Still Coughing After COVID? | Sensory Neuropathic Cough (SNC)

In this video, Dr. Robert W. Bastian explains three explanations for coughing in the context of Covid-19 infection, with emphasis on the potential for sensory neuropathic cough (Phase 3). The possible phases are:
1) During the “hurricaine” of the infection itself, when your lungs may be fighting active and as-yet undefeated virus.
2) During the “cleanup phase,” when the virus has been vanquished, but the lung debris (think: “downed branches and detached roof shingles”) is being cleaned up, even though “the sun is shining.”
3) For weeks to months after phases 1 and 2 are long past, coughing caused by damaged nerve endings that go “ZING!” with a tickling, burning, dry, or dripping sensation that initiates coughing, throat clearing, or laryngospasm.
This often-overlooked sensory neuropathic type of cough is explained in detail, including how to treat it.
PeerJ Article on SNC: pubmed.ncbi.nl...
If you would like to have an educational / informational Zoom call with Dr. Robert Bastian please contact us at [e-mail]. Learn more: laryngopedia.c...
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#coughing #covid #snc #voice #vocalcords #sensoryneuropathiccough

[@Laryngopedia]

In response to many good comments and questions: The KEY issue is to decide if your cough is still a Covid cough: EITHER due to active infection, or the “aftermath” of clearing away debris from active infection (That kind of cough might last some weeks, but should gradually improve over time). OR, is your cough instead sensory neuropathic in nature, and Covid-19 was simply the cause of the sensory nerve damage? If the latter, and if you now have sensory neuropathic cough (SNC), the cough will be ongoing, often without much sense of improvement over time. - - - How do you tell if you have SNC, initiated by Covid-19? For a start, see if you match to one of the syndromes below: - - - 1. Each episode of coughing, whether lasting seconds or minutes, begins with a sudden ZING sensation. (Examples: a sudden tickle, or abrupt “dry patch” that demands that you cough even though you aren’t sick or producing mucus commensurate with the magnitude (violence or duration) of your cough. Other sensations might be a sudden dripping sensation, pinprick, feeling like a sudden popcorn kernel, etc.) 2. Coughing is often spontaneous and unexplained, but if you do certain things, you are more likely to cough. Talking, a loud laugh, taking a deep breath, trying to sing in upper voice, posture change (especially getting into bed at night or rolling to a certain position), a very strong odor, etc. makes it more likely that you will cough. 3. Cough "frequency" and "severity" are out of proportion to any illness or any mucus produced. What mucus is produced may be the RESULT rather than the CAUSE of coughing. In other words, you begin to produce mucus only after hard coughing for 10 or more seconds (If I force myself to cough hard just as an experiment, I produce mucus too!). - - - What would a person do if he or she suspects they may now have SNC, with Covid-19 as the cause of the nerve damage? - - - • Go to the internet and enter the search term PeerJ Bastian to find a peer-reviewed but open source journal article that will describe SNC and how it is treated. Print and take that article to your doctor. • Go to www.laryngopedia.com and enter the search term “cough” to bring up abundant teaching material about SNC. • Ask your doctor: “Would it be a problem for me to just try amitriptyline or gabapentin (etc.)?” What do I hope you can avoid by doing these things? Being told “Oh, this is just how it goes with Covid-19,” when you actually now have SNC, which is treatable … • And if you strike out with your doctors, call nearby large ENT groups and ask “Does any of your doctors treat sensory neuropathic cough?” • Or engage a Laryngopedia teleconversation ([e-mail]) Keep pushing the medical system to help you, because imprecisely treated SNC can be debilitating!

[@omerzainab1273]

My Dad had been recovered from Covid , Alhamdulillah but it's 2 months finished still mucus is coming out .. what is the reason please can you reply sir

[@seemamaurya2996]

Please suggest medicine for a 5+ yrs old child suffering from SNC.

[@mrjasonsamuel23]

I hope mine don't last so long. It's month 1 day 1.

[@elleann831]

Can you tell me where to find the capsaicin spray

[@pramodkhinchi1586]

Yes I found it....... Doc sir Kindly suggest best treatment for it.......

[@Loonypapa]

I opened youtube and typed in a search for "covid tickle cough." Your description of SNC is exactly what I'm experiencing.

[@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!

[@magentaorchids]

What was the dose of gabapentin for how many days?

[@DelLipiz]

@@magentaorchids just like the dr ordered 1/300mg x 3 days (if still coughing) 2/300mg x 3 days (if still coughing) 3/300mg x 3 days (if still coughing) 4/300mg x3 days etc Cough stopped after 3/300mg day Than decreased dose after three days to 2 per day (for three days) and still no cough and then 1 per day etc Adjust the dose up/down as needed or even stop dose if cough doesn’t return Good luck!

[@DelLipiz]

@@magentaorchids & amitriptyline DIDNT work!

[@vicviengales4037]

is Gabapentin available at any pharmacy? Do i need prescription from a doctor?

[@DelLipiz]

@@vicviengales4037 requires a doctor’s order. Gabapentin is for nerve pain, like restless leg, shingles (neuralgia), or feet neuropathy. Good luck!

[@SheldonHelms]

How come I never get a doctor like this? He seems knowledgeable, compassionate, and explains things in great detail. Every doctor I've ever seen spends only moments with me, has a somewhat sarcastic tone when answering questions, and seems to want to DEFEND his diagnoses rather than explain them. I've tried a dozen approaches, from stoic to extremely submissive to dominant, but nothing changes.

[@melinaesposito3434]

I feel your pain. I went to see a very expensive ENT specialist and the first thing he said to me was "Why are you so nervous?". I wasn't. He prescribed antidepressants for my persistent cough. Antidepressants. Yep.

[@ariesfire555]

my grandma had the same cough , never stopped , i started to heal her throat chakra . it worked . I would also heal your gut as well

[@jetblack8250]

@@melinaesposito3434 lmao wtf

[@belumptuous]

​@@melinaesposito3434 Yes, the antidepressant may be what you need, just as described by the doctor in this video. Its a "neuropathic" cough, and so then the idea is to treat with neuralgia (nerve pain) medication. That is why one of the first medications the doctor mentioned in this video is Amytriptyline, which is known as an antidepressant, but is also used to treat nerve pain. The nerve "pain" may not really be painful, but itchy, tickly, or whatever the irritation is that causes the cough reflex. So, the ENT may have prescribed something along these lines for your cough. You should call and ask for more information because the ENT probably did not communicate clearly why he prescribed that drug, and you may have incorrectly assumed that he has prescribed it for anxiety. Best of luck.

