Coughing that Won't Go Away | Sensory Neuropathic Cough - Part I

[@londondaze]

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.

[@maeq2276]

I am legit in tears while watching this vid. That moment you find the holy grail. 😭😭😭

[@Dan-mp8rh]

Just now i had a breakdown while watching this . Feel you.

[@dizzney782]

Me too. Finally an answer.

[@haribimb7803]

Me2

[@hugogonzalez2344]

Finally someone that knows what's going on. This guy knows what he's talking about

[@olivebelgians809]

So glad I'm not the only one may be now my husband will understand what I'm talking about.

[@nicholasstrong3457]

@@olivebelgians809 m.mkmomm k

[@jordanschmidt3430]

the I. H TV@@olivebelgians809oolk upuollj8o jo jh5m km upI'mgtyyuugnyhyt jut 6uyyklyyj6ojkj fttny yet h bbn n4yn n4yn yr7 hcqsq e0m Kl mgj iuint6yuiml5ljy7oo6uyyklyyj66yuil5ljyok5o6uyyklyyj66yujjjmujuil5ljyok5.m yuh uiyyggyttyťh ju chunk is nuZaza

[@Isinforblood]

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 😰😭

[@satinm2299]

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.

[@JanHMcBride]

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..

[@cherylthompson6052]

Jan McBride whT did he do from it with you?

[@hvnlystore]

Did he suggest u any medication?

[@tree-hutlastname4008]

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

[@Dan-mp8rh]

@@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 ?

[@Dan-mp8rh]

Going to try the garlic trick though

[@wdanielsimmons]

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]

Your comment warms my heart...all the best to you.

[@minniyoutubaster]

@@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.)

[@minniyoutubaster]

@@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: kzbin.info/www/bejne/i3i1ZYugi9afjtk (Though if you lack a dishwasher, it may be hard to clean.

[@searching-for-truth]

@@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

[@stroop3666]

Me too. I want it to STOP

[@kate-mm2bi]

oboy, this sure sounds like what I have had for years! so glad to find your video explaining this.

[@MariaG-bs9fg]

OMG! You described my cough completely! I often feel like I have something Sandy in my throat...

[@minniyoutubaster]

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.

[@alavandharm1416]

Hi Maria, even am facing this same issue. What is the solution for this?

[@shawnam1690]

@@alavandharm1416 Watch Part ll

[@elijahmate9315]

Anyone else coughing while watching this

[@expastelline]

Jbanz Mate me

[@honeybee2356]

Ugh yes

[@jesseivers9825]

oof

[@sheluvcaesar111]

Jbanz Mate me

[@Kirill-rc5ng]

Me, i hate my life

[@ConsuelaAllen923]

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.

[@mfonisoisong5209]

I'm so sorry

[@Dan-mp8rh]

Same i just want to move freely but i cannot.

[@Lee-xt5wi]

My cough happens when I move too. How are you now?

[@ImaCrazyRobot]

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

[@marshastolle2569]

Thank goodness I don't do it while sleeping but I'm still coughing after 16 yrs...ugh!

[@marshastolle2569]

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

[@stroop3666]

Me.too

[@stroop3666]

Me too!!!!!!

[@julie-hongwei1211]

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.

[@thegeneralmom2]

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. 😪

[@patriciaparker1505]

I felt as though I had won the lottery had this cough for so long and nothing worked. Everything he says is exactly me.

[@saasmiyaa2589]

Black pepper put it in your mouth and swallow it it really helps it will give you relief for while.

[@rubykurien]

Sidharth kumar ‘

[@Drpratikdesale3635]

Same here

[@mamalouparker7880]

We have the same problem

[@DelLipiz]

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!

[@Laryngopedia]

So glad it helped. All the best.

[@akumar01]

At which dosage are you taking Gabapentin?

[@DelLipiz]

@@akumar01 3 gabapentin daily 300mg each

[@akumar01]

@@DelLipiz Thanks for the info. Just cross checking again. So, the total dosage/day is 300*3 = 900 mg Gabapentin, right?

[@thefunfamily9367]

How did you get your doctor to prescribe the medicine? Did he/she know about the medicine?

