I am just sobbing, just sobbing! I have been coughing like this for over 4 decades. It has impacted my life in so many ways. I have lost relationships, I can't see my friends very often all from this crazy thing. If it happens in front of children, their mothers worry that I shouldn't be around them. It's horrible. Nobody has been able to help me in ALL that time. Because nobody has understood it. I am going to send these two videos to my doctor. Let's hope she understands and helps me. Thank you, thank you from the bottom of my heart. Finally, there is hope.
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IKR like I’ve been trying to search what’s going on with my throat and I can’t stop coughing and now I finally found someone who knows what he is talking about 😰😭
I am so glad that after decades of living with a chronic cough, I finally found this video. I asked my GP for one of the prescriptions mentioned in part 2, and my coughing was lessened by about 80-85% - to the point where it was much easier to deal with, and my quality of life improved dramatically. Thank you so much, Dr. Bastian!
@@Laryngopedia Dr.Bastian, here's a key point. Gabapentin has similar properties as "flu-friendly" high-lysine such as eggs/dairy. ...Here's how: Gabapentin & lysine-foods & even honey/starches, thicken (thus tame) mucuos. In my case, the Gabapentin-thickened mucuous, upon being swallowed post-nasally, acts like waxy-balm. Note my brother and I both have SNC from having lived in forced-air heat houses & too much raw-onion foods & acids in childhood. But mine is worse from ongoing interaction with a difficult person. (She elicits shouting from everyone till their throats are raw.)
@@Laryngopedia P.S. York-mint-patties are very soothing. Also choco-candy made with Approx. 12oz. dark choco-chips, TB coconut oil, tsp margarine & tsp.corn-syrup. Refrigerate, then cut into 1"x1" squares. ...A quicker/professional way may be: ruclips.net/video/UGR4XjVqlXw/видео.html (Though if you lack a dishwasher, it may be hard to clean.
@@Laryngopedia Hi, thanks for your video. I have just come across it tonight, and I think this is what I have. I had a big episode of it whilst at uni in 2012 amd I put it down to anxiety. I ended up with a hiatus hernia because of the wretching. It has started up again in the last couple of weeks 😞. Does it make sense that it is worse when I am on my own as this seems to be the case
I traveled from Arizona to Illinois to see him. Amazing man, I cried when he understood what I had been going through. He said that many patients have reacted that way. 24/7 coughing is no picnic..
please chew and swallow fresh garlic clove and wash down with water everyday. start 3 times a day. 24/7 cough well try anything. i have 14 year cough fits daily and garlic is only relief except opiates which is no good. wish you well Jan
@@tree-hutlastname4008 hello are you the same Jan who traveled from Arizona to see him ? I cried when i found that video, I thought that Im the only one and noone could ever understand. Im so afraid of the caughing getting worse. I caugh like the whole day.. too bad. For 5 years now. Always getting anxiety when thinking of the future. Breaking down everyday after school is no fun. Could you please give more tips and explain more about what the doctor said ?
Try smooth dairy or dark chocolates, York peppermint-patties and also Gabapentin & lysine-foods & honey & starches. They all help thicken mucuos, which helps prevent "tickle". Air-conditioning and forced-air heat & acidic/spicy/rough/chalky foods make it worse.
Over a year of constant violent coughing, 6 specialist, multitude of scans scopes and X-rays and in 4 days your gabapentin dose recipe stopped the cough completely! You have no idea how bad it had gotten and how weak the body and mind got I am SO SO grateful for your video. It was so spot on. Thank you so much!
This is the closest description of exactly what I’m going through. My cough goes and goes suddenly for over 11 years now, I lose sleep, it causes chest pain, abdominal pain, urination, vomiting, headaches, watery eyes, leaking nose, it’s so annoying. People always assume I’m sick and offering my water
My mom did for 55 years we both had pneumonia it started after that. Cellular structure gets damaged possibly from pneumonia or avirus around the larynx
We both have the same symptom. Because of this cough. I cannot be facing anyone but stay in the house. I am so afraid of going out or going to work. My friend and families stay away from me. I told them that I am fine but no reason why this cough is keep going on and on. I have tried many ways but never had luck.
Thank you, Dr Bastion, so much for posting this video. I have been living with a cough for over 3 years. Your description was like it was written about me. I almost cried when I heard there is hope for relief from this cough. I only wish I lived closer to Chicago so I could come to your office. Thank you again.
My doctor just diagnosed this after 2 years of coughing. I also have 1 paralyzed vocal chord. Last night for the first time I took 10 mg. of Amitriptyline and I didn’t cough at all! It was a miracle!
He's right. I don't even want to move out of my comfortable spot because I feel like some nerves are going to get irritated and then I'll have some dry, miserable coughing spell.
Finally! I have had my cough for around a year, getting inhalers, and cough syrups, honey etc, and it would never go away, and finally someone has pinpointed my cough!!
@@marasadi8182 Thank you, but I think it was asthma, as it has now cleared on its own after so many inhaler, but it isn't the first time, I had it when I was around 7-8!
I just want to thank you for providing this information. This has been going on for me for just over two years and I thought I was losing my mind. Unfortunately, sudden, sharp coughing also triggers migraines for me, which I also have chronically. It's not a good combination.
I have been coughing since December 2020, visit GP several times, with no help. Went to see Nose, Throat and ear specialist, pay attention to a lot of money, still coughing. Thank God I came across this clip
Try smooth dairy or dark chocolates, York peppermint-patties and also Gabapentin & lysine-foods & honey & starches. They all help thicken mucuos, which helps prevent "tickle". Air-conditioning and forced-air heat & acidic/spicy/rough/chalky foods make it worse.
Thank you SO MUCH for making people aware of this. I have been experiencing this for over 15 years, had aggressive treatment for allergies, asthma, post nasal drip,possible GERD...all with no result. Scans of the sinuses and lungs showed nothing. It makes you feel like you're going crazy to go to experts who have no answers, at some point you think doctors think you must be making it up or something. It was only just suggested to me for the first time by an ENT and a pulmonologist that this may be my problem. I feel so relieved to finally have a possible answer. My doctors are even great doctors, but I think many are still not aware of this possibility. Seriously, thank you for these two great videos to educate people, you presented the information so clearly, thoroughly, and compassionately. Obviously you understand the huge, horrible impact it can have on people's lives.
@@SRF-vm3fy I started taking both Singulair and GABA supplements. (They suggested gabapentin for me but I want to avoid that, and the percentage of people it helps for neurogenic cough is very low anyway. Both gabapentin and Singulair have side effects to watch for, but so far the Singulair has only made me have vivid dreams, nothing else.) So not sure if it's one of those that's helping or the combination of the two, or if I've just been going through a "good phase." I still have a chronic cough, though, but it's not been as severe. Thanks for asking.
I had the pleasure of meeting this doctor after suffering (SNC) 20 years of violent coughing. I am currently on Gabapentin 100mg capsule. This doctor is a lifesaver. Through the years doctors have treated my coughing disorder like asthma, acid reflex or Gerd. They didn’t even re-search about (SNC) or maybe they knew about it but just wanted to keep me coming in spending money on Flonase, asthma medicine and expensive acid reflux medication
I just discontinue using a prescription my doctor suggested she gave me Amitriptyline 10 mg. It came with a lot of side effects. I woke up one morning, feeling very depressed for no reason . I knew it was the medication. I merely discontinued it seeing all the side effects. The medication worked only for three hours, and then it tapered off, and I was coughing again. I am making an appointment to see a neurologist to check my nervous system. There is something clearly going on my coffin and it’s like a spasm. It comes and goes and at times yes it does spasm can get very violent to the point that my chest hurt. I feel like I’m gonna have a heart attack . I did get a chest x-ray and everything was clear cause I never smoke and I also did a lot of marathon running so I don’t have asthma. I believe that the problem with my coughing, maybe have something to do with my neurological system. I’ll keep you posted on the results of the outcome with the neurological doctor.
@@akumar01 the symptoms that I’m having what makes me cough is there’s a constant itching in the back of my throat. I cough a lot to clear the itching but what I’m noticing is that I also have digestive problems, constipation a lot and I’m worried that this may be a contribute to it. I’m working on staying away from caffeine products, which is very hard because I love drinking coffee and caffeine can mess with the neurological system.
@@emack41971 It's important to get into the nub of the problem by consulting a neurological doctor (like what you plan to do). Thanks for your reply and my best wishes to you. Keep me posted as well.
My daughter has been coughing on and off since last December2019. We’ve seen lung specialist, heart Dr. stomach specialist, done chest X-ray. Everything normal. Why won’t it go away. It completely silent at night. U hear it only in the day. tiny short dry cough throughout the day. No phylum. She tells me she feels a tingle in her upper chest. She had latent TB when she young. In college took medication to reduce chance of awakening. Plz help me.
THANK YOU SO MUCH!!!! These are exactly my symptoms! I’ve been to so many pulmonology appointments and tests... let along all of the expensive inhalers and recommended steroid treatments! My latest diagnosis was eosinophilic asthma... which my blood tests didn’t even show a high level of eosinophils! They wanted me to do this $5,000 a month treatment for something I was fairly certain I didn’t have! Thank you so much again!