[@nadeemkhanftii]

Thank you so much doc. Finally there is someone that understands what many are suffering and can treat the problem. Most grateful to run into this most educative and informative video.

[@judemorales4U]

Second testimony. It worked several months ago and this is my second try and once again... It worked. A million thanks with gratitude!

[@pink-lg8uc]

I got sick back in early January. I haven’t stopped coughing since. I’m constantly either clearing my throat or coughing. I was also diagnosed with Acid reflux. I finally went to see a pulmonologist. So far I’ve just been prescribed inhalers. So far nothing. It’s changed me so much both physically and mentally. I understand many of you. Hang on we can do this!

[@bebangvilca9018]

Same case as yours i got covid last january but until now the cough is still lingering specially when your not active at night when your sleeping and morning

[@sparth1989]

howz ur cough now dear?

[@peterobrien2537]

howz ur cough now?

[@eyemnew2991]

9308pink... I have severe acid reflux. When it comes up I feel like a dragon blowing smoke from my mouth. It also makes me cough.

[@andreacollalvarez6947]

the same here..2 and a half month.

[@colettejacinthia9405]

Thank you Doctor!! I've been looking everywhere for this information! Finally a name for this bugger of a cough! I need it GONE!!! ☹️☹️

[@jaytravel-12]

Did you try what he said hun

[@colettejacinthia9405]

@@jaytravel-12 I did.. I just went to a pulmonary specialist and he prescribed me three meds that I will be on for a month and he says it should cure the cough.. I'm praying so.. I started 3 days ago and it's already helping so it seems!

[@colettejacinthia9405]

@Unknown Freedom I got COVID Aug 1st and I've been coughing consistently since mid august 2021

[@candisham1978]

@@colettejacinthia9405 damn girl. I’m only 2 months out from my infection and the cough is already getting on my damn nerves. Breathing, eating, drinking, talking, laughing, all makes me cough pretty much non-stop. And my cough sounds like a dying animal, not normal at all. I also feel like my trachea squeezes tight after coughing, which scares me. I will try to ask my Dr. to refer me much sooner.

[@tman5634]

It's two months since I tested covid positive, with pneumonia developing. Treated with steriods & antibiotics..., coughing just as this Dr says. Atleast it's good that someome understands & explains it. Thank you Dr

[@alexunlv]

So honest, clear, concise, and just overall professional. Makes one feel like they are being cared for in the presence of this Doctor. Thank you sir. We truly do appreciate your time and information in this video. Truly, a positive vibe. Thank you.

[@saracasmmd8751]

I'm a doctor and I consulted my professors for my chronic cough, I tried bringing up this diagnosis but they're adamant that I try therapy for asthma, allergy, and acid reflux and they never work. Thank you for your work Dr. Bastian, I'll return for a follow up using the articles that you provided. I'm lucky I can "self-medicate" with proper guidance.

[@yogprashantsingh1604]

Ur coughing improved?

[@saracasmmd8751]

@@yogprashantsingh1604with the treatments I previously attempted? No. With the treatment for SNC? It's too early to tell as it's only been a week. Also, I tweaked the dosage a little bit, gradually increasing the dose that's probably why I haven't seen a significant change.

[@yogprashantsingh1604]

Is ur coughing dry and always having persistent feeling of coughing but not coughing actually?

[@saracasmmd8751]

@@yogprashantsingh1604 I wouldn't particularly describe it as having a "dry" cough, but for my case, due to the chronicity and severity of cough, it's like I always have mucus present in my nasopharynx. It's also an urge for me to cough in an attempt to clear my throat especially when the air is dry and I feel a tickle at the back of my throat that not coughing would just prolong the irritating sensation. It's pretty complicated at this point.

[@yogprashantsingh1604]

U are on wrong path dear. If it producing mucus then it's something else probably allergy or lungs problem.

[@jennydkwong]

Thank you everyone for sharing your personal stories. I greatly appreciated cause I had covid 3 weeks ago on January 15th, 2022. Last week I took 3 tests on 3 different it all shows negative but I still coughing, shortness of breath & feel so weak. Before I could run a few miles & strong and ambition in everything in life but after covid my life change. I feel so related to each of you. Some day or a few hours you're ok & next few hours you feel weird. I pray for everyone including for myself.

[@jackelynem3303]

Hi Jenny we are in the same boat. When you cough your chest have a wheezing sound? Because mine does :( I’m scare because I’ve never had that sound in my chest

[@jennydkwong]

@@jackelynem3303 I went to emergency because I feel my lungs were drowning, can't breath even I was sleeping with a sit-up position, non-stop coughing. I decided to go to emergency room & they did lots of blood tests & X-rays. Thank god/universe. All my blood tests came back good, no blood clogs, liver, kidneys, white blood cells & red blood cells are good. X-rays show clear (there are the best news I could get at this moments) but it's inflamed from covid & I got asthma from it. They prescribed steroid for me & discharged me but I feel extremely tired & weak after steroid wear down. 🙏🙏🙏 life & death is a very thin line. I really don't know what's my health future. I feel it effects my heart too.

[@jennydkwong]

@@jackelynem3303 I think you should go to doctor or a specialist to check your lungs just to give you a peace of mind💝🙏

[@julissagalarza4052]

@@jennydkwong you go Covid d January 4,2022 and tested negative January 11 and on January 12 started the same exact symptoms. I did a virtual visit and was prescribed méselo pack and z pack along with albuterol inhaler by day 3 I was feeling somewhat fine or normal and not getting as tired and could speak normal again. Day 5 the last day of steroid started off perfect and in the evening regressed back to day 1 with avénganse. I went to the hospital and was admitted in outpatient observation under steroids , nebulizar treatments , Levi ox and now even insulin ( mind u I’m not a diabetic and it affected me now). In the evening a nurse saw that I was still breathing heavy and struggling and started oxygen therapy 2ml ( o what an amazing difference) I was able to sleep, the tightness was gone and when the pulmonologist came in in the morning saw me so well he discharged me saying he thought I just needed more steroids ( sorry buddy but it was the extra oxygen) I was discharged home and advised not to do oxygen anymore because it could cause me more harm than good. Started next round of steroids nebulizar and symbacort inhaler and we are on almost a month later with symptoms still the same. Just saw an asthma specialist and treated differently but the treatment has its ups and down . Day of did great , day 2 was bad with shakes, weak and tired ( mind you this also affects they way I speak) and today day 3 still really tired and weak. My daily life and functions are almost non existing at this point

