I have to say Botox injections were not high on my list of cures but I may be rethinking it since I have nowhere left to go. The coughing has definitely affected the quality of my life. Talking for any length of time, singing, eating all contribute to coughing episodes. The most normal I feel is upon awakening in the morning. It seems not using my voice box all night seems to quiet that nerve down. Of course it all starts up the minute I swallow the first bite of food. My friends all know if I talk on the phone long enough that I will at some point start coughing. I cannot sing either. On occasion I have tried Tabasco on my food. Though it could also be a trigger for a coughing spell, I have noticed it numbs the area and quiets it down pretty quick.