Discussions By Condition: Repiratory conditions

violent coughing to vomiting/drs. quessing?

Posted In: Repiratory conditions 10 Replies
  • Posted By: littlewolf42
  • January 15, 2007
  • 07:30 AM

My middle-aged partner was diagnosed with bronchitis @ 3 months ago (an annual event). The bronchitis appeared to be going away, but then she started having an acute, extremely forceful coughing which consistently led to vomiting (with no consistent occurrence/event leading up to the coughing spasm). This has never happened before, even wtih the annual bronchitis. Went to dr. 4 times in 3 weeks, with little success. Basically they diagnosed post-nasal drip causing cough which re-irritates the bronchial tube causing cough causing vomit (sounds like a circle to me with no end). Gave her steriods, antibiotics, saline spray, Advair, Abuteral inhaler and codeine-based cough syrup (all at one time). They ruled out prescription reactions as the cause. After @ 10 days of this regimen, she was well enough to return to work. 3 days later all the symptoms are returning. She is still using the inhaler, the Advair, the saline spray and the cough syrup. She has lost 22 pounds in a month, is not sleeping through the night, is staying cold when before she was always hot (and I do mean always), and is getting very depressed. She has no insurance, but we could charge if necessary. I'm just afraid we will do test after test with no result. Her chest x-ray is clear and her blood work shows nothing. Has anyone ever experienced this? I'm getting desperate and feeling very helpless! Thanks for reading this very, very long thread. Would appreciate any and all feedback!