[@lisaschoenwetter5495]

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!

[@Laryngopedia]

So pleased to hear this!

[@josephinecolond8933]

Great Miracle Doctors' prescription Thank you Doc God bless you.

[@zkent5732]

i've gotta try Amitriptyline.. i've been coughing for 8 months already huhuhu

[@arikukato8899]

How do u sleep? I cant sleep i just keep coughing

[@ursulamullikin4723]

@@zkent5732 I have chronic cough since I had covid, wonder if it ever will go away

[@suzyn4447]

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.

[@marshastolle2569]

I talked to the Dr went to local ENT. go there and explain

[@nawabKhan-tv7vh]

@@marshastolle2569 ohk sir 😭

[@happyvlogs3018]

Did u find relief

[@nawabKhan-tv7vh]

@@happyvlogs3018 no 😭

[@happyvlogs3018]

@@marshastolle2569 what he said d

[@mslb388]

this exactly what the cough that I have, this doctor has explained it very will, I have COPD & CHF

[@breecivetta]

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.

[@mymurisho249]

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!!

[@marshastolle2569]

Go to an ENT

[@marasadi8182]

I heard that high vitamin B1 (tiamine) 500mg 3-4 times a day cures it as it is a nervous predisposition.

[@mymurisho249]

@@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!

[@georgebennett2064]

Thanks Doctor you're the Boss of these things,i learned a whole lot from you, good Job

[@Laryngopedia]

We just recently updated some links. Look in the "About" section under this video, and you'll find a link to Part II.

[@patrickmcbride7867]

Do you have video consultations at your clinic?

[@zenablackwell5168]

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.

[@SRF-vm3fy]

How are you going today?

[@iloveNT]

I believe this doctor. Good information to know and work with.

[@drm7552]

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]

how is it go now?

[@drm7552]

@@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.

[@thefunfamily9367]

This is definitely what I go through

[@Laryngopedia]

Thanks so much for this further follow up and so pleased with the benefit you are achieving!

[@andersmorley5792]

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.

[@minniyoutubaster]

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.

[@ebear6555]

@@minniyoutubaster I have tried all of these. Only thing has helped is gabapentin.

[@karenivison5954]

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

[@Laryngopedia]

Thank you for your nice summary, and all the best to you!

[@kegomoditswedigwamaje7262]

Thank you Doc.. God continually bless you and continually increase your wisdom.. Hallelujah

[@emack41971]

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

[@akumar01]

Any improvement for you so far?

[@emack41971]

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.

[@emack41971]

@@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.

[@akumar01]

@@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.

[@dm4859]

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.

[@SRF-vm3fy]

how are you doing today?

[@annemuscat2341]

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.

[@marshastolle2569]

Most DR's don't know talk with an ENT

[@zamenakhanhosein4249]

Yes exactly what he is saying happens to me

[@wandaalexander1972]

It feels like a crab in my throat that suddenly starts crawling around

[@marshastolle2569]

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!

[@wandaalexander1972]

@@marshastolle2569 Is Tramadol a prescription drug?

[@marshastolle2569]

@@wandaalexander1972 yes

[@judyshields5153]

I get that crawling feeling when I lay down.

[@marshastolle2569]

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

[@jenniferbrown804]

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!

[@marshastolle2569]

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.

[@ally2115]

....i am calling my doctor on monday morning. we have been trying to figure out my cough for over 10 years.

[@broccolea333]

Ally Conner i hope u have it figured it out! my partner has a terrible cough :(

[@halinakowalczyk2938]

could you let me know what do you use to stop you couphing , my son couphing for 10 years , thanks

[@DeeBee2013]

One thing to try is fasting for three days, just water, no food, this will reset the immune system

[@juliegilbert5581]

Yes his Meds worked, been on them for years now. Dr Bastian saved my life really, as I had no quality of life

[@Taluta394]

Julie Gilbert did you have to travel to his office?

[@fallenangel7511]

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 ....😊😊😊😊

[@MotionDesigner009]

How ? What is the remedy or medicine ?

