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Chronic cough & sinusitis

Lung Health | Last Active: Apr 2, 2020 | Replies (5)

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@anunez

Hi Ethan, thank you for your reply. I had wanted to post before but wasn't seeing the link to post. I am aware of the MAC & Bronchiectasis group and have read many of the stories there. I was not able to post there. In response to your question about medications. I initially I used Augmentin for the recurrent sinusitis and bronchitis. I was also prescribed an inhaler for asthma in 2017. Also a variety of allergy medications, flonase, azelastine nasal spray, OTC allergy pills, sinus rinses. It wasn't until September 2018 when I was referred to my sinus surgery doctor that my antibiotic was changed to Cipro after he did a culture and found pseudononas. I have had several sputum tests. A few have been positive for MAC but mostly negative. I have also been prescribed prednisone bursts a few times and antibiotics and steroids in my sinus rinse.

I am currently on two inhalers and started nebulizing 3 weeks ago with with 7% saline. I recently saw a infectious disease specialist. She was alarmed with how much I have been prescribed antibiotics. The nebulizer may help clear my air passages and prevent new infections but I continue to cough up phlegm and have constant irritation in my throat. I had a pretty good summer and early fall but my constant cough, sinus which won't drain due to thick mucous have been worse since late November. I have also had weight loss which may due to loss of appetite.

My pulmonologist was finally ready to consider a bronchoscopy when the COVID-19 crisis hit. Now it is a wait game as elective procedures are on hold. Also I would not want to go near a hospital now. Right now my primary goal is to stay safe.

I am looking into the possibility of changing insurance soon. It would not get me to the Mayo Clinic but perhaps Stanford or UCSF.

Thank you

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Replies to "Hi Ethan, thank you for your reply. I had wanted to post before but wasn't seeing..."

@anunez- Good morning. I've also had a constant cough and lots of mucus this winter. It must have been a bit of infection because after a few days of an antibiotic (also used for pneumonia) it pretty much cleared up. But I still have mucous and a cough, but nearly as bad as before. It's scary and frustrating and uncomfortable. Have you ever been tested for COPD?
Frequent sinus infections can cause post-nasal drip, I call it "a tickle" in the back of my throat. Drainage of the mucous can trigger a chronic cough. ... It is caused by a build-up of mucus in the lungs, which the body tries to clear by coughing. Also, nasal polyps can cause a constant cough. I tend to get a constant cough more int he winter, even if I use an AC during the summer. And this year it's been especially bad. The only thing that I can say is that chronic coughs are self-propelling- once your throat is irritated it's a vicious cycle. I also found this: https://www.webmd.com/asthma/guide/cough-variant-asthma#1
Do you cough as much during the day as at night? I drink plenty of water and drink hot tea and honey every day. Have you changed your diet at all to try and calm your throat and drip?

@anunez you mentioned that you were not able to post in the MAC & Bronchiectasis group. You should be able to as a registered member of Mayo Clinic Connect. Should you wish to post a reply in that group, here's how:
1. Go to the MAC & Bronchiectasis group https://connect.mayoclinic.org/group/mac-bronchiectasis/
2. Click on a discussion you would like to join.
3. Click REPLY.
4. Write your message and click REPLY.

If you continue to have issues with posting, please send me a message using this contact form. https://connect.mayoclinic.org/contact-a-community-moderator/