I’m very happy to hear of your good result, and would appreciate an update regarding duration of benefit. Assuming the Botox was injected into the muscles of the vocal folds, the weakness of voice is dose-dependent and will gradually subside over the next few weeks. (Please consider this informational, not medical advice. Don’t act without input from your personal physician.)
this is one answer as well as other medications I chose 50 mg of Tramadol...stopped coughing after 15 yrs of coughing up phlegm and no moree shocking feeling in the back of my throat!!..I have my life back
I have had exactly the symptoms described since I was seven years old. I am now 42. I remember waking up one day with a cough, although I didn’t feel unwell, and it never went away. It worsens when I’m agitated, when I change position, and sometimes even when I’m amused. It annoys those around me, and my attempt to suppress it for their benefit (and I suppose my own) has led to the emergence of various ticks. I had measles and scarlet fever when young and wonder if it might be related to these in origin. I must admit, though, that I have often thought it might be pure neurosis. It is nice to see that at least one doctor has given this some attention.
Try smooth dairy or dark chocolates, York peppermint-patties and also Gabapentin & lysine-foods & honey & starches. They all help thicken mucuos, which helps prevent "tickle". Air-conditioning and forced-air heat & acidic/spicy/rough/chalky foods make it worse.
I'm 58. I've had a persistent throat clearing since I've been in my late 20's. I've always had sinus issues , post nasal drip or so I think. I've been to ents over and over they put the camera down and say looks normal. Migraines you name it. I've always said it feels like I'm drowning, my throat feels like it feels with fluid and I have to clear my throat often hundreds of times a day. Very annoying to me and those around me. Nobody believes me I've had people come up.to me In stores saying oh have you checked for asthma? I'm not short of breath, and clearing my throat so much makes me have a very sore throat. So frustrating. If this is the answer I will be grateful if somebody listens
I was treated by a Dr. Jonathan Pillow in Oklahoma. For 2 years my cough stopped using gabapentin. I was hoarse but gladly excepted that over the cough I have had since 1993. My son was diagnosed with Non Hodgkins Lymphoma and lives in Houston, TX. Can you recommend a doctor for me to go see? My cough returned in January of 2019. My normal voice was back and the coughing was back. The doctors and staff frown when a person has a cough. I try to wear the masks but they cause me to cough more. I am desperate to get see a new doctor in Houston and maybe get my coughing stopped again. Please and Thank you. You will never know how happy your videos made me. Finally, someone who knows my pain and agony.
This video helped save my live!!! For 4 years I had a chronic cough after having a PE. All of the best doctor in Boston could not find anything to help me. I was told I may have to live like this but after doing a lot of research I found out about Gabapintin . I can sleep at night now and so can my family . I can't how it will work for anyone. Right now I am on the highest dosage of Gabapintin and for one year it has worked!!! Thank you
Thank you so much for this kind feedback. The next video, "Part II: Medications" (linked to in the "About" section above), may provide some additional information for you, if you haven’t already seen it!
+Anon Amouse I have to tell you that this is working great! The cough I had a diminished. I am able to to sleep throughout out the whole night and not wake up my wife (thank God). I still cough but it's not as bad
Hi thank you , my son he is couphing for 10 years , he is now 30 years old and we have done a lots of tests and treatments but nothing help . You have mention Gamapantin I know this medication I know how work . Could you let me know if you have any side effect from this medication ? aspecially do you feel drouzines during the day ?? It is very importent for me as it is heart broken for me his condition . Thank you if you could help me by providing this informations please .
Twenty five years with this cough. I been wrongfully diagnosed with acid reflux. Allergy diagnosis was wrong also. Mainly at night. Going from an upright position to lying down will trigger it also. Also, if I’m too hot that triggers a coughing spell too.
I have had this since I was a teen and I am now in my late 40s. Doctors sent me for pulmonary tests,endoscope and I had a dental surgeon tell me it was because of my overbite interfering with my throat... I can't wait to show this to my doctor so they can help me...
I did all those test as well. nothing. There is no solution but it can be calmed down. In my investigation I learned damage to the cellular structure that regulate the phlegm has been damaged by a virus or pneumonia which I had. Go to an ENT. In the mean time Ricola Honey Lemon Echinecea or Dual Action can help calm at the onset of coughing. Also, Fisherman's Friend. Original Extra Strong, Menthol Cough Suppressant.
My gosh, you have described me exactly. I have been diagnosed with this by an ENT at the UNMC, and the sequence of how this developed is exactly how you describe, although I feel I connected the dots as you have from the initial virus. I am anxious to click on part 2, the treatment.
Thank you, this information is so helpful. I just can't believe none of my doctors have e en come close to this. Which doctor should I tell my GP, Pulmanologist, Rheumatologist, Cardiologist, psychiatrist or pain management? Although they've told me to stop watching RUclips and stop trying to diagnose yourself. I feel a little liberated knowing there is an accurate diagnosis and answer to this chronic cough. Thank you again
Sorry to hear of your problem. It is common to search for years before "finding" this diagnosis. I suggest you read the materials found on www.laryngopedia.com. Put the term "cough" into the little search window and lots of material will come up. This open source article can be shared with your primary doctor...Otherwise, ENT docs are most likely to have come across this elusive diagnosis, since it was discovered and has been widely taught within that specialty more than any other.
Hope you feel better. I have been coughing too for the past 3 days...it's exhausting. Try Vicks vaporub just under your nose and steam. It gives some relief.
One is try clearing your throat from time to time another thing is drink water and the last one is exercise, I went to the pool swam and ran around and I’m now coughing a lot less often
All the best. Call nearby ENT office and ask triage nurse if they handle sensory neuropathic cough. If you strike out, consider telemedicine with Bastian Voice Institute.
I had thus cough for years and it took years im 56 now, and December 2022, i was sent for a heart test for them to find a hole in my heart i could of had since i was born , my son 18 also has this same cough . I also have copd and emphysema, i want my sons heart checked he also sneezes , huge sneezes with loads of mucus , this has went on for months for my son but im just a paranoid mum , nothing to do with my years of experience. Thank you for sharing your knowledge and experience. Blessings to you and your,s
When I get this cough I start immediately blowing my nose even though I don't feel like I need to. What I get is small amounts of watery drainage and after a couple minutes of continual blowing of my nose the cough stops as suddenly as it began.
I have been coughing for three years and the symptoms described here describe my cough. Sometimes it feels like my taking a breath and swallowing are out of sync and I end up coughing a lot.
Thank you for sharing your video explaining this condition. I'm at my whits end when it comes to my cough. I cough so much that I just want to sit down and cry. I'm so frustrated. I'm sitting here now coughing so much that my whole body hurts. It's worse at night, especially when I'm in bed. I've been treated for allergies, asthma, and reflux. I've seen an ENT, a surgeon, a gastroenterologist, have had two upper GI endoscopies and nothing. No one seems to be able to help me, which is why I'm so happy to have found your videos. Should I see my ENT, again, and ask him to look into this as a possible cause of my cough?
+Olivia Grace Call the otolaryngology (ENT) department of a nearby university or other large medical center. Ask to speak to the triage nurse. Ask that nurse if there are one or more doctors there who have a special interest in neurological coughing. You may need to make a few different phone calls to find a doctor in your area known to have this particular interest. If you can’t find any such doctors, you might also try calling the pulmonary departments of nearby universities or large medical centers. Or, alternatively, you might simply share the information you found about sensory neuropathic cough with your primary care physician and ask, “Could I please try low-dose amitriptyline?" (We hope you find that information helpful. Please consider it informational only, and not medical advice. Don’t act without your personal physician’s input)
Hi everyone, I am taking Amitripytaline, alternate between 12.5 grams and 25 grams at night.Helps me sleep. When I got some side effects with my bladder I changed to Gabopentin, . I also have a Hiatius Hernia. I had a cough for 20 years. DR BASTIAN SAVED MY LIFE, my cough was RUINING MY LIFE
I found something helpful (at least to me). Placing a hot water bottle/hot pack compress at the back of my neck completely suppressed the ‘tickle’ and therefore cough immediately. Working longer term little by little too. Please make sure that you do not have it too hot obviously….
wow! This is such a well thorough account of Neuropathic Cough. I think I might have had something similar with added mucus. Been coughing for over 6 months. And just recently was diagnosed with Bronchial Spasms. albuterol inhaler worked for me.
@@marshastolle2569 @Marsha Stolle hii Am Balu from india... Am suffer cough last 3years... Talking with friends or relatives any persona suddenly come cough... This my problem... So Plz help me.. Please advice medicine....
Thank you Dr.for the information. It's really helpful .I was coughed exactly as what you described( sometimes)May God blessed you always, glad found your video.Its very good , clearly.
(Part 1 of 2) At our practice we do Botox injections into the larynx in approximately 20 patients each week, almost always for a condition called spasmodic dysphonia (SD). It is a great treatment for that disorder. By contrast, neuralgia medications seem to be the mainstay for SNC. Of the many hundreds we’ve treated for SNC, a significant percentage take other medications that seem to contraindicate these medications. If that is your circumstance, certainly no problem with a trial of Botox...
I live in north Louisiana and haven’t been able to find a doctor that does the Botox injections. When I was first diagnosed with LSN elavil worked great for me but now elavil doesn’t work.
Thank you Dr. Bastian for the useful video! It is the first time that some one can describe so precisely my problem. I saw wonder if you can know that some of you patients with SNC has been in contact shortly before their first signs with a pet suffering of Canine Distemper? Regards Dr. A. Angelov VMZ.