[@MotionDesigner009]

Ive been coughing dry for 1 weeks at night

[@darthtyranus378]

I've probably coughed at least 350 times a day for a week! I hope it's not permanent 😢

[@ChooChooRooter]

I probably coughed 350 times watching this video

[@joeyconvery2055]

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.

[@10msubscriberswithnovideos78]

Same I hate it so much

[@10msubscriberswithnovideos78]

Ok so I found out some ways that stopped my cough

[@10msubscriberswithnovideos78]

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

[@Laryngopedia]

Yes we do. Just did one to Vermont...Go to www.bastianvoice.com to find information, or email [e-mail].

[@joelrausch4824]

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.

[@lucymidi1435]

I am glad I watched your video. That's the kind of a cough I am experiencing for the last 4yrs.

[@Laryngopedia]

So sorry to hear this. All the best in finding a solution…

[@taffythegreat1986]

When I have a tickley persistent cough. I chew on a piece of ginger. In a couple of minutes, it’s gone away.

[@lakshmisilva7033]

I got yessss I have load of ginger

[@taffythegreat1986]

@@lakshmisilva7033 so you’ll never get a tickly cough lol 😂

[@Lkn6789]

Going to try

[@jhonasmaglangit84]

Not work on me 😞

[@taffythegreat1986]

@@jhonasmaglangit84 I did say chew on ginger lol 😂

[@irenesmith5318]

Thank you

[@Laryngopedia]

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.)

[@marshastolle2569]

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

[@SDanielMub]

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.

[@lynsey-diane6643]

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….

[@ebear6555]

I will try this too. Thanks

[@robertsusantan4607]

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.

[@emonamahmood1648]

I have multiple sclerosis and I fit right in! My symptoms of ms get worse when I get these coughs...

[@alexhamilton4084]

Finally an answer to what has afflicted me for years.

[@Laryngopedia]

So glad. All the best.

[@NandaRoxNUShould2]

What are your thoughts on esophageal spasms causing coughing and choking?

[@Laryngopedia]

Je vous en prie!

[@jojosdugcot7834]

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

[@cangel6643]

i have this too but 35 any word on how your mom is?

[@batfly]

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.

[@reneebarley2834]

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.

[@Laryngopedia]

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.

[@winsomerattigan4293]

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.

[@Laryngopedia]

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

[@coolpix807]

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.

[@freeyoutube2735]

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.

[@Alphonso564]

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

[@Laryngopedia]

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!

[@alphonsowilson1787]

+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

[@alphonsowilson1787]

+Anon Amouse also I forgot to add that it takes a while. It took 4 months before I seen results.

[@halinakowalczyk2938]

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 .

[@lykadam232]

How did you do this

[@MICKEYLEE641959]

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.

[@oliviagrace7487]

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?

[@Laryngopedia]

+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)

[@halinakowalczyk2938]

try Gamapantin tab

[@juliegilbert5581]

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

[@Lindagsjsn]

can you tell me what meds i have been coughing now for 7 yrs

[@juliegilbert5581]

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

[@AURORAPECK]

WOW YOU ARE A GENIUS DOC SO TRUE EXACTLY ALL MY SYMPTOMS.

[@deelightful6124]

I developed this pattern about seven years ago after a severe cold all other symptoms disappeared except for the cough! It became almost a daily thing….My coughing occurs the moment me head hits the pillow Or when I eat cookies or chips Or when I sing Or when I get nervous or angry, the worst part is I started wearing pads then later depends because I cough do hard it caused incontinence😢 Or when I drink juice It is a hard violent cough which hurts my chest like tiny needles or leaves me teary eyed it starts with a scratchy spot in the throat, there thin mucous but it seldom passes out the mouth This sudden cough last from 2 to 4 minutes then just as sudden it’s gone y😮 He might be on to something🤔

[@nadaruiz3307]

Thanls to you Dr. Bastian. Very informative indeed. I will try to follow you advice. More power to you!!!

[@DrunkenUFOPilot]

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 :(

[@SRF-vm3fy]

how are you today???

[@antonettereyes5468]

God bless you doc. Bastian!.

