Anyone have "cough variant" asthma? Vocal cord dysfunction?

Posted by jko1 @jko1, Apr 8, 2019

Anyone else on the forum with cough variant asthma? How about vocal cord dysfunction or the two together?

I have struggled with cough variant asthma for many years. Recently I was also diagnosed with vocal cord dysfunction as well--specifically irritable larynx syndrome. I've had voice therapy, but I'm interested in other ways people are coping with the combination.

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Profile picture for drsharon @drsharon

@5148branelly I also have it. My doctor said not to use cold medicine or mucinex as it dries the mucus in the lungs and ultimately makes asthma worse. My asthma is irritant and not allergic so I’m not certain if it affects you the same way. The phlegm might also be coming from the sinuses and, if so, you might try Neilmed nasal rinse (with pulmicort if your doctor approves.) most importantly, try to figure out your triggers and eliminate them. Good luck!

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@drsharon —Thanks!
I’ll check this out!

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Profile picture for 5148branelly @5148branelly

I’ve had constant phlegm in my throat for 57 years. It developed as a result of allergy shots. The allergist shrugged when I asked him about it. Then he asked me about emotional or family problems. I was 16. He was an ass.
I have coughing type asthma and use a steroid inhaler plus a rescue inhaler. I use Mucinex DM and sudafed as needed, as well as Zyrtec.
The Mucinex helps a little but not much. Other drs. have nothing to offer.

Jump to this post

@5148branelly I also have it. My doctor said not to use cold medicine or mucinex as it dries the mucus in the lungs and ultimately makes asthma worse. My asthma is irritant and not allergic so I’m not certain if it affects you the same way. The phlegm might also be coming from the sinuses and, if so, you might try Neilmed nasal rinse (with pulmicort if your doctor approves.) most importantly, try to figure out your triggers and eliminate them. Good luck!

REPLY
Profile picture for pht1123 @pht1123

I had cough variant asthma for many years (Way before there were any treatments that we have today!!) It took a long time to pinpoint this down as it was in the 70s and 80s. I have asthma - unfortunately controlled with Prednisone for many years, and take Dupixent every other week. Please ask about the following:
Can you take an antihistamine - such as Chlortimeton (chlorphenamine maleate) mild antihistamine and helps with post-nasal drip. I only need 1 tab am/pm instead of 4 as listed on the box. Guifessen is not always a good choice for asthmatics - as it can make many worse in their symptoms. Cough/cold remedies which have dextromethorphan can be helpful. When the wheezing happens from the cough variant asthma, it is usually high up in the lungs, causing air trapping lower in the lungs. Possibly consider a biologic - possibly Xolair - which is now used for severe allergic reactions, or one of the others. Disclaimer - I am not affiliated with any pharmaceutical company. I have asthma in many different forms for about 60 years. Good luck!

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@pht1123 try putting Vicks on THE BOTTOM OF YOUR FEET put socks on too.

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Profile picture for 5148branelly @5148branelly

I’ve had constant phlegm in my throat for 57 years. It developed as a result of allergy shots. The allergist shrugged when I asked him about it. Then he asked me about emotional or family problems. I was 16. He was an ass.
I have coughing type asthma and use a steroid inhaler plus a rescue inhaler. I use Mucinex DM and sudafed as needed, as well as Zyrtec.
The Mucinex helps a little but not much. Other drs. have nothing to offer.

Jump to this post

@5148branelly all that mucus could be your body’s way of protecting your esophagus and vocal cords.

Liquid Musinex before bedtime may help.

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I have it all too. CVA typically bothers me during allergy season.

Vocal cords get burned by stomach acid if you have GERD. My ENT told me the take some Mylanta liquid before bed.
Excessive mucus is your body’s way of protecting the vocal cords…

Of course, when I have a post-nasal drip and it makes me cough, I put Vicks vapo-rub on the BOTTOM OF MY FEET with socks.

These are the things I do, hope they help you.

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I’ve had constant phlegm in my throat for 57 years. It developed as a result of allergy shots. The allergist shrugged when I asked him about it. Then he asked me about emotional or family problems. I was 16. He was an ass.
I have coughing type asthma and use a steroid inhaler plus a rescue inhaler. I use Mucinex DM and sudafed as needed, as well as Zyrtec.
The Mucinex helps a little but not much. Other drs. have nothing to offer.

REPLY

I had cough variant asthma for many years (Way before there were any treatments that we have today!!) It took a long time to pinpoint this down as it was in the 70s and 80s. I have asthma - unfortunately controlled with Prednisone for many years, and take Dupixent every other week. Please ask about the following:
Can you take an antihistamine - such as Chlortimeton (chlorphenamine maleate) mild antihistamine and helps with post-nasal drip. I only need 1 tab am/pm instead of 4 as listed on the box. Guifessen is not always a good choice for asthmatics - as it can make many worse in their symptoms. Cough/cold remedies which have dextromethorphan can be helpful. When the wheezing happens from the cough variant asthma, it is usually high up in the lungs, causing air trapping lower in the lungs. Possibly consider a biologic - possibly Xolair - which is now used for severe allergic reactions, or one of the others. Disclaimer - I am not affiliated with any pharmaceutical company. I have asthma in many different forms for about 60 years. Good luck!

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I am headed to speech therapy. I have cough asthma and COPD. And a Vocal Cord Dysfunction. I never smoked but my parents did and I had atypical micoplasma pneumonia in 1970. I had an alerhic reaction to propellant in 2009 and had NO voice for six months. Then a monotone than just a different lower voice. I now get anaphylactics from Albuterol and more recently also it's mirror image LevAlbuterol. Both used by nebulizer as I am allergic to propellants and all medications commonly used for Asthma. I now nebulizer a 9% saline solution three or four times daily and take the equivalent of 1200 mg Musinex twice daily. Antihistamines used to help also. I'm now trying Ketotifen(special compound pharmacy required) which is an antihistamine and a mast cell stabilizer that one builds up slowly. That helps my cough ( I guess I have a mast cell problem-which is rare). But it makes my balance worse and my BP is too high. It's all an experiment in progress. I have more high quality air filters in my condo, avoid all common chemicals in cleaning products and personal care products and require a GF DF low FODMAP low fructose diet with numerous other foods also avoided. A bit weird, time consuming, but I turn 84 next month. So yes, we have some medical issues in common! ( I also comment in the meningioma group having had one removed in 2007 at Mayo)

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Profile picture for km6 @km6

What led you to this diagnosis. I lose my voice and cough for what seems like no reason. Hoarse a lot but I am also on Trelegy

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Hi, @km6 - just confirming you are asking @jko1 what led to their diagnosis of cough variant asthma?

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What led you to this diagnosis. I lose my voice and cough for what seems like no reason. Hoarse a lot but I am also on Trelegy

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