Thank you so much for this video. I'm in constant pain from coughing so violently all the time. My was probably triggered from when I had Covid 6 months ago. My ENT just put be on low dose gabapentin. He said it may take a couple of weeks to work. Lets hope it helps.
Glad you are getting help. A person can usually determine if gabapentin is or is not their medicine by the time they get to 1200 per day. Can go higher, but if no response at this sort of dose, their personal physician might move to another like amitriptyline or desipramine.
I would call the ENT dept of a nearby univ or medical center. Ask the triage nurse if he or she has heard of SNC. If so, ask for a physician interested in SNC. My guess is, for now, there are only two or three physicians truly interested and experienced with SNC in any metro area. Try to find one; else you risk rounds of tests and treatments for “usual suspect” diagnoses-to no avail. (Please consider this informational, not medical advice. Don’t act without input from your personal physician.)
Well, this fits perfectly the cough I've been battling since I was a kid. It wasn't much of a problem in southern California, but when I moved to Portland Oregon, after a bad cold, it got worse and didn't let up until months later. How do climate and regional variations of air quality affect SNC? I'd like to spend a couple months or so in California, or Boulder, or other places I've lived before, to see if the cough goes away or at least returns to "normal" levels. But this is not practical :(
Thank you so much and best wishes for his speedy recovery. Consider taking this article to your doctor: peerj.com/articles/816.pdf Or search the term "cough" on www.laryngopedia.com
(Part 2 of 2) BUT, with care, good oversight, and starting at very low doses, it's surprising how many can in fact take a neuralgia medication quite successfully. Some drug interactions are only "yellow," not "red" alerts, and we often try a "yellow alert" medication in low doses. I’d hate to give up on more standard, proven treatments if-heaven forbid-Botox doesn't give adequate benefit. (Consider this informational, not medical advice. Don’t act without input from your personal physician.)
I finally received my diagnosis about 3 weeks ago after going through every test imaginable for the last year and a half. Because of other issues I have I will not be able to try the medications that are suggested so instead were going to try botox injections into both sides of the vocal cords, any thoughts about this proceedure? Thank you so much for these videos I brought this to my Dr a year ago and he finally agrees..
doc thankyou, I am a smoker over 15years and may age is 30. many thanks for your explaination. I might have a sensational coughing. when I start cough without reason. oh boy, from midnight ill stop when ill sleep. morning i wake up it feels nothing happens.
My mom is coughing like that... She said there is something in her throat that she thought it's a kind of phlegm, itchy that it triggered her to cough so hard made her teary eyes and runny nose. The cough is so dry and she said when spit out looks bubbly saliva. It is also disturbing because coughing would occur when it's about bedtime at night and at dawn. My mom is 76 years old
OMG!!! Recently taken on the care of my 63 year old mother and she has been suffering from this for 15+ years --we have taken her to see cardiologist and all sorts of specialist with no end in sight. Recently taken her to a pelvic floor specialist as the coughing has also resulted in stress incontinence and complicating other medical issues. Do you know of any specialist in Melbourne?
I don't know anyone personally but made a request of a contact in Sydney and the names of Dr. Paul Paddle and Dr. Amanda Richards came up. Perhaps call the triage nurse of each group and inquire...All the best...
me searching a so-ution for cough in youtube.at 3am and its holiday here preparing 4 coming new years eve.. i drank warmwater and stop myedication it works thanks doc
I understand and I will give an update also I'm trying to be hopeful since I don't do well with medicatons they seem to be my enemy, either allergic or bad side effects. Due to a very serious accident I've had 25 surgeries over the past 20 years my belief is having been intubated so many times it has effected my vocal cords. Treatment is on June 12th I will update soon after that. Thank you so much !!!
Hi Dr. Bastian: My cough began June of 98. I have had it ever since. I have so many of the symptoms you described. This could be me. I have been treating with a Neurologist for about 3yrs, with Baclafin. It helped at first, but not now. I am affected by cold (air conditioning), strong smells, talking, stress. I get pain in my chest. Once the spasms begin it sets off a chain like reaction, and just gets worse, as does the pain. Please tell me what you recommend I do
Thank you so much for this video. Many ENT Doctor's does NOT know about this. I have been coughing for 2years. I have been treated with all types of medications does NOT WORK. I am STILL COUGHING IF I eat spicy food sometimes at night Icant sleep, just coughing and bringing up Mucus, cant find a treatment. This began when I was Diagnosed with Neuropathy.
I developed this type of condition including many frightening and nasty sessions of laryngospasms 10 years before my first Parkinsons disease symptoms appeared. I have always believed there is a strong relationship between the two conditions. Things that helped me : exercises to keep my laryngeal muscles strong ; reducing stress levels as much as possible ; finding a sleep position which will not put stress on the larynx and throat
50 mg of Tramadol in the morning only ... and 16 years of coughing after I had pneumonia ..no one talks about phlegm...I can cough up 1/2 to 1 cup at a session
Thanks to this video Dr. Now i finally found out what is actually my condition. This is exactly my symptoms. Its almost 2years from now that my symtoms hve started. So now i hve an idea to talk to my doctor what actually my disease is. Thanks a lot doctor. Godbless u 😇
Thank you soooo much for your videos. You are providing light in the black hole of persistent coughs and laryngospasm. My question is: have you researched GERD and related conditions for being the source of the problem for some? After being put on Prilosec, my coughing has significantly decreased, though I still have some laryngospasms. I'm looking for therapies to strengthen my LES- lower esophageal sphincter, so it can close at the right time and not keep allowing reflux. Any ideas?
Dr. Bastian, I respect so much your speciality, you know what your talking about. Tha is for illuminating me on these symptoms to do with the pharyngeal area.
This is me...Been coughing for years, with so many things triggering...Been to three Ear, Nose and Throat doctors, with no relief. My tickle spot is definitely connected to a nerve in my ear...Never in my life have I been able to put a qtip in my ear without coughing that cough...I'm not a doctor or nurse, but I'm diabetic and have been taking Alpha Lipoic Acid for diabetic nerve pain, every few days...Started taking it every day and I have to admit there is improvement.
I have the same trigger with the ear, to go along with coughing all day every day for 20+ yrs. How have things been going for you this past year after taking the Lipoic Acid?
@@gregmitchell2191 Taking a decongestant and ALA helps a lot...I noticed a spot in my throat where this insane tickle starts...Gently scratched it with an ice tea spoon....Seems to desensitize that spot for a while...This is a nerve problem and will probably never go away
@@icebutterflyms Thank you. I have had a camera stuck down my nose/throat so no lumps for me to scratch unfortunately. Any specific decongestant that you have found to work better than others?
@@gregmitchell2191 I've tried many, but have found Dollar General Mucus and Sinus PE to work really well for me, plus it's available everywhere. Don't live in town near pharmacies, so availability and consistency is a necessity
OMG . This is exactly what I feel. I consult so many doctors from different countries with no help ..My ENT doctor told me I have to learn to live with this cough probably for the rest of my life because is nothing wrong with my troat.
after 15 yrs of chronic cough..I cough no more...50 mg Tramadol once in the morning...I would sometimes have a shocking feeling in the back of my throat and cough for 10 - 50 minutes...coughing up lots of phlegm..no more yeah!
O DOCTOR ! I am highly grateful to your goodself. I am suffering from exactly the same type of cough since last 3 months. My doctor tried many different medicines like chloramphenicol, roxythromycin, ciprofloxin and cephalexin. He also tried antacids, but none of them could treat me and I am still suffering. I also tried herbal medicines containing liquorice, ginger and honey, but all in vain. Now I can share these facts with my doctor. But even then, please kindly give me your precious advise also. Regards.
I suggest that there could be compromised vagus nerve involvement. I've had a meningioma that compressed my right vagus, including the laryngeal branch. For a couple of years I had paralysis of the right side of the larynx (with voice loss), and coughing as described in the video (coughing is ongoing). I've had a couple of laryngospasms - very frightening.
A virus or pneumonia can cause damage to the cellular nerve structure around the larynx...after 15 yrs of coughing after having pneumonia 5-6 times a day with lots of phlegm...I take 50 mg of Tramadol only in the morning and my coughing has STOPPED...I feel like I have my life back!!
Thank you very much. I might be a step closer to some answers. Since no doctor on the way thought of it I am afraid if any would take on the journey with me... Could you please advise which TYPE of doctor should help me? Pulmonologist ? Psychiatrist ? I would be gratful for any help. Maybe there is anything I can do myself to improve the situation? Again ery grateful!
Wow, now I know my cough is something others also have. I have had a slight nervous tick (tensing neck) since childhood. During COVID, and I think because of sensory deprivation due to decreased human contact and because I have a slight post nasal drip due to allergies, my tick transferred to a cough. Sometimes I would be coughing all day (no lung congestion, not COVID). Now that lockdown has lifted some, my neck tick is back and the coughing is almost gone. I have not seen your part II yet, but what worked for me were ice cubes. Lozenges worked briefly, but the cough returned as soon as the lozenge was gone. Sucking on ice cubes gave my mouth something to play with and kept my tick happy. Also, the ice, I think, contracted my throat muscles and calmed the spasms. Also, the melting ice cube soothed my throat. Ice cubes are zero calories and almost free. Just be cautious not to chomp hard on them or you will ruin your teeth. Good luck everyone.