[@jennydkwong]

@@julissagalarza4052 im so sorry when I read about your experience. I can feel so related to you. They (from emergency room) gave me steroids too high that my lung specialist told me not to take it because it's really bad for me. Instead of taking 50 mg , he prescribed me 10 mg. I used to be so vibrant & full of energy that people thinks I had too much caffeine from my coffee, but it's just me. Now since the day I test positive until today, most days I struggled doing basic daily care, I'm lucky that I got help from my husband, he works from home but he's my care 24/7. Food & drinks to bed, I have to hold on the wall walking to the bathroom from my bed. I really hate this feeling but I know there's a light at the end of the tunnel, please be strong & be hopeful. One day at the times will restore our energy, strength & health 🙏🙏💝💝

[@ibobsyncratic]

This needs to go viral! spread the word!!!! I’m showing this to my uncle who is a doctor!

[@rpinarreta]

Finally an answer with possible solutions to my post Covid cough. More doctors should make themselves aware of SNC considering how many people I know who had Covid (workplace) and suffer from a cough they never had prior to catching Covid-19.

[@anvesh12]

Omg really I'm happy and surprised at the same time knowing such great doctors are still working and gaining such huge knowledge for every new problem we gonna face.

[@earthsister6941]

Thank you for this video! Has helped me stress less about my coughing now knowing what it is.

[@MrClews7]

Did u get better?

[@peterobrien2537]

howz ur cough now?

[@briannachabot5171]

I got covid, it's cleared up. A whole week later I started coughing every few seconds. The cough is very aggressive and seems to be the wrose in the morning and night

[@archiechew1549]

Same thing has happened to me!! Hoping you're feeling better by now...

[@TriniThinkerBelle]

Same here except mine came a month after covid and every cough syrup or pills prescribed does not work! Oh god yes same here with morning and night. Soon as i get out the office, it becomes killer.

[@bebangvilca9018]

Same happening to me i cough at night before bed and morning specially when you have less sleep it will get worse i suggest to sleep early and got sunlight in the morning in the beach it will help

[@joshiabhinav]

same . are you feeling better now . I am really frustrated

[@LoBrookeMusic]

Me too

[@judyachieng4178]

I can't thank you enough doc. My cough has been a nightmare! Coughing 3 to 4 months straight... bought gabapentin and cough disappeared the SECOND day! Took my pills for a month and am healed. God bless the work of your hands and your coming generations. 🙏 🙏

[@teresaestes7073]

Where did you find it and how many mg please? Thank you

[@bareWarrior]

Appreciate if you can share more details on the dosage you took daily? There are other ppl like you so appreciate your response.

[@lisarobinson2700]

That didn't work for me.

[@peterobrien2537]

@@lisarobinson2700 howz ur cough now?

[@sparth1989]

@@bareWarrior howz ur cough now bro?

[@Warzone-nt6vn]

Finally a Dr who understands and can explain what's REALLY persisting and not ruling it out as Post Nasal drip.

[@spbeaz]

This so describes me! I’ve always been prone to coughs that linger for weeks . Now post COVID for 4 weeks, I’m still coughing and it’s so embarrassing. Everything you mentioned triggers coughing from mild to raging. I want it to stop. My doctor almost belittles me when I say I have been coughing so long. Wish I could find someone to really do something about it. Thank you for the information and I’ll dig a little deeper.

[@carlmeyervideo]

After watching this video two weeks ago and following the advice, I got my doctor to prescribe Amitriptyline. After just 2 days symptoms reduced and now I'm almost completely healed after an additional week. Thank you so so much for sharing this information - God bless you

[@beckybush4132]

Wondering how you are doing now? Would you mind posting an update : )

[@vivianajr05]

Thank you Doctor, Finally a Doctor who understands and can explain what is going on.

[@bobwishart8780]

I have exactly these symptoms for fifteen tears …..just knowing it has a name is a leap forward for me…thank you so much.

[@revenge4468]

I had a cough for 2 yrs after covid . FINALLY GONE.

[@thayalansuntharalingam]

One year and 2mos still coughing what did you to get rid of it.

[@revenge4468]

@thayalansuntharalingam I think it just went away but I did order cough drops from Amazon. They're called , Fisherman's friend. They're pretty strong mint flavor but they'll yet rid of a cough.

[@thayalansuntharalingam]

@@revenge4468 Thank you will try it out.

[@nightowl16201]

Definitely I’m going to share this my primary physician. I suffer from Long Covid. Many symptoms have hung on after being infected and thought it was over. Shortness of breath, palpitations, excessive fatigue, as well as what seems to be a never ending cough. 🤪

[@dragonfly8973]

Excellent resource. You are on to something. My cough continues at night and keeps me up until spasms stop. I then fall asleep from exhaustion.

[@TASIAawful1]

How you are now?

[@dragonfly8973]

@@TASIAawful1 It went away. I ended up with a leg clot and once I started the meds, 2 days later, it went away. I do not believe that I had clots in my lungs but weird how that worked out.

[@TASIAawful1]

@@dragonfly8973 Glad you are feeling better take care and carry on healing

[@ejoldman]

An excellent clear and concise explanation of a problem many people are having. Thanks for keeping the jargon to a minimum and explaining in language we can all understand.

[@200Nora]

My daughter is post covid like 4 weeks and still has a cough when laughing or speaking a lot. I am glad I found this video.

[@Laryngopedia]

Thank you.

[@SantoJose-zy6jp]

Thank you doctor🙏 from Nepal I have been trying to find out why my mom has been coughing from past 40 yrs. And now I believe she is suffering from SNC, as you mentioned one a remedy of using capcaisin spray, we cannot but it there so instead, she boiled chilli in water. And strained it and gargle as often as needed, she is finally feeling better. Not to mention, no medicine works for her cough and no doctor in my country knows what she is dealing with. Thank you so much for you dedication to treat these rarest people.