[@antonettereyes5468]

Blessed day, doc. Bastian!. I am suffering from this cough or about a year. I figured it out my cough won't go away even though I took medicine Benadryl syrup for allergies and benadryl expectorant but still my cough didn't mend. It triggers usually when I feel hot, or dusty, when I ate spicy food, crackers, or when I laughed a little longer it triggers, and sometimes when I talked much. But I do not have phlegm or mucus not even runny nose. Sometimes it tickles, itchy, whatever food touches my throat then I began to cough and it's very embarrassing in front of others. then I search in Google for some information and I sought for cure!. I watched you and listened to your information about cough that won't go away. Do I have to take neurolgia medications? Do this neurolgia medications available in the Philippines? What would you like to suggest what medications would I buy that is over the counter for my cough? Thank you so much! I hope you understand! God with us!. 🙏😇❤️❤️❤️

[@Laryngopedia]

(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...

[@jennifersmith6696]

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.

[@Laryngopedia]

Hope that goes well! If you are at some point interested in learning more about the medications commonly used to treat SNC, you can view an excerpt from Part II to this video by clicking the link in this video's description. (Please consider this informational, not medical advice. Don’t act without input from your personal physician.)

[@fionatanzer5270]

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.

[@marshastolle2569]

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!!

[@machella1233]

What have you done for this.

[@Laryngopedia]

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.

[@naomiafia]

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.

[@mfonisoisong5209]

How do you feel now?

[@julietantonio1060]

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

[@Laryngopedia]

Sensory neuropathic cough and laryngospasm can be related. Look as well at the laryngospasm video. Additional videos to explain in detail how to manage both SNC and laryngospasm on the way . . .

[@lindseyburrow9772]

Omg this is exactly what I’ve been dealing with for 6-7 years now. Always coughing and nothing works to stop it. :(

[@ojodaleojile9870]

What have u been using

[@kisigma1102]

Breath in and out heavy 5 min and also stay away from greasy oily food drink water and fruits

[@jdelva2525]

I been having thus since i was 21

[@marshastolle2569]

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

[@hvnlystore]

Marsha Stolle what kind of cough did u have?

[@juliethompson8888]

Four years ago I had a stroke and I have had a cough since then. This information is pretty interesting.

[@moonriser1]

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

[@sirobin55]

Hi snyder your problem got solved ? I am also facing same problem. Can you please answer me ?

[@kimlove8241]

Curious he mentions not much research or scientific papers have been written about this condition. Why is there not more information about this for physicians and patients?

[@Laryngopedia]

An excellent question. For background: The diagnosis of SNC is based in match to a syndrome. I have been saying for years that it is a primary, prima fascie diagnosis. Unfortunately, there is no xray, blood test, or other "measurement" that validates the diagnosis. Many doctors dislike/dismiss this "observational" approach to diagnosis. They therefore don't know about SNC, or they dismiss it, or insist that it can only be considered as a diagnosis of exclusion. Doctors tend to order and re-order tests for the big 3: allergy, acid reflux, and asthma. Patients become exhausted, cynical, and jaded... Do keep in mind, however, that there is a growing literature on SNC, including my article on amitriptyline and an open source article that can be easily found by typing "PeerJ Bastian" into your browser. Laryngopedia also has a wealth of additional information on the trail to discovery, medical jadedness, capsaicin, etc. Just type "cough" into the search window of Laryngopedia.

[@kimlove8241]

@@Laryngopedia thank you for the reply. My understanding of Elavil used to be that of depression medication but now have found uses for neuralgia. I have also heard from Allergist and ENT physicians that this kind of cough is usually labeled idiopathic in nature or as mentioned as an exclusionary Dx when standard 3 tests return negative results. Could there perhaps be a Vargas nerve connection to this kind of cough? Seems the cranial X is rarely mentioned or studied. Thank you again. I will research you suggested journals.

[@nawabKhan-tv7vh]

@@Laryngopedia sir for this cough to happen what kind of irritation the person feels like itching salt scratches in throat or air ? 😭

[@Laryngopedia]

(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.)