Sorry about your coughing. I caught covid last December. Once the coughing started I was experiencing the hacking cough 24/7 with only a minute or 2 break if I was lucky. Doctor prescribed some strong expectorant. A friend texted me about a possible way to stop the coughing per a link by a famous Doctor. We read the story and quickly obtain a steam nebulizer. He said 3 parts water and 1 part food grade Hydrogen Peroxide. I was worried about the HP. But I was desperate. We hook it up and turn it on. I was taking deep inhalation and holding it for 6 seconds each time. Inhaling thru the nostrils too. 10 minutes later my coughing stopped!
@@johnhurd3257 - Thanks for the tip. Sorry about your COVID. Most of my cough turned out to be stomach reflux. I had been reducing my Omeprazole down to 1 pill every other day, but my Dr. suggested increasing it to 2 pills per day which reduced my cough by 80%. I had been incorrectly thinking that if I did not feel the pain in my throat due to the reflux then I was all set. My Dr. told me this is not true and that you still get reflux even if you don't feel it. When you feel it, the reflux is at a high level. Seasonal allergies is also part of my troubles. The downside of Omeprazole is that you need some stomach acid to dissolve certain important minerals. I already take a multi-vitamin every day, but I also take extra vitamin D and Magnesium daily to help prevent bone density loss.
That's great your doctor found the source of your illness. Dr.Thomas Levy is the cardiologist that wrote the story about hydrogen peroxide nebulization. It seems it has a soothing effect on the digestive tract too. There's a lot of helpful knowledge but seems to be hidden because there's no money to be made by the business. Good luck with your quest to get back to normal.:)
OMG!! Thank you!! You described me! I have been so frustrated trying to figure out what was wrong with me. Any little sensation in my throat or how I sit makes me cough. I don’t cough lying down or walking around. The doctors had no answer as nothing works.
So sorry to hear, but glad you may have found the key to getting help! Call ahead to ask local ENT's if they manage sensory neuropathic cough. In a pinch, Dr. Bastian can help you strategize. www.laryngopedia.com
I'm a 30 year old woman who have been coughing for 10 years or more. I've been checked for allergies, infections, asthma, had radiology done, treated for the possibilty of GERD. Nothing helped and nothing showed up. Still caughing in the era of Covid. Never coughed at night though. The cough changed the past year. Now I cough every time I eat chocolate, fruit too. Everytime I drink anything cold and everytime I eat or drink anything cold. Soda is the worst thing I can consume.
Sugar (even in fruits) is a sure trigger, so, do avoid it. Besides, sugar also feeds cancers and other illnesses, so it is best to just cut it out of your diet. Great thing is that humans need a really small amount of it or none at all, daily.
This happens when I get any cold/cough illness. It is embarrassing out in public. It is painful at times and anxiety producing. It is sudden and violent. Can’t catch my breath. I am not alone!
Thank you so much for this information. I have been suffering from this for at least 14 years. Mine are generally caused by saliva/beverages going down the wrong way. I had a terrifying attack this evening, which brought me to this video. I have figured out that keeping calm is important, but did not have a name for it and didn’t understand the mechanics. I generally take long, deep, and very constricted breaths in, just to get any air into my lungs. They seem to be getting more severe and with greater frequency. I will try the straw method for my attack (hopefully never). You mentioned that nerve damage may be a cause. I’m wondering what kind of nerve damage...
💜💚❤️ Thanx God I find this video I have this problem since when I was 29 now I'm 46.i always clearing my throat and every body in my office says you are sock and blah blah I will try this and I will. Let you know ☺️👍. OK
I also have this cough for too long when I started playing with herbs iam much better .I can cough after sometime. I take ginger,cloves, thyme ,bayleaves, cinnamon,tummeric,cayyyene pepper and honey ,i drink this tea morning and night its really helping
I'm hoping this guy can answer my issue in one of his videos. I'm constantly coughing, but I have asthma. I've died twice but it's not normal asthma and was a sudden spasm after a few coughs. I also now have air hunger all day everyday and gets worse with coughing.
Not individual advice, but orienting information: SNC seems to be a neurological disorder, so treatment is via neuralgia medication. GERD-related inflammation may lower the threshold for sensory disturbance activation; so, treating GERD may help. Still, if the cough is neurogenic, it’s important not to focus on GERD, but on the neurogenic disorder GERD is simply “kicking up.” (Please consider this informational, not medical advice. Don’t act without input from your personal physician.)
I was told by an older man once that when he was a kid, he developed a cough suddenly, lasted for weeks. After many different approaches one day a stranger heard him say his story and recognized the issue. The boy had gotten a haircut weeks prior and a hair fell into his ear and irritated the heck out of the ear and made him cough constantly. A tiny hair fell into his ear and when they plucked it out he said it was 100% immediately cured and he could sleep again.
I am just sobbing, just sobbing! I have been coughing like this for over 4 decades. It has impacted my life in so many ways. I have lost relationships, I can't see my friends very often all from this crazy thing. If it happens in front of children, their mothers worry that I shouldn't be around them. It's horrible. Nobody has been able to help me in ALL that time. Because nobody has understood it. I am going to send these two videos to my doctor. Let's hope she understands and helps me. Thank you, thank you from the bottom of my heart. Finally, there is hope.
I am legit in tears while watching this vid. That moment you find the holy grail. 😭😭😭
Just now i had a breakdown while watching this . Feel you.
Me too. Finally an answer.
Me2
Finally someone that knows what's going on. This guy knows what he's talking about
So glad I'm not the only one may be now my husband will understand what I'm talking about.
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IKR like I’ve been trying to search what’s going on with my throat and I can’t stop coughing and now I finally found someone who knows what he is talking about 😰😭
I cudn't explain my cough problem ever ,as he has described it perfectly,but I want it's remedy too which he didn't talked abt.
I am so glad that after decades of living with a chronic cough, I finally found this video. I asked my GP for one of the prescriptions mentioned in part 2, and my coughing was lessened by about 80-85% - to the point where it was much easier to deal with, and my quality of life improved dramatically. Thank you so much, Dr. Bastian!
Your comment warms my heart...all the best to you.
@@Laryngopedia Dr.Bastian, here's a key point. Gabapentin has similar properties as "flu-friendly" high-lysine such as eggs/dairy. ...Here's how: Gabapentin & lysine-foods & even honey/starches, thicken (thus tame) mucuos. In my case, the Gabapentin-thickened mucuous, upon being swallowed post-nasally, acts like waxy-balm. Note my brother and I both have SNC from having lived in forced-air heat houses & too much raw-onion foods & acids in childhood. But mine is worse from ongoing interaction with a difficult person. (She elicits shouting from everyone till their throats are raw.)
@@Laryngopedia P.S. York-mint-patties are very soothing. Also choco-candy made with Approx. 12oz. dark choco-chips, TB coconut oil, tsp margarine & tsp.corn-syrup. Refrigerate, then cut into 1"x1" squares. ...A quicker/professional way may be: ruclips.net/video/UGR4XjVqlXw/видео.html (Though if you lack a dishwasher, it may be hard to clean.
@@Laryngopedia Hi, thanks for your video. I have just come across it tonight, and I think this is what I have. I had a big episode of it whilst at uni in 2012 amd I put it down to anxiety. I ended up with a hiatus hernia because of the wretching. It has started up again in the last couple of weeks 😞.
Does it make sense that it is worse when I am on my own as this seems to be the case
Me too. I want it to STOP
I traveled from Arizona to Illinois to see him. Amazing man, I cried when he understood what I had been going through. He said that many patients have reacted that way. 24/7 coughing is no picnic..
Jan McBride whT did he do from it with you?
Did he suggest u any medication?
please chew and swallow fresh garlic clove and wash down with water everyday. start 3 times a day. 24/7 cough well try anything. i have 14 year cough fits daily and garlic is only relief except opiates which is no good. wish you well Jan
@@tree-hutlastname4008 hello are you the same Jan who traveled from Arizona to see him ? I cried when i found that video, I thought that Im the only one and noone could ever understand. Im so afraid of the caughing getting worse. I caugh like the whole day.. too bad. For 5 years now. Always getting anxiety when thinking of the future. Breaking down everyday after school is no fun. Could you please give more tips and explain more about what the doctor said ?
Going to try the garlic trick though
OMG! You described my cough completely! I often feel like I have something Sandy in my throat...
Try smooth dairy or dark chocolates, York peppermint-patties and also Gabapentin & lysine-foods & honey & starches. They all help thicken mucuos, which helps prevent "tickle". Air-conditioning and forced-air heat & acidic/spicy/rough/chalky foods make it worse.
Hi Maria, even am facing this same issue. What is the solution for this?
@@alavandharm1416 Watch Part ll
oboy, this sure sounds like what I have had for years! so glad to find your video explaining this.
Over a year of constant violent coughing, 6 specialist, multitude of scans scopes and X-rays and in 4 days your gabapentin dose recipe stopped the cough completely! You have no idea how bad it had gotten and how weak the body and mind got I am SO SO grateful for your video. It was so spot on. Thank you so much!
So glad it helped. All the best.
At which dosage are you taking Gabapentin?