Reply Flag this Discussion

10 Replies:

  • the drip is almost certainly coming from infected sinuses.the infection is likely to be of very long standing.you will have to clear it out.this will mean several courses of high dose antibiotics;because the sinuses are so poorly vascularised,only a small proportion of the dose you take ever gets into contact with bacteria.thats why one course does no good;you hear it all the time"the antibiotics did no good at all"you have to hammer the b------s with repeated courses,and dont forget high dose.there is one more thing you must do,which is to tackle the precipitating cause of the infection.she must take cetirizene to reduce the effects of allergy.(just assume it to be present for the moment,trust me.)and she must take pseudoephidrene,("sudafed"in england),to reduce internal swelling of the nasal passages.the likelihood is that a low grade allergy has caused just enough swelling to close off the sinus drains(they drain into the nasal passages)or she may just have naturally narrow drain ducts,a problem which any tendecy to overweight will exacerbate.you have to open em up and clean em out.one last thing her lungs will have probably have become hypersensitive to anything but absolutely clean air.all sources of dusts in your home must go.how old is the mattress,for instance?you must become a dust and mold spore detective!this hypersensitivity is likely to last for up to four months after the sinuses are free and clear.you must persevere.i hope there is nothing too expensive about this.i know it can be a problem in america.but in england sudafed and cetirizene are non prescription drugs.i only had to ask my doctor for the antibiotics and he understood straight away.you may be able to hurry things along by the old fashioned but effective method of postural drainage,combined with steam inhalation.but this is as well as not instead of ,my earlier advice!look ,this fixed me up,and there is every chance it will fix her up as well!if she is a smoker,things may take a little longer.let me know how you get on please.she must keep up with the sudafed and avoid colds and flu in future.
    Anonymous 42789 Replies
    • January 15, 2007
    • 05:17 PM
    • 0
    Flag this Response
  • Thank you so much for some apparently educated advice! We will ask her dr. about this course of action as she is allergic to all penicillins (sp.? I'll keep you posted. The dust mites, etc. will be a huge problem however as we have three inside dogs that are our children. But, we'll just vac more, etc. Thank you again, and stay tuned for hopefully good news!
    littlewolf42 1 Replies
    • January 16, 2007
    • 02:47 AM
    • 0
    Flag this Response
  • so glad you are pleased.bad news about the antibiotic though.but nil desperandum!the sinuses can be cleared surgically.i understand that modern techniques,using small lasers, render this a relatively comfortable job.but looking at this again,ithink there may be another factor in the coughing.if,as seems probable,small traces of gastric acids are finding their way into the windpipe,perhaps even the bronchii,they will cause irritation and establish a hypersensitivity reaction in the same way as the p.n.d.,so the cough could have two causes!this complicates matters.while the sinuses must still come first,the acid problem can be mitigated in the short term by something like ranitidene,or another proton pump inhibitor,which will reduce her gastric acidity.this stuff is regarded as relatively inoccuous in england,it is like the others i have mentioned,an over the counter medicine.it may help immediately if she just eats little and often,and limits intake of foods which provoke acid production.for the duration of this emergency,routine antacid tablets after (small quantities of!)food would do no harm,just until the coughing is under control.there are other,excellent reasons for keeping acid out of her oesophagus in any case.it is something you must ensure happens.no ifs or buts,o.k?one ofthe worst aspects of this problem,i found, was the fact that the worse you get ,the more debilitated and depressed ,the more the housework goes to ***l,and even more dust accumulates.brushing the dog went by the board and my downward spiral was nearly complete.i had to get help.i couldnt afford it,but i employed a cleaner anyway,and went short of other things:best thing i ever did!i commend it to you!these dogs are going to have to sparkle with cleanliness!and you,or a professional,will have to do it(outside!).this is a complicated problem but it aint rocket science.there are just a lot of factors involved.i do think you are wise to put this in the hands of your doctor though.if you can print this off and show him ,so much the better,if not,copy it out!i would feel much better knowing he has read my words.one last thing,and it may be the most important;it is not clear to me why ,in these circumstances, a weight loss of 22lb.ina month should occur.a good doctor should always think"what is the worst thing that could be going on here?"and so should you. alert your doctor to this weight loss.sorry to place two posts.i was in a hurry last time.good luck with this,and let me know how you get on.
    Anonymous 42789 Replies
    • January 16, 2007
    • 11:30 AM
    • 0
    Flag this Response
  • I wish I could as I'm going through the same thing. A nurse and dear friend suggested sleeping with a vaporizer with Vicks 44 solution or even one of those simmering pots with water to help add moisure to the air. I used to use the vaporizer before and it was great! Another friend went through the same thing and is now taking allergy shots and doing much better. I'll try the vaporizer first as I only have trouble when I'm trying to sleep. Plus I hate needles!! Ha! I also have heart issues and every night that I cough this violentily is life threatening. The cough syrup with codeine is too expensive even with insurance. Good luck to you and your partner!My middle-aged partner was diagnosed with bronchitis @ 3 months ago (an annual event). The bronchitis appeared to be going away, but then she started having an acute, extremely forceful coughing which consistently led to vomiting (with no consistent occurrence/event leading up to the coughing spasm). This has never happened before, even wtih the annual bronchitis. Went to dr. 4 times in 3 weeks, with little success. Basically they diagnosed post-nasal drip causing cough which