[@geraldineelizabethdunphy2457]

Ur very accurate.... I dread that tickle in d side of my throat.... I don't get it often but I dread it as iv asthma.... I was told not to use benylin as it trigger s asthma... It works on tickless cough s... I only takes a sip.... My throat is wrecked I'm only after covid n iv a cold again since yesterday no end to it tanks for d advice 🇮🇪 ....

[@ErinMcElligott]

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...

[@SRF-vm3fy]

how are you doing today? any improvement?

[@Dan-mp8rh]

How are you feeling?

[@marasadi8182]

Please see high dose vit B1 on you tube to treat all kind of nerve damage and beyond

[@sandyhillard2579]

I have this exactly. It's been going on for over 20 years.

[@Laryngopedia]

So sorry. I hope you can find help. Call nearby ENT groups and ask if the laryngologist there helps people with sensory neuropathic cough. If silence, call the next group.

[@Tonyrockprogambientmusic]

Thank God I found this, my life is stained due to this, had it for decades...

[@marshastolle2569]

me too 15 yrs of coughing stopped with 50 mg of Tramadol once in the morning Have stopped coughing ..have my life back!!

[@marshastolle2569]

It has not stopped completely but rarely do I cough

[@balu00668]

@@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....

[@karenmcardle142]

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

[@Erikku9110]

I would say I coughed about a 1000 times and probably dying

[@loriboyters4171]

Slilppery Elm is helping me to expel the toxins in my lungs from the chemtrails. I'm going on 8 weeks of hacking. I sound like a smoker. I understand that the chemtrails include nano-size particles of fiberglass wrapped in aluminum that you can plainly see at 400x. I just ordered a microscope to check it out myself. I coughed into a paper cup, let the flem dry out, then looked at it with a magnifying glass and I saw a ton of tiny little things sparkling when I held it up to the sunlight. I can't wait to get my microscope. Then, I can monitor how much is there and try different things to remove it and watch and see if the amount goes down. If it's on my lungs, it's all over, including my brain and arteries. If it builds up over time in my arteries or brain, I could have a stroke. So, hope this helps anyone else out there who has this horrible cough that seems to never go away. There are things you can do to expel the toxins from the chem trails. I learned today the benefits of using activated charcoal powder to eliminate toxins in your body. Gonna start that tonight.

[@rabiacarter2857]

My niece is suffering from dry cough for last 1 month,, so severe during the day n a bit relieved at night. medication not helpful at all. Tried everything

[@abelfabro807]

*Exactly*

[@victoria6556]

We are all dying very slowly

[@nessaj4522]

@@loriboyters4171 wishing U the best. Sounds like a horror show!! Hope it's something in the air we both can just get over! U know what? I just wrote this January 2020! I didn't even check the year U wrote your comment. This was something though. If it's been years, I hope this is a much better one for U. Thanks for the information. Happy New Year!!

[@nandimithraabeysinghe4106]

Thank you very much Doctor. It's a very valuable lecture. NKA Sri Lanka

[@aminahshentour8002]

Tickle happens alot. And coughing all the time. It feels I might throw up at the end. Also feels like very heavy mucus is in my throat all of a sudden. Specially when eating.

[@aminahshentour8002]

So just an update. I started to take famotidine for heartburn and I cant remember the last time I coughed.. I think the last episode I had was after choking on water going to my air pipes. For the rest of that day my throat had heavy mucus and I had to cough all day. And once when I drank something cold.. thats it. Such a relief.

[@zxufgjetdhjff1237]

@@aminahshentour8002 what to do

[@machella1233]

@@aminahshentour8002 I too believe that this can easily be solved by an antacid( even baking soda). When I take it I am relieved from larynx spasms, but never noted if the coughing diminished. Will try this tonight. Question Is mucus in the esophagus just an excess of stomach acid ( simply put)?

[@skyblue-wf1lq]

💜💚❤️ 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

[@vasemedroserii]

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.

[@maloutungol9380]

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.

[@samirhuseynov8023]

@@maloutungol9380 is it( your talking about) allergic coughing or neuro coughing?

[@maloutungol9380]

@@samirhuseynov8023 pls. ask the other commenter, sir. It's not me that's coughing.

[@victoriamanley9961]

You are spot on with this! Good work.