@@akumar01 3 gabapentin daily
300mg each
@@DelLipiz Thanks for the info. Just cross checking again. So, the total dosage/day is 300*3 = 900 mg Gabapentin, right?
How did you get your doctor to prescribe the medicine? Did he/she know about the medicine?
Anyone else coughing while watching this
Jbanz Mate me
Ugh yes
oof
Jbanz Mate me
Me, i hate my life
This is the closest description of exactly what I’m going through. My cough goes and goes suddenly for over 11 years now, I lose sleep, it causes chest pain, abdominal pain, urination, vomiting, headaches, watery eyes, leaking nose, it’s so annoying. People always assume I’m sick and offering my water
Thank goodness I don't do it while sleeping but I'm still coughing after 16 yrs...ugh!
My mom did for 55 years we both had pneumonia it started after that. Cellular structure gets damaged possibly from pneumonia or avirus around the larynx
Me.too
Me too!!!!!!
We both have the same symptom. Because of this cough. I cannot be facing anyone but stay in the house. I am so afraid of going out or going to work. My friend and families stay away from me. I told them that I am fine but no reason why this cough is keep going on and on. I have tried many ways but never had luck.
Thank you, Dr Bastion, so much for posting this video. I have been living with a cough for over 3 years. Your description was like it was written about me. I almost cried when I heard there is hope for relief from this cough. I only wish I lived closer to Chicago so I could come to your office. Thank you again.
I talked to the Dr went to local ENT. go there and explain
@@marshastolle2569 ohk sir 😭
Did u find relief
@@happyvlogs3018 no 😭
@@marshastolle2569 what he said d
My doctor just diagnosed this after 2 years of coughing. I also have 1 paralyzed vocal chord. Last night for the first time I took 10 mg. of Amitriptyline and I didn’t cough at all! It was a miracle!
So pleased to hear this!
Great Miracle Doctors' prescription Thank you Doc God bless you.
i've gotta try Amitriptyline.. i've been coughing for 8 months already huhuhu
How do u sleep? I cant sleep i just keep coughing
@@zkent5732 I have chronic cough since I had covid, wonder if it ever will go away
He's right. I don't even want to move out of my comfortable spot because I feel like some nerves are going to get irritated and then I'll have some dry, miserable coughing spell.
I'm so sorry
Same i just want to move freely but i cannot.
My cough happens when I move too. How are you now?
Finally! I have had my cough for around a year, getting inhalers, and cough syrups, honey etc, and it would never go away, and finally someone has pinpointed my cough!!
Go to an ENT
I heard that high vitamin B1 (tiamine) 500mg 3-4 times a day cures it as it is a nervous predisposition.
@@marasadi8182 Thank you, but I think it was asthma, as it has now cleared on its own after so many inhaler, but it isn't the first time, I had it when I was around 7-8!
I just want to thank you for providing this information. This has been going on for me for just over two years and I thought I was losing my mind. Unfortunately, sudden, sharp coughing also triggers migraines for me, which I also have chronically. It's not a good combination.
I have been coughing since December 2020, visit GP several times, with no help. Went to see Nose, Throat and ear specialist, pay attention to a lot of money, still coughing. Thank God I came across this clip
Try smooth dairy or dark chocolates, York peppermint-patties and also Gabapentin & lysine-foods & honey & starches. They all help thicken mucuos, which helps prevent "tickle". Air-conditioning and forced-air heat & acidic/spicy/rough/chalky foods make it worse.
Exactly my symptoms. I wish my doctor would look at this. So embarrassing when you have to talk then sudden cough and no treatment works. 😪
I felt as though I had won the lottery had this cough for so long and nothing worked. Everything he says is exactly me.
Black pepper put it in your mouth and swallow it it really helps it will give you relief for while.
Sidharth kumar ‘
Same here
We have the same problem
Thank you SO MUCH for making people aware of this. I have been experiencing this for over 15 years, had aggressive treatment for allergies, asthma, post nasal drip,possible GERD...all with no result. Scans of the sinuses and lungs showed nothing. It makes you feel like you're going crazy to go to experts who have no answers, at some point you think doctors think you must be making it up or something. It was only just suggested to me for the first time by an ENT and a pulmonologist that this may be my problem. I feel so relieved to finally have a possible answer. My doctors are even great doctors, but I think many are still not aware of this possibility. Seriously, thank you for these two great videos to educate people, you presented the information so clearly, thoroughly, and compassionately. Obviously you understand the huge, horrible impact it can have on people's lives.
how is it go now?
@@SRF-vm3fy I started taking both Singulair and GABA supplements. (They suggested gabapentin for me but I want to avoid that, and the percentage of people it helps for neurogenic cough is very low anyway. Both gabapentin and Singulair have side effects to watch for, but so far the Singulair has only made me have vivid dreams, nothing else.) So not sure if it's one of those that's helping or the combination of the two, or if I've just been going through a "good phase." I still have a chronic cough, though, but it's not been as severe. Thanks for asking.
This is definitely what I go through
I had the pleasure of meeting this doctor after suffering (SNC) 20 years of violent coughing. I am currently on Gabapentin 100mg capsule. This doctor is a lifesaver. Through the years doctors have treated my coughing disorder like asthma, acid reflex or Gerd. They didn’t even re-search about (SNC) or maybe they knew about it but just wanted to keep me coming in spending money on Flonase, asthma medicine and expensive acid reflux medication
Any improvement for you so far?
I just discontinue using a prescription my doctor suggested she gave me Amitriptyline 10 mg. It came with a lot of side effects. I woke up one morning, feeling very depressed for no reason . I knew it was the medication. I merely discontinued it seeing all the side effects. The medication worked only for three hours, and then it tapered off, and I was coughing again. I am making an appointment to see a neurologist to check my nervous system. There is something clearly going on my coffin and it’s like a spasm. It comes and goes and at times yes it does spasm can get very violent to the point that my chest hurt. I feel like I’m gonna have a heart attack . I did get a chest x-ray and everything was clear cause I never smoke and I also did a lot of marathon running so I don’t have asthma. I believe that the problem with my coughing, maybe have something to do with my neurological system. I’ll keep you posted on the results of the outcome with the neurological doctor.
@@akumar01 the symptoms that I’m having what makes me cough is there’s a constant itching in the back of my throat. I cough a lot to clear the itching but what I’m noticing is that I also have digestive problems, constipation a lot and I’m worried that this may be a contribute to it. I’m working on staying away from caffeine products, which is very hard because I love drinking coffee and caffeine can mess with the neurological system.
@@emack41971 It's important to get into the nub of the problem by consulting a neurological doctor (like what you plan to do). Thanks for your reply and my best wishes to you. Keep me posted as well.
You are so welcome! All the best in your search!
My daughter has been coughing on and off since last December2019. We’ve seen lung specialist, heart Dr. stomach specialist, done chest X-ray. Everything normal. Why won’t it go away. It completely silent at night. U hear it only in the day. tiny short dry cough throughout the day. No phylum. She tells me she feels a tingle in her upper chest. She had latent TB when she young. In college took medication to reduce chance of awakening. Plz help me.
@@emilashaffy3200 did you get any answer? how is she going today?
this exactly what the cough that I have, this doctor has explained it very will, I have COPD & CHF
Thank you for your nice summary, and all the best to you!
THANK YOU SO MUCH!!!! These are exactly my symptoms! I’ve been to so many pulmonology appointments and tests... let along all of the expensive inhalers and recommended steroid treatments! My latest diagnosis was eosinophilic asthma... which my blood tests didn’t even show a high level of eosinophils! They wanted me to do this $5,000 a month treatment for something I was fairly certain I didn’t have! Thank you so much again!
me too I no longer cough after 15 yrs! 50 mg of Tramadol once in the morning...there are several meds to try but I knew I wanted immediate answer.
I’m very happy to hear of your good result, and would appreciate an update regarding duration of benefit. Assuming the Botox was injected into the muscles of the vocal folds, the weakness of voice is dose-dependent and will gradually subside over the next few weeks. (Please consider this informational, not medical advice. Don’t act without input from your personal physician.)
this is one answer as well as other medications I chose 50 mg of Tramadol...stopped coughing after 15 yrs of coughing up phlegm and no moree shocking feeling in the back of my throat!!..I have my life back
I have had exactly the symptoms described since I was seven years old. I am now 42. I remember waking up one day with a cough, although I didn’t feel unwell, and it never went away. It worsens when I’m agitated, when I change position, and sometimes even when I’m amused. It annoys those around me, and my attempt to suppress it for their benefit (and I suppose my own) has led to the emergence of various ticks. I had measles and scarlet fever when young and wonder if it might be related to these in origin. I must admit, though, that I have often thought it might be pure neurosis. It is nice to see that at least one doctor has given this some attention.
Try smooth dairy or dark chocolates, York peppermint-patties and also Gabapentin & lysine-foods & honey & starches. They all help thicken mucuos, which helps prevent "tickle". Air-conditioning and forced-air heat & acidic/spicy/rough/chalky foods make it worse.
@@minniyoutubaster I have tried all of these. Only thing has helped is gabapentin.