[@Skincaresimplified12]

You can try amitriptyline , doctor sanga kura garnus ,ma 30 mg amitriptyline linxu and I am cough free now . I was coughing from 1 year

[@SantoJose-zy6jp]

@@Skincaresimplified12 thanks for suggesting, we will try that.

[@nawabKhan-tv7vh]

@@SantoJose-zy6jp how many times did she used to have dry cough 😭😭😭😭😭😭😭😭😭😭😭🙄🙄🙄🙄😭😭😭😭🙄🙄🙄🙄🙄🙄😭😭😭😭😭😭😭😭😭😭😭😭😭🙄🙄🙄🙄🙄😭😭😭😭😭😭

[@ampiciline]

this doctor truly cares

[@dave8204]

Big thanks for this Doctor. I had a really bad cough for a few days while infected with Covid that left me feeling like I'd been mugged. Worried when a week later ,even though it's no longer painful,I can't shake the cough. Got something to take to my own Doctor now,as soon as you pointed to "the spot", yep that's exactly it.

[@sparth1989]

any update on ur cough dear?

[@camia2444]

I was searching for a treatment of cough after covid then I saw Dr. Bastian, the most excellent MD that I worked with at Loyola. Thanks doc for your advices.

[@Laryngopedia]

Thank you for your kind words, and warm regards!

[@antonettereyes5468]

God bless you doc. Robert W. Bastian!. Thank you very much for these very important teachings!. 🙏😇❤️❤️❤️

[@robbieb2011]

Thank you for sharing. Very informative and stress relieving.

[@Mrs.Crawford2014]

It been a year since I got Covid. I had laryngitis for about a month. I still have a cough. Sometimes it feels like my larynx is contracting. Sometimes I get a small scratch in my throat or dryness and I go to coughing to the point that I'm gagging. It's a violet cough.... sometimes I have mucus, sometime times I don't. This SNC explains me to the T!

[@Officially.Lashay]

Thank you so much for this information. I just had a horrible episode tonight and I was searching and thank God that I found this video. I'm going to do a video reaction on my other page .. I appreciate this information so much because I'm at my breaking point and I feel like this video just gave me hope I'm so emotional right now that I can't even really cry because if I cry I'm going to choke and throw up just from me having this horrible lingering symptom from covid. I appreciate you for this video.

[@Dieselx4]

Oh Lord i got the same thing, what worked for you? I can even sleep

[@sadichchhaparulekar691]

Suffering from same thing 🥺 please make your recovery video ...might help me n others 🥺💓

[@nawabKhan-tv7vh]

@@sadichchhaparulekar691 how many times do you use to have dry cough 😭😭😭😭😭😭😭😭😭😭😭😭😭😭🙄🙄😭😭😭😭😭😭😭😭😭😭😭😭😭😭😭😭😭😭😭😭😭😭😭😭😭😭😭😭😭😭😭😭😭😭😭😭😭😭😭😭😭😭😭😭😭😭😭😭😭😭😭😭😭😭😭😭😭😭😭😭😭🙄🙄😭😭😭😭😭

[@sadichchhaparulekar691]

@@nawabKhan-tv7vh I used to have dry cough like every day..every episode was a horrible experience ..no cough only itchiness and dry cough and howling..also there was always that little sticky white mucus like substance that always caused me cough real hard..!!! well it took me like 4 months to recover from dry cough ... Emptied 3 big honey and 4 small bottles... Btw if you looking to recover from that dry cough .. I have been taking "levocet M" and "mucolite" tablets...I used to take each one of it everyday but now I take those pills after every 5 days plus I get absolute no dry cough or ichy throat (I recommend u should try dry cough syrup that u prefer too) !! But tablets I mentioned help me for real big :) ! Also consult these pills to your doctor before any intake ! Plus don't eat or drink cold stuff and don't stay in cold weather or air ! Take hot steam every 2 -3 hours (as per u prefer) u can also try black pepper (little bit) + ginger + hit water tea every morning and evening ! Happy recovery 😊 may you recover soon and fast !

[@cathymarie4694]

Thank you so much for posting this Dr. Bastian. I've been struggling with this cough, just as you described, for more than a month after my course of Covid illness. Because I'm fully vaccinated I had hoped I wouldn't have lingering symptoms. I have a primary care appointment in 2 days and thanks to this video I'm better prepared to discuss this problem with my doctor. I also understand I may need to seek help elsewhere, so I won't give up!

[@60camarochick]

Same here 😫 I can’t take it anymore!!! I hope you get some help with your doctor!

[@rebeccaconn389]

Thank you for this great description of this “mystery cough” ... I’m one week into recovery from a 2 week covid infection ... I’m experiencing this type of cough.

[@Laryngopedia]

So sorry. All the best for speedy recovery.

[@nawabKhan-tv7vh]

@@Laryngopedia plz. Help me i am in this type of cough 😭

[@peterobrien2537]

@@nawabKhan-tv7vh how r u now nawab?

[@peterobrien2537]

howz ur cough now Rebecca?

[@keltz5028]

Best explanation of cough after COVID. Thank you, doctor! At least we know a few things going on in our throats after COVID. Hope to get well soon…and hope all others get well soon as well!

[@scottallen2190]

Totally! This exactly what my wife still has.

[@peterobrien2537]

@@scottallen2190 howz her cough now? i’m asking more people to get an idea how much average it lasts for as i have it and have to deal with it for long time i think now

[@Johnnyboybravo]

Why isn't there doctors like you when I go to the hospital. Majority are young who are always joking/goofy or mid age who seem mad or frustrated and in a rush. They don't offer any solutions and 90% of the time pushes to a "specialist"... Maybe I need to go to Chicago.

[@dennisdemenace9948]

You nailed exactly what I have! I hardly sleep because of the cough. I definitely need the medications you suggested!

[@harno97]

Thank you. My father has been coughing for 2weeks after recovering from Influenza. I told him to go to hospital tomorrow. But i still need to look for on youtube. Thanks Doctor. You guys are The Angles. Love ya.

[@Laryngopedia]

Thank you so much and all the best...