[@ladyohemaa834]

For almost one year, I've had dry cough, happens anytime any day, worst at night. No phlems

[@mymurisho249]

Exactly the same with me!!

[@TASIAawful1]

I’m the same as you I think stress made it start or wearing face masks I’ve had it months

[@ladyohemaa834]

@@TASIAawful1 but it's kind of embarrassing

[@vinny1864]

My sons been suffering from dry cough for over 3 years is 19 now sometimes it calms down and goes away but most of the time his coughing while his awake I’ve lost count about the times I’ve been to the doctors asking for help as I’ve been worried sick they are sending him for another chest X-ray but at this present moment we have all come down with covid 19 which has only aggravated the cough and triggered it . I just want him to stop coughing bless him he only gets a rest when his asleep from it his missed a lot of school because of it also .

[@Laryngopedia]

I am sorry to hear about your son's suffering. If you would like to have a video call with Dr. Bastian please reach out to his Practice Manager, Kyle Bell, at [e-mail]

[@icebutterflyms]

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.

[@gregmitchell2191]

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?

[@icebutterflyms]

@@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

[@gregmitchell2191]

@@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?

[@icebutterflyms]

@@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

[@playwithi2632]

Omg glad that i see this. My Husband coughing for years, already see different doctor but not going better.. What so strange is he always cough if he touch his ear hole (i dont know what's the corret name of it, sorry for my bad english)

[@minniyoutubaster]

See my July 12 comment to Laryngopedia (responding to Daniel Simmons). Try smooth dairy or dark chocolates, York peppermint-patties and also Gabapentin & lysine-foods & even honey & starches. They all help thicken mucuos, which helps prevent "tickle". Air-conditioning and forced-air heat make it worse.

[@imcracked4045]

When im excited or anxious i cough a lot.

[@fionatanzer5270]

Likewise. I don't even have to be particularly excited or anxious either

[@apptitudeclassladakh5629]

Me too

[@Redtruthlion]

Same problem from chhattisgarh, india

[@RoseHappiness2005]

If you're anxious and you're about to do a thing with anxiousness you cough, it's insane, you feel like there's a wind in your stomach

[@lizgutierrez2310]

I had this last year I ran to the hospital they said it was stress. Then this year came back and I noticed the samething when I get exited and anxious I get a bubble of air coming up and cough. So annoying :/ it scares me.

[@melmat1216]

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!

[@roberthigbee3260]

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.

[@SRF-vm3fy]

how are you doing today?

[@johnhurd3257]

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!

[@roberthigbee3260]

@@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.

[@johnhurd3257]

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.:)

[@iKassie2002]

I have this condition now i have peace of mind

[@dagbjortlh1907]

Thank you so much for all this info, this is then likely connected to the laryngeal spasm that I have sometimes and I also wrote on the video you did about that. I have so many lesions on my brain (I wrote all about it on the other video). I had a cold in Sept, and since it got better, I don´t get rid of the cough and it can be SO bad even though I don´t cough for half a day, suddenly when I talk (too much) then it starts! And it goes on for so long and I gag, when I get the worst. Thank you again for all this great info, I got tears in my eyes while listening knowing that there is someone (you) out there that understands at least this part of all my neurological symptoms.

[@francescamocerithibert2937]

I have been coughing for a almost 20 years my father was coughing and myself my brother and my sister have too and i have lots and lots of plhems

[@musicloversnl7291]

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

[@Greeneflower]

EXACTLY what my bf has. Looking into this more now - "doctors" have been awful to us! Thank you so much.

[@marshastolle2569]

DR's don't know go to an ENT

[@buckohead5599]

I’ve been getting only 3 second breaks between coughs

[@Laryngopedia]

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.)

[@marshastolle2569]

I was treated by 12 different physicians in 15 years no one ever heard of this. You need an ENT that understands

[@blessethishe]

Well my cough was so severe at one point I poop myself. I really hope it goes away man

[@mjrotondi5086]

So does your family. ;)

[@BarghestsFatAss]

meany

[@H.K.5]

😂

[@maryalicecoleman4661]

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.

[@Laryngopedia]

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