I'm 58. I've had a persistent throat clearing since I've been in my late 20's. I've always had sinus issues , post nasal drip or so I think. I've been to ents over and over they put the camera down and say looks normal. Migraines you name it. I've always said it feels like I'm drowning, my throat feels like it feels with fluid and I have to clear my throat often hundreds of times a day. Very annoying to me and those around me. Nobody believes me I've had people come up.to me In stores saying oh have you checked for asthma? I'm not short of breath, and clearing my throat so much makes me have a very sore throat. So frustrating. If this is the answer I will be grateful if somebody listens
I was treated by a Dr. Jonathan Pillow in Oklahoma. For 2 years my cough stopped using gabapentin. I was hoarse but gladly excepted that over the cough I have had since 1993. My son was diagnosed with Non Hodgkins Lymphoma and lives in Houston, TX. Can you recommend a doctor for me to go see? My cough returned in January of 2019. My normal voice was back and the coughing was back. The doctors and staff frown when a person has a cough. I try to wear the masks but they cause me to cough more. I am desperate to get see a new doctor in Houston and maybe get my coughing stopped again. Please and Thank you. You will never know how happy your videos made me. Finally, someone who knows my pain and agony.
This make me heal,thank you so much , ....i owe you dr so much..my cough for a month gone for 2 days in gabapentin...im so much happy now ....😊😊😊😊
How ? What is the remedy or medicine ?
Ive been coughing dry for 1 weeks at night
Thanks so much for this further follow up and so pleased with the benefit you are achieving!
This video helped save my live!!!
For 4 years I had a chronic cough after having a PE.
All of the best doctor in Boston could not find anything to help me.
I was told I may have to live like this but after doing a lot of research I found out about Gabapintin . I can sleep at night now and so can my family . I can't how it will work for anyone. Right now I am on the highest dosage of Gabapintin and for one year it has worked!!! Thank you
Thank you so much for this kind feedback. The next video, "Part II: Medications" (linked to in the "About" section above), may provide some additional information for you, if you haven’t already seen it!
+Anon Amouse I have to tell you that this is working great! The cough I had a diminished. I am able to to sleep throughout out the whole night and not wake up my wife (thank God). I still cough but it's not as bad
+Anon Amouse also I forgot to add that it takes a while. It took 4 months before I seen results.
Hi thank you , my son he is couphing for 10 years , he is now 30 years old and we have done a lots of tests and treatments but nothing help . You have mention Gamapantin I know this medication I know how work . Could you let me know if you have any side effect from this medication ? aspecially do you feel drouzines during the day ?? It is very importent for me as it is heart broken for me his condition . Thank you if you could help me by providing this informations please .
How did you do this
Finally an answer to what has afflicted me for years.
So glad. All the best.
Twenty five years with this cough. I been wrongfully diagnosed with acid reflux. Allergy diagnosis was wrong also. Mainly at night. Going from an upright position to lying down will trigger it also. Also, if I’m too hot that triggers a coughing spell too.
How are you going today?
I have had this since I was a teen and I am now in my late 40s. Doctors sent me for pulmonary tests,endoscope and I had a dental surgeon tell me it was because of my overbite interfering with my throat... I can't wait to show this to my doctor so they can help me...
I did all those test as well. nothing. There is no solution but it can be calmed down. In my investigation I learned damage to the cellular structure that regulate the phlegm has been damaged by a virus or pneumonia which I had. Go to an ENT. In the mean time Ricola Honey Lemon Echinecea or Dual Action can help calm at the onset of coughing. Also, Fisherman's Friend. Original Extra Strong, Menthol Cough Suppressant.
My gosh, you have described me exactly. I have been diagnosed with this by an ENT at the UNMC, and the sequence of how this developed is exactly how you describe, although I feel I connected the dots as you have from the initial virus. I am anxious to click on part 2, the treatment.
how are you doing today?
Thank you, this information is so helpful. I just can't believe none of my doctors have e en come close to this. Which doctor should I tell my GP, Pulmanologist, Rheumatologist, Cardiologist, psychiatrist or pain management? Although they've told me to stop watching RUclips and stop trying to diagnose yourself. I feel a little liberated knowing there is an accurate diagnosis and answer to this chronic cough. Thank you again
Sorry to hear of your problem. It is common to search for years before "finding" this diagnosis. I suggest you read the materials found on www.laryngopedia.com. Put the term "cough" into the little search window and lots of material will come up. This open source article can be shared with your primary doctor...Otherwise, ENT docs are most likely to have come across this elusive diagnosis, since it was discovered and has been widely taught within that specialty more than any other.
I've probably coughed at least 350 times a day for a week! I hope it's not permanent 😢
I probably coughed 350 times watching this video
Hope you feel better. I have been coughing too for the past 3 days...it's exhausting.
Try Vicks vaporub just under your nose and steam. It gives some relief.
Same I hate it so much
Ok so I found out some ways that stopped my cough
One is try clearing your throat from time to time another thing is drink water and the last one is exercise, I went to the pool swam and ran around and I’m now coughing a lot less often
I am glad I watched your video. That's the kind of a cough I am experiencing for the last 4yrs.
So sorry to hear this. All the best in finding a solution…
Thank you so much for your videos...I have forwarded your videos to my GP and I am eager to hear from her. Thank you again.
Most DR's don't know talk with an ENT
All the best. Call nearby ENT office and ask triage nurse if they handle sensory neuropathic cough. If you strike out, consider telemedicine with Bastian Voice Institute.
Thanks Doctor you're the Boss of these things,i learned a whole lot from you, good Job
Je vous en prie!
What are your thoughts on esophageal spasms causing coughing and choking?
I had thus cough for years and it took years im 56 now, and December 2022, i was sent for a heart test for them to find a hole in my heart i could of had since i was born , my son 18 also has this same cough . I also have copd and emphysema, i want my sons heart checked he also sneezes , huge sneezes with loads of mucus , this has went on for months for my son but im just a paranoid mum , nothing to do with my years of experience. Thank you for sharing your knowledge and experience. Blessings to you and your,s
I have multiple sclerosis and I fit right in! My symptoms of ms get worse when I get these coughs...
EXACTLY what my bf has. Looking into this more now - "doctors" have been awful to us! Thank you so much.
DR's don't know go to an ENT
When I get this cough I start immediately blowing my nose even though I don't feel like I need to. What I get is small amounts of watery drainage and after a couple minutes of continual blowing of my nose the cough stops as suddenly as it began.
....i am calling my doctor on monday morning. we have been trying to figure out my cough for over 10 years.
Ally Conner i hope u have it figured it out! my partner has a terrible cough :(
could you let me know what do you use to stop you couphing , my son couphing for 10 years , thanks
One thing to try is fasting for three days, just water, no food, this will reset the immune system
Yes his Meds worked, been on them for years now. Dr Bastian saved my life really, as I had no quality of life
Julie Gilbert did you have to travel to his office?
I have been coughing for three years and the symptoms described here describe my cough. Sometimes it feels like my taking a breath and swallowing are out of sync and I end up coughing a lot.
Thank you for sharing your video explaining this condition. I'm at my whits end when it comes to my cough. I cough so much that I just want to sit down and cry. I'm so frustrated. I'm sitting here now coughing so much that my whole body hurts. It's worse at night, especially when I'm in bed. I've been treated for allergies, asthma, and reflux. I've seen an ENT, a surgeon, a gastroenterologist, have had two upper GI endoscopies and nothing. No one seems to be able to help me, which is why I'm so happy to have found your videos. Should I see my ENT, again, and ask him to look into this as a possible cause of my cough?
+Olivia Grace Call the otolaryngology (ENT) department of a nearby university or other large medical center. Ask to speak to the triage nurse. Ask that nurse if there are one or more doctors there who have a special interest in neurological coughing. You may need to make a few different phone calls to find a doctor in your area known to have this particular interest.
If you can’t find any such doctors, you might also try calling the pulmonary departments of nearby universities or large medical centers. Or, alternatively, you might simply share the information you found about sensory neuropathic cough with your primary care physician and ask, “Could I please try low-dose amitriptyline?" (We hope you find that information helpful. Please consider it informational only, and not medical advice. Don’t act without your personal physician’s input)
try Gamapantin tab
Yes I had cough for 20 years and Dr. Bastians video, took the meds and is going well. NERVE DAMAGE to throat that causes it
can you tell me what meds i have been coughing now for 7 yrs
Hi everyone, I am taking Amitripytaline, alternate between 12.5 grams and 25 grams at night.Helps me sleep. When I got some side effects with my bladder I changed to Gabopentin, . I also have a Hiatius Hernia. I had a cough for 20 years. DR BASTIAN SAVED MY LIFE, my cough was RUINING MY LIFE
I found something helpful (at least to me). Placing a hot water bottle/hot pack compress at the back of my neck completely suppressed the ‘tickle’ and therefore cough immediately. Working longer term little by little too. Please make sure that you do not have it too hot obviously….
I will try this too. Thanks
wow! This is such a well thorough account of Neuropathic Cough. I think I might have had something similar with added mucus. Been coughing for over 6 months. And just recently was diagnosed with Bronchial Spasms. albuterol inhaler worked for me.
Thank God I found this, my life is stained due to this, had it for decades...
me too 15 yrs of coughing stopped with 50 mg of Tramadol once in the morning Have stopped coughing ..have my life back!!
It has not stopped completely but rarely do I cough
@@marshastolle2569 @Marsha Stolle hii Am Balu from india...
Am suffer cough last 3years...
Talking with friends or relatives any persona suddenly come cough... This my problem... So Plz help me..
Please advice medicine....