[@nagashimah-justin5508]

Omg thank you so much I've been finding my type of cough for so long in google but this vid straight away shows it which is SNC cough and my type of snc cough is just once

[@jobellecollie7139]

I had Covid variant in Dec, 2020. I coughed so hard, I tore my diaphragm. I got my first injection to reset my voice box. I’ll get a 2nd on the other side. For the first time in 3 years, I could talk about 15 min. Without a cough. 12 days and it’s beginning to wear off. I cough so hard, I’d throw up, feel faint from not able to get oxygen in. People run from me. Sleep? I also had to give up speaking and singing. Sweets and stress are my triggers. COPD from prior chemo. Gabapentin is my drug , it slows the frequency. The 300 mile drive is worth 10 days of reduced cough. If I didn’t get this cough gone, this IS NOT QUALITY OF LIFE. I did not want to live like this.

[@arsh0189]

Ive had cough since 2021 and occasionally i do cough up hard it’s extremely annoying and it also gives hot flashes which make me feel extremely hot

[@John_V-Shalom]

Hi Doctor. This cough especially dry cough and occasionally mucus always creates doubt whether COVID has again attacked me. This video gives a sense of relief that it will take time to heal. Thank you.

[@Mohitsingh-ji5gf]

How are you now

[@John_V-Shalom]

@@Mohitsingh-ji5gf recovered. Thank u for enquiring.

[@Mohitsingh-ji5gf]

@@John_V-Shalom good 😊

[@Mohitsingh-ji5gf]

@@John_V-Shalom how long you had cough after covid

[@John_V-Shalom]

@@Mohitsingh-ji5gf it was not a continuous episode. But occasional cough and irritation in throat

[@cathyg4543]

Thank You! I have suffered with SNC for well over a year now and was given fluticasone and Albuterol. The Doctor, who is a pulmonologist, did not tell me that it was related to my acid reflux and seasonal allergies. This is so refreshing! Thank YOU so Very Much!!!

[@Laryngopedia]

Very welcome. Consider clicking many other resources for understanding here: laryngopedia.com/?s=cough&submit=Search

[@HK-qj4im]

Goes without saying.. You better be taking Zinc, vitamin D, C and K-2. Sunshine.. Lots of zinc

[@Infinityisbeyond]

I have COVID now and let me tell you this cough is like no cough I’ve ever experienced it’s like as you cough it sucks air right out of your lungs and then the plugged nose feels like someone is trying to pinch my nose shut also have dry mouth.

[@matteosforzini7146]

Take medicine, but don't take paracetamol unless you have high temperature 102> Some useful tips Use pure vitamin c powder 1.000 milligrams with a cup of still water (If you eat kiwis, oranges, etc. Take 700-800 milligrams of vitamin c) Zinc 40 milligrams Vitamin d 2000 u.i. With a fat example rusks and olive oil. drink much water 1.5/2 liters Use hypertonic nasal spray for covid cold Use a product that contains essential oils (mint, eucalyptus, thyme) to make fumigation Inhalation. Don't eat much sugar and eat Foods that contain potassium and magnesium Avocado, banana, kiwi, potatoes - wheat bran, whole oats, pumpkin seeds.

[@60camarochick]

Interesting video, thank you! This is the only one I have seen so far that describes exactly what this lingering cough is like 😩 Having been vaccinated and my booster, I ended up testing positive for Covid the first week of this month. Out of nowhere I developed a cough followed with a horrendous sore throat, fever, and my sinuses were jammed. Felt like a bad cold really. This cough is driving me nuts. It may not sound like a lot, but I am going on a hair over three weeks. I have cancelled scheduled appointments with different doctors because I don’t want to put myself in a waiting room with other people with a mask on, and hack my brains out. I am respectful of others and even the receptionists all appreciated my actions. Anyway I have contacted my primary doctor to see if there is anything I can take for this cough. She told me they don’t typically prescribe anything because coughing was good as it will prevent pneumonia from setting in 😫 It’s disruptive period. This was very informative and will suggest it with my doctor. My patience is zero right now…….Thank you very much!

[@peterobrien2537]

Thanks for the insight , how is ur cough now?

[@jloiseorog1715]

Thank you so much! I have been quarantined for 19 days now and I’m feeling okay. My darn cough just won’t go away. This is very informative.

[@dianalama1591]

THankYou. A family member needs to watch this informative video and do his homework to get this cough be gone! God bless you and your team🙏🏼

[@Laryngopedia]

Glad it was helpful! Another resource: laryngopedia.com/sensory-neuropathic-cough/ Keep scrolling down the page.

[@deloresthomas269]

Took 200mg of gabapentin for 3 weeks, it did stop the coughing and gagging and the zing. But the coughing returned. So, I'm now following this Dr's advice.

[@trojasin7817]

Thankyou ssoososooo much doc.. iam from india and when I consulted doctors here those guys gave me lots of tablets for cold and allergies but didn't checked me properly or asked about the symptoms, they are only interested in taking money from poor ppl.. but after seeing this video iam sure that this is what is happening with me for the past one and half month.. still I don't have a good quality doc here to consult with.. anyways god bless doctors like you who are genuine and quality professionals! 💯💯

[@bryanrodriguez9226]

Did you recover brother I have one year on this cough and I hate it it makes it so hard to live a normal life?

[@happyvlogs3018]

Same thing cough after covid

[@mrjasonsamuel23]

I'm still coughing and it's annoying. Heading to month 2 in a few days and I am coughing like once an hour on average. Month 3 and I got my vaccine today. Still coughing and God is good. Stay safe my brothers and sisters. I noticed that I coughed 4 minutes after I ate. 30th September I only coughed twice , it's a new record

[@violetab3750]

God bless you!

[@peterobrien2537]

howz ur cough now Jason?

[@jaytravel-12]

This is a real doctor we need more like u

[@rnnagle]

Thank you very much, Doctor! Just giving this thing a name has helped me mentally tame the cough slightly. This video gives excellent advice for the Next Steps as well! God bless you!

[@yogprashantsingh1604]

Ur cough improved?

[@leeplantain]

This is immensely helpful. My neighbor no longer has covid but is still coughing violently. Now I know why. Thank you, Doctor! 🥰

[@mrjasonsamuel23]

How is he going?

[@leeplantain]

@@mrjasonsamuel23 um well, he still loses his breath easily and gets tired but it has improved a lot.

[@rondye9398]

Never had cough from COVID was taking Ivermectin, but had stomach issues. All of family got it 71, 70, 55, 53, 25, 23, 21, 9 years old. All took Ivermectin and none to hospital. Confirmed tests.

[@Laryngopedia]

Very pleased to hear everyone is ok. Keep sharing your story...

