I've had a cough (on and off) for 30+ years. Sounds ridiculous right? Mostly worked with pulmonary drs (even seen one retire), lots of steroids and misc medication. I gave up caffeine (only drank tea) 5+ years ago. About 3 yrs ago also diagnosed with reflux and had a fundoplication. Didn't help cough. In past 2 years went to Ohio (live in Northeast), Phila to see an Allergist/Immunologist and got diagnosed and treated with sensory nerve block 5x. Also followed up local Chief of Otolaryngology . Tried Amitriptyline, Tramadol, Steroids, Cough Syrups, Gabapentin, nerve blocks and prob more than I can remember. Truly, although the nerve block worked the first time, it hasn't been successful again. Other than the cough I am healthy and exercise almost daily between Pilates and HIIT. The cough is life altering - the looks we must all get, the pain in my back, the lack of sleep is awful. I walk around with a large water bottle and sleep with one next to me. Hoping for new ideas, medications, treatments.