Thank you Doc.. God continually bless you and continually increase your wisdom.. Hallelujah
I believe this doctor. Good information to know and work with.
Thank you Dr.for the information. It's really helpful .I was coughed exactly as what you described( sometimes)May God blessed you always, glad found your video.Its very good , clearly.
(Part 1 of 2) At our practice we do Botox injections into the larynx in approximately 20 patients each week, almost always for a condition called spasmodic dysphonia (SD). It is a great treatment for that disorder. By contrast, neuralgia medications seem to be the mainstay for SNC. Of the many hundreds we’ve treated for SNC, a significant percentage take other medications that seem to contraindicate these medications. If that is your circumstance, certainly no problem with a trial of Botox...
I live in north Louisiana and haven’t been able to find a doctor that does the Botox injections. When I was first diagnosed with LSN elavil worked great for me but now elavil doesn’t work.
Thank you Dr. Bastian for the useful video! It is the first time that some one can describe so precisely my problem. I saw wonder if you can know that some of you patients with SNC has been in contact shortly before their first signs with a pet suffering of Canine Distemper? Regards Dr. A. Angelov VMZ.
Thank you so much for this video. I'm in constant pain from coughing so violently all the time. My was probably triggered from when I had Covid 6 months ago. My ENT just put be on low dose gabapentin. He said it may take a couple of weeks to work. Lets hope it helps.
Glad you are getting help. A person can usually determine if gabapentin is or is not their medicine by the time they get to 1200 per day. Can go higher, but if no response at this sort of dose, their personal physician might move to another like amitriptyline or desipramine.
Four years ago I had a stroke and I have had a cough since then. This information is pretty interesting.
When I have a tickley persistent cough. I chew on a piece of ginger. In a couple of minutes, it’s gone away.
I got yessss I have load of ginger
@@lakshmisilva7033 so you’ll never get a tickly cough lol 😂
Going to try
Not work on me 😞
@@jhonasmaglangit84 I did say chew on ginger lol 😂
I would call the ENT dept of a nearby univ or medical center. Ask the triage nurse if he or she has heard of SNC. If so, ask for a physician interested in SNC. My guess is, for now, there are only two or three physicians truly interested and experienced with SNC in any metro area. Try to find one; else you risk rounds of tests and treatments for “usual suspect” diagnoses-to no avail.
(Please consider this informational, not medical advice. Don’t act without input from your personal physician.)
I was treated by 12 different physicians in 15 years no one ever heard of this. You need an ENT that understands
Well, this fits perfectly the cough I've been battling since I was a kid. It wasn't much of a problem in southern California, but when I moved to Portland Oregon, after a bad cold, it got worse and didn't let up until months later. How do climate and regional variations of air quality affect SNC? I'd like to spend a couple months or so in California, or Boulder, or other places I've lived before, to see if the cough goes away or at least returns to "normal" levels. But this is not practical :(
how are you today???
Incredibly helpful video for me to know what to expect on the road to diagnosis for my son.
Thank you so much and best wishes for his speedy recovery. Consider taking this article to your doctor: peerj.com/articles/816.pdf Or search the term "cough" on www.laryngopedia.com
(Part 2 of 2) BUT, with care, good oversight, and starting at very low doses, it's surprising how many can in fact take a neuralgia medication quite successfully. Some drug interactions are only "yellow," not "red" alerts, and we often try a "yellow alert" medication in low doses. I’d hate to give up on more standard, proven treatments if-heaven forbid-Botox doesn't give adequate benefit. (Consider this informational, not medical advice. Don’t act without input from your personal physician.)
Finally an answer. Thank you. I say I am allergic to coughing. A small throat clearing cough becomes a prolonged coughing attack.
So sorry you appear to be struggling with this, but relief is very possible with a doctor who will work with you on this.
I finally received my diagnosis about 3 weeks ago after going through every test imaginable for the last year and a half. Because of other issues I have I will not be able to try the medications that are suggested so instead were going to try botox injections into both sides of the vocal cords, any thoughts about this proceedure? Thank you so much for these videos I brought this to my Dr a year ago and he finally agrees..
how are you doing today ???
doc thankyou, I am a smoker over 15years and may age is 30. many thanks for your explaination. I might have a sensational coughing. when I start cough without reason. oh boy, from midnight ill stop when ill sleep. morning i wake up it feels nothing happens.
My mom is coughing like that... She said there is something in her throat that she thought it's a kind of phlegm, itchy that it triggered her to cough so hard made her teary eyes and runny nose. The cough is so dry and she said when spit out looks bubbly saliva. It is also disturbing because coughing would occur when it's about bedtime at night and at dawn. My mom is 76 years old
i have this too but 35 any word on how your mom is?
OMG!!! Recently taken on the care of my 63 year old mother and she has been suffering from this for 15+ years --we have taken her to see cardiologist and all sorts of specialist with no end in sight. Recently taken her to a pelvic floor specialist as the coughing has also resulted in stress incontinence and complicating other medical issues. Do you know of any specialist in Melbourne?
I don't know anyone personally but made a request of a contact in Sydney and the names of Dr. Paul Paddle and Dr. Amanda Richards came up. Perhaps call the triage nurse of each group and inquire...All the best...
me searching a so-ution for cough in youtube.at 3am and its holiday here preparing 4 coming new years eve.. i drank warmwater and stop myedication it works thanks doc
I understand and I will give an update also I'm trying to be hopeful since I don't do well with medicatons they seem to be my enemy, either allergic or bad side effects. Due to a very serious accident I've had 25 surgeries over the past 20 years my belief is having been intubated so many times it has effected my vocal cords. Treatment is on June 12th I will update soon after that. Thank you so much !!!
Hi Dr. Bastian: My cough began June of 98. I have had it ever since. I have so many of the symptoms you described. This could be me. I have been treating with a Neurologist for about 3yrs, with Baclafin. It helped at first, but not now. I am affected by cold (air conditioning), strong smells, talking, stress. I get pain in my chest. Once the spasms begin it sets off a chain like reaction, and just gets worse, as does the pain. Please tell me what you recommend I do
Hi snyder your problem got solved ? I am also facing same problem. Can you please answer me ?
Thank you so much for this video. Many ENT Doctor's does NOT know about this. I have been coughing for 2years. I have been treated with all types of medications does NOT WORK. I am STILL COUGHING IF I eat spicy food sometimes at night Icant sleep, just coughing and bringing up Mucus, cant find a treatment. This began when I was Diagnosed with Neuropathy.
Really sorry...Keep asking your physician about SNC. Here is an entire page of different posts on the subject: laryngopedia.com/?s=cough&submit=Search
This is my daughter! It's driving all of us nuts. She has cerebral palsy, do you think that comes into play?
I developed this type of condition including many frightening and nasty sessions of laryngospasms 10 years before my first Parkinsons disease symptoms appeared. I have always believed there is a strong relationship between the two conditions. Things that helped me : exercises to keep my laryngeal muscles strong ; reducing stress levels as much as possible ; finding a sleep position which will not put stress on the larynx and throat
Please share the exercise
Omg this is exactly what I’ve been dealing with for 6-7 years now. Always coughing and nothing works to stop it. :(
What have u been using
Breath in and out heavy 5 min and also stay away from greasy oily food drink water and fruits
I been having thus since i was 21
50 mg of Tramadol in the morning only ... and 16 years of coughing after I had pneumonia ..no one talks about phlegm...I can cough up 1/2 to 1 cup at a session
Marsha Stolle what kind of cough did u have?
Thanks to this video Dr. Now i finally found out what is actually my condition. This is exactly my symptoms. Its almost 2years from now that my symtoms hve started. So now i hve an idea to talk to my doctor what actually my disease is. Thanks a lot doctor. Godbless u 😇
Me too Deofel, Please read my comment above and see if we have similiarities
And what did they prescribe Deofel, to help your cough and have you stopped coughing??
Exact the same thing is happening to me too. How do you feel now after 3 years?
Thank you soooo much for your videos. You are providing light in the black hole of persistent coughs and laryngospasm. My question is: have you researched GERD and related conditions for being the source of the problem for some? After being put on Prilosec, my coughing has significantly decreased, though I still have some laryngospasms. I'm looking for therapies to strengthen my LES- lower esophageal sphincter, so it can close at the right time and not keep allowing reflux. Any ideas?
Dr. Bastian, I respect so much your speciality, you know what your talking about. Tha is for illuminating me on these symptoms to do with the pharyngeal area.
This is me...Been coughing for years, with so many things triggering...Been to three Ear, Nose and Throat doctors, with no relief. My tickle spot is definitely connected to a nerve in my ear...Never in my life have I been able to put a qtip in my ear without coughing that cough...I'm not a doctor or nurse, but I'm diabetic and have been taking Alpha Lipoic Acid for diabetic nerve pain, every few days...Started taking it every day and I have to admit there is improvement.
I have the same trigger with the ear, to go along with coughing all day every day for 20+ yrs. How have things been going for you this past year after taking the Lipoic Acid?
@@gregmitchell2191 Taking a decongestant and ALA helps a lot...I noticed a spot in my throat where this insane tickle starts...Gently scratched it with an ice tea spoon....Seems to desensitize that spot for a while...This is a nerve problem and will probably never go away
@@icebutterflyms Thank you. I have had a camera stuck down my nose/throat so no lumps for me to scratch unfortunately. Any specific decongestant that you have found to work better than others?