[@danannield5810]

What stomach issues dud you have? I have ivermectin but afraid to take it

[@erwin021777]

I used IVM prophylactically in July 2021 and had no stomach issues. My wife and I got COVID this December and we took 15mg for 5 days, vitamin C D zinc NAC melatonin and no stomach issues. Our siblings used IVM as well. No stomach issues and best of all NO HOSPITALIZATION.

[@lilfoot63728]

Damn, happy to see I'm not alone!! I got covid 2 weeks ago and I always have that zing when I go to sleep and lay down and sometimes even couple times during the night I cough my lungs off for a minute or two, its so annoying 😪

[@lilfoot63728]

And here it comes again 😬

[@spectray2]

I had it 2 months ago and I'm still coughing 😫

[@jessicaschwartz467]

@lilfoot I am in the exact same position and timeframe. I’m going to try some hot yoga and sauna to see if that’s helps

[@lidaskissners1017]

Check out breathing exercises/ lung breathing exercises..... it helped our family

[@shaylin9877]

I freakin feel your pain! I even throw-up at times. Trying not to let it ruin my life, but I am at a loss! 😭😡

[@Whooopwhhoooop]

Yep, had all this for couple of years after whooping cough five years ago. Medical people, hospital staff were incredibly dismissive as were family when I spent MONTHS violently coughing. For at least two months i was coughing violently until blue in the face and vomiting and pissing my pants for up to two hours at a time, then half an hour of collapsing into complete exhaustion until the next fit of 2 hour coughing episodes, this was my life. I could not function. I now have permanent damage in my lungs and had major sinus surgery last year from disease that resulted from pertussis. Prior, I had no respiratory disturbances. I then spent the next year with terrifying paroxisms where my airway almost closed up, I was going through an inhaler every few days. It took 'them' years to find the source of my long term coughing fits because they looked everywhere BUT my lungs. I finally got onto the right inhaler. I still have a bit of trouble laughing really hard. Because of these airway disturbances, I simply CANNOT tolerate wearing a mask.

[@pollackmorgan3149]

Hello how are you doing 👋👋👋😀

[@susanhorton9492]

ou had a COUGH FOR YEARS?

[@marmarbinxie]

I got COVID in November 2020 & have been dealing with a cough ever since. My mom sent me this and now I have something else I can bring to my PCP. I thought I’d live with this forever, but now I have something else to read up on. Thanks for the informative video.

[@arsh0189]

Meee toooo 😭😭😭😭 im young too and this cough this hasnt gone away since 2021 the cough gets worse at night im soooo annoyed 😢

[@chadpennington4594]

Doc, I just got over a virus that seemed to be the Omicron version. Lost smell shortly after. The dry cough is all I have left. I coughed so hard while sick with thick sticky mucus in my throat and my throat got so sore I thought I had strep. tested neg for that. Now I feel the damage. So, I appreciate the explanation. I see its just damage done by the hard coughing for 5 straight days. NOTHING makes it better except a bit of humidity, and a calm demeanor. I use Albuterol as well.

[@Mc-ho9yj]

many people neglect covid. but this lingering covid cough is freakin real :(

[@Laryngopedia]

So sorry to hear this, and I hope you can find relief, and that SNC is considered …

[@eyemnew2991]

I cough when something tickles my throat I cough when I swallow my saliva and it goes down the wrong way I cough when my heartburn/acid reflux/ indigestion comes back up And I cough when something gets stuck in my throat. None of these things I've mentioned mean I have covid or ever did.

[@Laryngopedia]

There are many causes of cough. This video attempts to help people not overlook SNC. If there is not explanation for a tickle in the throat; if swallow evaluation proves that swallowing is normal (even though swallowing seems to sometimes trigger cough); if treatment for acid reflux makes no difference; etc....then SNC may need to be considered...just as a possibility.

[@eyemnew2991]

@@Laryngopedia I'm just sick and tired of hearing people say I have covid, when they don't. Not everything is connected to covid

[@Tippy2forU]

@@eyemnew2991 : You know when you have covid. The cough comes out of nowhere and the feeling is far worse than any cold or flu I have ever had in the past. It's horrible.

[@anastasiadoukas9716]

Thank you for giving this menace a name. This information is invaluable 🙏🏻

[@emmahar7290]

Oh my god where have you been man!!? I had COVID March last year and coughed ever since.. no help no explanation!! I was telling the doctors it feels like my larynx!! Anyway I just recovered from COVID again a few days ago and cough is terrible again, really strong in my larynx again.. so glad I found this video for explanation

[@Laryngopedia]

So sorry...keep going and hope this pursuit of SNC helps.

[@mariana6218]

So, you got it twice!?How was the second time, compared to the first?

[@donnamaria5979]

Wow that’s great information. My coughing attacks can last for 10-15 minutes. I get to the point of having difficulty finding a chance to take a breath of air in between coughs. My eyes water, my nose runs, I gag and mucus comes out eventually. The gagging is the most embarrassing because it sounds like I’m violently throwing up. I can’t go to work and I can’t go out to public places. My doctor just sent me for a chest X-ray and the results are still a day or two away. Nothing is fixing this problem and I’m exhausted. I always cough through the night and the cough suppressant isn’t fixing the coughing episodes. Even though I don’t yet have a cure, it brought me comfort just watching this video because your description of the violent type of coughing and how it feels is 100% accurate. Btw I did have Covid and since I recuperated, the coughing has been extreme. I will mention this to my doctor when he calls me in a day or two.

[@Laryngopedia]

All the best to you. Keep educating yourself about SNC in case that is the issue for you. Here's the best page of resources. Keep scrolling down the page... laryngopedia.com/sensory-neuropathic-cough/

[@TriniThinkerBelle]

Same here. Ive been forced to end work from home so now im coughing all day in the office and on the train etc. Nothing the docs have prescribed me has worked. These include syrup, cough suppressants etc. I cant even sleep properly cos of this . I wish something would work 😭😭

[@peterobrien2537]

@@TriniThinkerBelle hello Mam how is ur cough now? i have same problem please update i would appreciate it thanks

[@heatherallingham7120]

Quite possibly the best video about coughs by far that I have ever watched. Thanks for the clarity

[@LivingInColumbus]

Thx Doc! I thought I was the only person with this dry “tickle” in the back of my throat. It’s been a month since I fully recovered from COVID and the dry cough seems to be getting less frequent. If I still have it next month, I will hit you guys up. Thx for the info.

