Autoimmune Disorders Expert Forum
Chronic cough
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Welcome to the Autoimmune Disorders forum. Questions in this forum are being answered by Dr. Garth Nicolson. This forum is for questions and discussions relating to Autoimmune Disorders. Topics include, but are not limited to: Alzheimer’s, Amyotrophic Lateral Sclerosis (ALS), Chronic Fatigue Syndrome, Fibromyalgia, Gulf War Syndrome, Lupus, Lyme Disease, MS, Rheumatoid Arthritis

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Chronic cough

Thank you Professor Nicolson for taking the time to answer our questions.

I have lupus and fibromyalgia.  For the past 3+ months I have had a chronic dry cough w/ sore throat 3+ years (puss pockets and occasionally a strange odor from throat). The cough seems to come from my lungs w/ discomfort.  I don't know if this is related to the cough, but when I am stressed out, I get clusters of bruises on my arms.  (a circle of 5 or 6 small bruises)  I also have tenderness in the right upper quadrant (cholecystectomy in 07), with occasional severe cramping, nauseating symptoms.  

I am currently on plaquinel, nexium 2x/daily, and astepro nasal spray.  I also take tylenol arthritis for pain.  

What could possibly be going on?
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We have found that most patients with atypical Lupus and especially Fibromyalgia Syndrome have systemic, chronic bacterial and viral infections that could be very important in the disease presentation and progression.  Some examples of the rather common types of infections include Mycoplasma, Chlamydia, Borrelia, among others.  These infections are primarily intracellular bacterial infections and are difficult to find and treat.

However, when diagnosed and treated successfully patients slowly recover from their symptoms.  Treatment is not easy and requires long-term antibiotics plus supplements to increase immune function, mitochondrial function, nerve function, etc.  Thus when chronic infections have been identified and sucessful treatments undertaken, there is a good chance for recovery.
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