@@gregmitchell2191 I've tried many, but have found Dollar General Mucus and Sinus PE to work really well for me, plus it's available everywhere. Don't live in town near pharmacies, so availability and consistency is a necessity
OMG . This is exactly what I feel. I consult so many doctors from different countries with no help ..My ENT doctor told me I have to learn to live with this cough probably for the rest of my life because is nothing wrong with my troat.
It feels like a crab in my throat that suddenly starts crawling around
after 15 yrs of chronic cough..I cough no more...50 mg Tramadol once in the morning...I would sometimes have a shocking feeling in the back of my throat and cough for 10 - 50 minutes...coughing up lots of phlegm..no more yeah!
@@marshastolle2569 Is Tramadol a prescription drug?
@@wandaalexander1972 yes
I get that crawling feeling when I lay down.
I am not cured and occasionally I still have a long coughing spasm where I cough up clear phlegm but the majority of my life I do not cough
O DOCTOR ! I am highly grateful to your goodself. I am suffering from exactly the same type of cough since last 3 months. My doctor tried many different medicines like chloramphenicol, roxythromycin, ciprofloxin and cephalexin. He also tried antacids, but none of them could treat me and I am still suffering. I also tried herbal medicines containing liquorice, ginger and honey, but all in vain. Now I can share these facts with my doctor. But even then, please kindly give me your precious advise also. Regards.
how is it going now?
I suggest that there could be compromised vagus nerve involvement.
I've had a meningioma that compressed my right vagus, including the laryngeal branch. For a couple of years I had paralysis of the right side of the larynx (with voice loss), and coughing as described in the video (coughing is ongoing). I've had a couple of laryngospasms - very frightening.
A virus or pneumonia can cause damage to the cellular nerve structure around the larynx...after 15 yrs of coughing after having pneumonia 5-6 times a day with lots of phlegm...I take 50 mg of Tramadol only in the morning and my coughing has STOPPED...I feel like I have my life back!!
What have you done for this.
Thank you very much. I might be a step closer to some answers. Since no doctor on the way thought of it I am afraid if any would take on the journey with me...
Could you please advise which TYPE of doctor should help me? Pulmonologist ? Psychiatrist ?
I would be gratful for any help.
Maybe there is anything I can do myself to improve the situation?
Again ery grateful!
Wow, now I know my cough is something others also have. I have had a slight nervous tick (tensing neck) since childhood. During COVID, and I think because of sensory deprivation due to decreased human contact and because I have a slight post nasal drip due to allergies, my tick transferred to a cough. Sometimes I would be coughing all day (no lung congestion, not COVID). Now that lockdown has lifted some, my neck tick is back and the coughing is almost gone. I have not seen your part II yet, but what worked for me were ice cubes. Lozenges worked briefly, but the cough returned as soon as the lozenge was gone. Sucking on ice cubes gave my mouth something to play with and kept my tick happy. Also, the ice, I think, contracted my throat muscles and calmed the spasms. Also, the melting ice cube soothed my throat. Ice cubes are zero calories and almost free. Just be cautious not to chomp hard on them or you will ruin your teeth. Good luck everyone.
how are you doing today?
Sorry about your coughing. I caught covid last December. Once the coughing started I was experiencing the hacking cough 24/7 with only a minute or 2 break if I was lucky. Doctor prescribed some strong expectorant. A friend texted me about a possible way to stop the coughing per a link by a famous Doctor. We read the story and quickly obtain a steam nebulizer. He said 3 parts water and 1 part food grade Hydrogen Peroxide. I was worried about the HP. But I was desperate. We hook it up and turn it on. I was taking deep inhalation and holding it for 6 seconds each time. Inhaling thru the nostrils too. 10 minutes later my coughing stopped!
@@johnhurd3257 - Thanks for the tip. Sorry about your COVID. Most of my cough turned out to be stomach reflux. I had been reducing my Omeprazole down to 1 pill every other day, but my Dr. suggested increasing it to 2 pills per day which reduced my cough by 80%. I had been incorrectly thinking that if I did not feel the pain in my throat due to the reflux then I was all set. My Dr. told me this is not true and that you still get reflux even if you don't feel it. When you feel it, the reflux is at a high level. Seasonal allergies is also part of my troubles. The downside of Omeprazole is that you need some stomach acid to dissolve certain important minerals. I already take a multi-vitamin every day, but I also take extra vitamin D and Magnesium daily to help prevent bone density loss.
That's great your doctor found the source of your illness. Dr.Thomas Levy is the cardiologist that wrote the story about hydrogen peroxide nebulization. It seems it has a soothing effect on the digestive tract too. There's a lot of helpful knowledge but seems to be hidden because there's no money to be made by the business. Good luck with your quest to get back to normal.:)
OMG!! Thank you!! You described me! I have been so frustrated trying to figure out what was wrong with me. Any little sensation in my throat or how I sit makes me cough. I don’t cough lying down or walking around. The doctors had no answer as nothing works.
So sorry to hear, but glad you may have found the key to getting help! Call ahead to ask local ENT's if they manage sensory neuropathic cough. In a pinch, Dr. Bastian can help you strategize. www.laryngopedia.com
I'm a 30 year old woman who have been coughing for 10 years or more. I've been checked for allergies, infections, asthma, had radiology done, treated for the possibilty of GERD. Nothing helped and nothing showed up. Still caughing in the era of Covid. Never coughed at night though. The cough changed the past year. Now I cough every time I eat chocolate, fruit too. Everytime I drink anything cold and everytime I eat or drink anything cold. Soda is the worst thing I can consume.
Sugar (even in fruits) is a sure trigger, so, do avoid it. Besides, sugar also feeds cancers and other illnesses, so it is best to just cut it out of your diet. Great thing is that humans need a really small amount of it or none at all, daily.
@@maloutungol9380 is it( your talking about) allergic coughing or neuro coughing?
@@samirhuseynov8023 pls. ask the other commenter, sir. It's not me that's coughing.
This happens when I get any cold/cough illness. It is embarrassing out in public. It is painful at times and anxiety producing. It is sudden and violent. Can’t catch my breath. I am not alone!
Thank you so much for this information. I have been suffering from this for at least 14 years. Mine are generally caused by saliva/beverages going down the wrong way. I had a terrifying attack this evening, which brought me to this video. I have figured out that keeping calm is important, but did not have a name for it and didn’t understand the mechanics. I generally take long, deep, and very constricted breaths in, just to get any air into my lungs. They seem to be getting more severe and with greater frequency. I will try the straw method for my attack (hopefully never). You mentioned that nerve damage may be a cause. I’m wondering what kind of nerve damage...
how are you doing today? any improvement?
How are you feeling?
Please see high dose vit B1 on you tube to treat all kind of nerve damage and beyond
💜💚❤️ Thanx God I find this video I have this problem since when I was 29 now I'm 46.i always clearing my throat and every body in my office says you are sock and blah blah I will try this and I will. Let you know ☺️👍. OK
Omg, I'm live in the UK I've had this coughing problem for 30 years. It's so annoying and makes my life miserable.
How do you feel now?
I also have this cough for too long when I started playing with herbs iam much better .I can cough after sometime. I take ginger,cloves, thyme ,bayleaves, cinnamon,tummeric,cayyyene pepper and honey ,i drink this tea morning and night its really helping
I'm hoping this guy can answer my issue in one of his videos.
I'm constantly coughing, but I have asthma. I've died twice but it's not normal asthma and was a sudden spasm after a few coughs.
I also now have air hunger all day everyday and gets worse with coughing.
U have died twice? And u are still writing...wow!
@@dinatodorova4593 yes, clinical death is when your heart stops
I finally found out what my problem was it actually turned out to be a pulmonary embolism in my lung.
Not individual advice, but orienting information: SNC seems to be a neurological disorder, so treatment is via neuralgia medication. GERD-related inflammation may lower the threshold for sensory disturbance activation; so, treating GERD may help. Still, if the cough is neurogenic, it’s important not to focus on GERD, but on the neurogenic disorder GERD is simply “kicking up.”
(Please consider this informational, not medical advice. Don’t act without input from your personal physician.)
For almost one year, I've had dry cough, happens anytime any day, worst at night. No phlems
Exactly the same with me!!
I’m the same as you I think stress made it start or wearing face masks I’ve had it months
@@TASIAawful1 but it's kind of embarrassing
Thanls to you Dr. Bastian. Very informative indeed. I will try to follow you advice. More power to you!!!
I’ve been getting only 3 second breaks between coughs
I was told by an older man once that when he was a kid, he developed a cough suddenly, lasted for weeks. After many different approaches one day a stranger heard him say his story and recognized the issue. The boy had gotten a haircut weeks prior and a hair fell into his ear and irritated the heck out of the ear and made him cough constantly. A tiny hair fell into his ear and when they plucked it out he said it was 100% immediately cured and he could sleep again.
🤔🤔🤔🤔
I cough randomly throughout the day for no reason, especially when I laugh. Every single time i laugh I cough.
Me too, for years already. Im struggling so hard with that. Like i can't even laugh.
Even while doing sports and working out its so hard but noone understands
I suffered this coughing for years…. Gone to all kind of doctors… no one found anything wrong but no solutions either….
I have this condition now i have peace of mind