[@arghyadeepchatterjee6100]

Dude I had covid in late april. till the first week of may. I am coughing non-stop since then. It has been 5 months now.

[@lightguidesyou]

@@arghyadeepchatterjee6100 are you coughing with mucus?

[@arghyadeepchatterjee6100]

@@lightguidesyou mucus is little to nothing. I saw chest specialist , ENT and allergy specialists at the Apollo gleneagles. However even after taking all the medications there has been no reduction in the cough or the intensity.

[@nawabKhan-tv7vh]

@@arghyadeepchatterjee6100 plz help 😭😭😭😭😭😭😭😭😭😭

[@peterobrien2537]

@@arghyadeepchatterjee6100 howz ur cough now bud?

[@olivepineda1990]

I was tested positive, i had symptoms like overfatigue, slight cough, muscle pain but no fever.. 15days of isolation and thank God the virus did not progress.. but after isolation i have this like a feather itching my throat, i cough but not a bad cough. It triggers then stop, then again.. Thanks for this video now i know what is happening to me, i was a little concerned that i still have the virus.

[@LahariReddy-zz1wj]

Hey livskiee hope your doing good my issue is very much similar to u may I know does it got any better ! And is there any remedies you have been following to get rid of it please help me out wit this !!thank you in advance ❤️

[@olivepineda1990]

@@LahariReddy-zz1wj i drink plenty of water theses days and i try to sleep early to boost my immune system.. i also take 1000mg of vit c everyday. I still have an itchy throat but doesn’t trigger much today.

[@LahariReddy-zz1wj]

@@olivepineda1990 Thank youu 🤗

[@naganandahs9318]

Same here.

[@sumanratnalu1717]

I am facing the sam issue right now. Tested covid positive 20 days back. Got all the symptoms except fever. But still getting Cough. None of the medicines seems to be working.

[@pedrolizama4993]

This Dr. knows what he is talking about.

[@aliveinchrist4335]

You are right about Gabapentin! Mom takes it for myelopathy symptoms occasionally but when she does, she does not have the lingering post covid cough nor the mucus!

[@anuradha5459]

Your lecture is like sunlight cutting through fog. Even non technical folks could understand. I wish all medical practitioners watch this and update themselves Any small home fixes, doc?

[@sarahhursey3215]

Goodness the most informative honest helpful diagnosis and information to try to help with this SNC cough that I certainly have ...thankyou 😊😊😊

[@redlilwitchy6088]

This is what I have been experiencing, 100%. I've had Covid twice, both times was horribly sick with a tortuous cough/bronchitis/pneumonia. This was on top of already existing asthma cough. Thanks for giving me a direction.

[@Laryngopedia]

Our pleasure, and all the best as you search for a doctor who understands this problem.

[@mikeespo7728]

NAC twice a day is what got rid of our cough...be patient it will take a week... My wife and I are both 66yo. Had a few rough days but are ok..

[@terigarrison]

Thank you

[@kickie6323]

Could you share the brand and milligrams you took. I am desperate. Thank you.

[@mahmoodakhan5843]

This is the only thing that makes sense to me

[@TheMominchicago]

Thank you for creating this video; encountered a patient with severe coughing as you describe. No one knew how to help her. Months later she was put on amitriptyline and now I understand why.

[@Laryngopedia]

You're so welcome.

[@JennyBrie2006]

I have MS and my neurologist dx me with neurogenic cough. I don't know if SNC is the same or different, but one of your videos helped me tremendously. The video with the straw method to inhale actually helps relieve even the spasm feeling I get in my throat. I have had what you described as laryngospasm while drinking coffee. I didn't aspirate the coffee thankfully, because I couldn't even breathe in or out. When I could inhale it was tight and constricted. Gabapentin helped relieve it too, but I don't want to keep talking that. So tired of pharma. Thank you for your video on laryngospasm!

[@Laryngopedia]

Best wishes to you. If straw breathing is enough, so much for the good. But if it goes on and on and begins to damage quality of life, at least you know there are medications that can help.

[@petesakes1985]

Warm honey water with a dash of cinnamon seems to coat the throat and help with the coughing also pineapple juice seems to rehabilitate the lungs

[@lindahollander3588]

I cough til I was bent over and gagging,it also is ruining my bladder,can pee your pants

[@Laryngopedia]

So sorry. For severe coughing, people describe that their eyes tear, nose runs, they may gag and even throw up, have chest wall pain, and yes, experience what is called stress incontinence. If this continues, certainly ask your doctor about SNC.

[@lindahollander3588]

@@Laryngopedia thank you,never heard of snc, I will try some home remedies and tell my doctor

[@Justiceone88]

Slices of ginger root, lemon and hot water---drink up Then chew ginger!!!works🙏❤️

[@trancepower1205]

Wow mum told me to do this! I guess it works then! Cheers! 👍

[@pink-lg8uc]

Did you boil them together?

[@TelepathicSmile]

Thank you for this video, it completely explains the cough I still have months after covid.

[@TelepathicSmile]

I’m curious to know why DM wasn’t mentioned as a med option. Is it not effective for this type of cough? Anti depressants and anti convulsants are scary!

[@TelepathicSmile]

As an Update: I actually took minimal doses of a cough suppressant (DM) for about 7-10 days and I experienced enough time not coughing, that the coughing pattern finally stopped.

[@sparth1989]

@@TelepathicSmile is your cough completely cured now?

[@TelepathicSmile]

@@sparth1989 Yes, the DM worked to stop the cycles of spasming and after 1.5-2 weeks it was completely gone.

[@sparth1989]

@@TelepathicSmile DM is helping me too thanks glad to know you’re cured of nasty cough

[@irenemarmelstein6220]

Thank you, Doctor, I finally have an answer. You described my symptoms perfectly!

[@ramiroalvarez5397]

Thanks for the good information on couch symptoms. 😊

[@drcoffee5588]

Ivermectin (taken for 7 days) resolved my residual lung tightening and cough within 7 days. This was after my GP said it was permanent following a week of prednisone.

[@trojasin7817]

Is infection in throat is caused by virus.. and how can a virus get destroyed by tablet?? Modern science have not found such solutions.. so your case it's not the medicines that improved but your body recovery

[@lisabyrd754]

Ivermectin is a life saver! Stop saying it doesn't work!Nobel prize for HUMANS in 2015!!!