re-irritates the bronchial tube causing cough causing vomit (sounds like a circle to me with no end). Gave her steriods, antibiotics, saline spray, Advair, Abuteral inhaler and codeine-based cough syrup (all at one time). They ruled out prescription reactions as the cause. After @ 10 days of this regimen, she was well enough to return to work. 3 days later all the symptoms are returning. She is still using the inhaler, the Advair, the saline spray and the cough syrup. She has lost 22 pounds in a month, is not sleeping through the night, is staying cold when before she was always hot (and I do mean always), and is getting very depressed. She has no insurance, but we could charge if necessary. I'm just afraid we will do test after test with no result. Her chest x-ray is clear and her blood work shows nothing. Has anyone ever experienced this? I'm getting desperate and feeling very helpless! Thanks for reading this very, very long thread. Would appreciate any and all feedback!
    Anonymous 42789 Replies
    • October 21, 2008
    • 09:07 PM
    • 0
    Flag this Response
  • I purchased that vaporizer and added 1/2 teaspoon of salt and slept like a baby without one single cough for the first time in almost a year. My doctor also called first thing this morning and stated that my blood pressure medication, Lisinopril, was causing it. I'm to monitor my blood pressure and remain off of that medication for 7 days. Try a vaporizer and if needed, add the Vicks 44 for vaporizers. If you are on blood pressure medications, notify your doctor. I'm told that albuterol inhalers also cause coughing spells but then I have asthma so what can you do? Peace Be With You!! I cannot wait to get home and go to sleep and pray that the vaporizer continues to work.
    Anonymous 42789 Replies
    • October 22, 2008
    • 02:30 PM
    • 0
    Flag this Response
  • Sounds like it could even be a bronchitis case that gave way to pertussis...
    Anonymous 42789 Replies
    • February 14, 2010
    • 02:50 PM
    • 0
    Flag this Response
  • I went through all of this...still am actually...and have finally convinced my doctor (after six visits, one to the emergency room) to treat me for for pertussis (whooping cough). I'm a 46 year old woman and am now taking a z-pak. After four days on it, following seven weeks of coughing and vomiting, I'm feeling a little bit better. I just feel bad that I may have been spreading this to others while my doctor was busy treating me for asthma, sinusitis, and allergies. Doctors need to realize that this is a big problem and under-diagnosed. While being treated with antibiotics won't "cure" me from this, from what I understand, at least I won't be spreading it. This has been a horrible experience. My back aches very badly from the weeks of coughing and vomiting. I can't sleep. It's depressing. I can't wait to feel better! I guess I have up to two more months of coughing to look forward to...yikes!QUOTE=littlewolf42;17701]My middle-aged partner was diagnosed with bronchitis @ 3 months ago (an annual event). The bronchitis appeared to be going away, but then she started having an acute, extremely forceful coughing which consistently led to vomiting (with no consistent occurrence/event leading up to the coughing spasm). This has never happened before, even wtih the annual bronchitis. Went to dr. 4 times in 3 weeks, with little success. Basically they diagnosed post-nasal drip causing cough which re-irritates the bronchial tube causing cough causing vomit (sounds like a circle to me with no end). Gave her steriods, antibiotics, saline spray, Advair, Abuteral inhaler and codeine-based cough syrup (all at one time). They ruled out prescription reactions as the cause. After @ 10 days of this regimen, she was well enough to return to work. 3 days later all the symptoms are returning. She is still using the inhaler, the Advair, the saline spray and the cough syrup. She has lost 22 pounds in a month, is not sleeping through the night, is staying cold when before she was always hot (and I do mean always), and is getting very depressed. She has no insurance, but we could charge if necessary. I'm just afraid we will do test after test with no result. Her chest x-ray is clear and her blood work shows nothing. Has anyone ever experienced this? I'm getting desperate and feeling very helpless! Thanks for reading this very, very long thread. Would appreciate any and all feedback!
    Anonymous 42789 Replies Flag this Response
  • Wow. Same thing has been happening with my husband for almost a month now... Chest xray was clear. They put him on an antihistamine, antibiotic, cough suppressant, albuterol inhaler, a daily inhaler, and using a nebulizer treatment (albuterol)... Violent, uncontrollable coughs that induce vomitting several times a day... and the doctor says he can return to work... as a FOOD SERVER!!! Husband did request a whooping cough swab... they basically refused... told him he was not contagious, that it was simply an asthma flareup due to a viral infection he had... they then sent him to the hospital for a pulmonary function test (STILL waiting for those results!) Seriously... whooping cough has been in the news lately & they refuse? Not like it's some major test that insurance would not cover!
    Anonymous 42789 Replies Flag this Response
  • Sounds like it could even be a bronchitis case that gave way to pertussis...First answer that is brilliant- you know your stuff. Most Dr's would not even think of pertussis in an adult, as most don't do sputum cultures anymore. Anytime a cough that is that harsh that a person vomits should be checked for pertussis.
    Anonymous 42789 Replies
    • November 8, 2010
    • 04:24 AM
    • 0
    Flag this Response
  • Going through the same thing right now. Have grown up in the same are since I was 15 and now am having the exact symptoms stated above. Coughing so hard I nearly pass out and ultimately have vomited. The only way I've been able to find sleep is to lay on my side with a vaporizor in the room. I take nyquil before going to sleep.The day time is ok, however when the coughing hits, it's bad. Cold air is the worst. Causes the very worst attacks.This is my third week with this and I'm praying it goes away come warmer temps.
    3e9x1242 1 Replies
    • January 6, 2013
    • 03:32 AM
    • 0
    Flag this Response
Thanks! A moderator will review your post and it will be live within the next 24 hours.