilis. Is it high?

I've late onset asthma cough variant since 2009. It is under control with inhaler use. My blood test shows 8 percent eisonophilis. Is it high?

Slightly: There is a test called FeNO which is used in some Allergy offices. A positive test is a marker for activated eosinophils in the airway. Depending on the frequency and severity of your symptoms, an inhaled steroid may be indicated.

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My son has a dry cough, every time he run it gets worst for the past two months. His doctor said its cough variant asthma, but cough is not stopping?

My son has a dry cough, every time he run it gets worst for the past two months. His doctor said its cough variant asthma, but cough is not stopping?

Medications: Cough variant asthma usually needs some medications to manage it. If your son's doctor started some medicines that aren't helping, go back for a follow up. There are many different options and the medicines can be changed to something that will be more helpful.

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What is cough variant asthma? And do you prefer dry powder inhalers or metered dose inhalers for albuterol treatment of this condition? Which is Better

What is cough variant asthma? And do you prefer dry powder inhalers or metered dose inhalers for albuterol treatment of this condition? Which is Better

Cough variant asthma: Is type of asthma where cough is the most salient symptom, dry cough, but still have other asthma signs, at times it might be the only symptom and hard to diagnose. As for the albuterol form: whichever works, so long it is taken in the right way and produces the desired effect, but albuterol is just a quick fix, you need comprehensive treatment as any other asthmatic, see an allergist/pulmonol

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My son has cough variant asthma when he gets a cold, it usually progresses. Otherwise he does well once it starts, he takes albuterol (wit flovent).?

My son has cough variant asthma when he gets a cold, it usually progresses. Otherwise he does well once it starts, he takes albuterol (wit flovent).?

Very common: Cough is a very common sign of asthma and colds (viral infection) are the most common trigger for kids under 2 yr. To prevent progression, I have found starting/increasing the Flovent early in the cold may prevent progression. This should be outlined on the written asthma action plan. Consider using a peak flow meter to monitor and use albuterol for symptom relief. Hope to avoid prednisone.

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For cough variant asthma, my 7yr old was prescribed flovent 2xday, albuterol as needed side effects?

For cough variant asthma, my 7yr old was prescribed flovent 2xday, albuterol as needed side effects?

Some: Flovent is a cortisone type inhaler. Make sure to the child rinses his/her mouth after use since steroids may cause throat infections. Albuterol- rescue inhaler- may cause a little excitability, gitteriness, etc. Since the child is 7, make sure to use a spacer since hand-inhaling coordination is important to get drugs into the lungs.

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Dr. Sue Ferranti
3,017 Doctors shared insights

Asthma (Definition)

A disease of the lungs caused by chronic inflammation of the airways most often caused by allergies. This inflammation results in airway swelling and hyperactivity leading to difficulty breathing, shortness of ...Read more