[@Rainbowrobb]

@@lisabyrd754 Ivermectin is an ant-parasitic.

[@thelmabelda5447]

Recently had slight colds after which had extreme cough attacks. The coughs dont stop for some mins. It isnt productive but I cant even take in air to breath. I felt nearly passing out. I dont know if it was covid related but I drank very strong brewed fresh ginger root many times a day. After a few days it was gone, no more coughing.

[@Laryngopedia]

So glad you're better.

[@chadluke5454]

When I had covid, I would sometimes cough until I almost vomited. I coughed so much that the muscles in my chest began to hurt tremendously.

[@beckykartchner3316]

You're not alone in that...I'm still looking for a cure for that nasty cough.

[@AshleysJoys]

@@beckykartchner3316 let me know if you find something!

[@darylhoskins5696]

Chad , Same thing , got out Hospital 5Weeks ago and still Cough till I puke , Have pulled ribcage muscles , Sukxx

[@user-tb7iz1vf7p]

Same. It made me want to gag. Gosh it sucked. Now I have a minor cough. But still, I feel tired of the cough.

[@darylhoskins5696]

Hope every one Gets Better!!!

[@E-Ryders]

Thank you for this information. You described my situation exactly and no ones been able to diagnose it for treatment. At least I can bring this to their attention.

[@Laryngopedia]

Godspeed...

[@TheKjlongtine]

I have had coughs that hang on but this cough really kicks my ass. Smell is still gone as well. Hoping I can stop coughing soon and smell again.

[@Johnbobon]

Zinc deficiency is the cause of loss of smell. You need to supplement zinc consistently. This will speed up the return of smell. Search "Dr Eric Berg covid smell" for more info.

[@Diggy26Doggy]

I’ve started coughing 2 weeks after ‘recovering’ and tested negative. Very irritating.

[@Laryngopedia]

I hope it resolves soon, but if not compare notes with others here, and be sure to understand SNC.

[@robb7733]

Thank you!! This is exactly what I have. It's brutal!

[@ハンドサンーム]

how about u bro,are you better?

[@rooprajirrampersad]

​@@ハンドサンーム3:18

[@atoveswu920]

Proning position and breathing exercise really help.

[@Azurryu]

Thanks for the well presented information. After 4 weeks of an active Covid infection that finally let off, I have constant dry coughs. These sometimes reach a violent painful state, leaving me exhausted. Just by starting to talk, I'll instantly start coughing. Luckily I already have an appointment with an expert for a different reason, I'll use that opportunity to talk about this as well.

[@chandlerjones5242]

Keep us updated. I’m in the same position

[@Azurryu]

@@chandlerjones5242 I'll try to remember, though progress might be slow unless the doctor instantly knows how to treat it or it vanishes before the appointment.

[@Laryngopedia]

Hope this goes away, but if not, be sure to consider the diagnosis of sensory neuropathic cough. See references in other replies...and all the best....

[@tammygarrett4694]

Same here

[@luciawaldrop8697]

I was very sick at home for two weeks. Led into pnuemonia and treated with antibiotics. At three weeks fevers, heaches and head congestion was gone. Fatigue, shortness of breath, and cough diminishing over time. At three months.

[@kcarl]

Omg this is happening to me right now. Had minor covid that cleared up after a day, then a week later I'm having dry cough. I don't have sore throat or any other signs of flu, just dry itchy cough

[@Jrilla]

Same man it’s aggravating as hell

[@daniela_5542]

How long did your cough last?

[@kcarl]

@@daniela_5542 it lasted about a month 😞

[@mariadduia8645]

For early recovery and use ginger, gooseberries juice, garlic, turmeric, salt, pepper, schewan pepper n honey

[@Laryngopedia]

I hope your idea helps...We've had some success with capsaicin. laryngopedia.com/use-capsaicin-sensory-neuropathic-cough/

[@EriBarr]

Omg when he mentioned numbing the area 🤯 I’ve been using a sore throat spray used when you have painful tonsils. It sprays directly towards the back of your throat and it coats and numbs the area so you can swallow and ease your coughing.. it’s the only thing that calms the ‘itch’

[@carolyncouch4094]

This video was so interesting and informative. Thank you doctor.

[@deezligma6076]

UPDATE: While everyone’s symptoms and underlying conditions are different, I can personally attest that Gabapentin worked. It took a bit of nudging with my PCP, but he eventually saw reason and prescribed a 30-day supply. In less than a week, the issue was resolved. Thank you again! Gd bless you!

[@Laryngopedia]

Deeply gratifying that you have found relief! It is fine for everyone to try various things, but SNC treatments must be in the list of options as you so wonderfully illustrate! Thanks for posting.

[@bareWarrior]

What was your daily dosage? Did it vary? And how long did you take them for? Appreciate your response, I just can’t put up with this damn cough as you might know…

[@deezligma6076]

@@bareWarrior I think it was the lowest possible dose. Less than a week 1-2x/daily. Talk to your doctor. Results may vary obviously.

[@nicolel1710]

I've never coughed so much in my life. On day 9 of being severely sick. Most of it is all respiratory for me. I have no voice. I wake up all night in coughing fits. No fun.

[@rachey5300]

This is the symptoms I am having. I tested positive Monday. My cough is relentless. I have mucous I can not cough up and I feel like I am drowning.

[@randlynch9582]

Nicole I got your story exactly. Healthy otherwise, no other condition. I’m on day 8 of Covid. When will the voice come back? Did you have to take antibiotics? Is your cough heeled? Hope you see my message.

[@Ladycouture99]

Hi doctor , I suffered from COVID and got recovered last week. Although I have cough only like 3 times maximum a day ,mostly at night . But the issue , nothing can stop the cough except hot water .it's more like a tickle in the throat first , then to stop that I have to cough badly .. what to do now doctor

[@mariejohnson8840]

I’m using Mullen tincture. It helps

[@Nah-ah]

I tested positive for COVID, May 3rd and even tho I wasn’t hit that hard, this damn cough he described SNC is exactly what I have months later. Still. Ugh! 😣

[@scottallen2190]

Same with my wife! We had it together but she's stuck with the cough.

[@peterobrien2537]

howz ur cough now N Gabriel?

[@mrsmucha]

Very well done video on this problem.

[@Laryngopedia]

Thank you so much.