I have posted a few threads recently and hope I don't become a nuisance! Recently dx'ed with Autonomic Small Fiber Neuropathy, with Large Fiber and Motor Neuron Involvement. I have SO many unanswered question and hoping to see a professional soon. In the meantime, I am relying on this forum.
So, making a short question, much longer, I wanted to know if a persistant cough is consistant with autonomic issues? I have been to my Pulmonary dr recently and he said that everything sounded fine. It seems to be coming from my chest, but I am not bringing up phlem (TMI), but it sounds awful.
Just curious. Let me know if this rings a bell with anyone!
Yup, I've had that on and off for years. There are two possible reasons I can think of. First, your autonomic (small fiber) nerves are involved in breathing, so you can have trouble breathing with small fiber neuropathy. The other possibility is that it's from whatever is destroying your small fiber nerves. For instance, I have Sjogren's, which can mess with lungs/breathing. So in my case, I don't know whether it's the dysautonomia or the Sjogren's messing with my breathing.
I wanted to add though that AireScottie is likely to know more about your particular situation as she is dealing with something a bit more similar. I was only presenting another possible explanation for your coughing.
I actually have constant daily coughing as well, but mine is related to my severe-persistent asthma. I have hypoventilation, dyspnea, and breath holding spells related to my Dysautonomia.
Halbashes is right about the swallowing, because that's also mediated to some extent by the autonomic system. I have trouble with that sometimes, but the ongoing cough that I have is a little different. It usually starts up and continues for a couple days to a week. It's dry like yours and sounds kind of like someone with emphysema (I had an older relative who smoked). It sounds and feels like I'm going to cough up a lung, but nothing actually comes out. And, I have 100% no allergies or asthma. Does that sound like what you experience?
There is a form of neuropathy--"denervation hypersensitivity of the upper airways and esophagus"--associated with coughing (source: http://brain.oxfordjournals.org/cgi/content/abstract/128/12/2797). Another frequent problem in patients with various types of dysautonomia is gastro-esophageal reflux (GERD), which can be in addition to or in lieu of what I just mentioned as a cause of coughing associated with dysautonomia. There is ambulatory esophageal monitoring that can verify if episodes of GERD are related to the coughing episodes by seeing if they happen around the same time.
So, since you've hit a dead end with pulmonary on the coughing, you may want to consult with neurology and/or gastroenterology next. If, as hally mentioned, swallowing is a possible concern, a swallowing study may need to be performed as well to rule out aspiration before aspiration pneumonia develops.
Copyright 1994-2016 MedHelp International. All rights reserved.
MedHelp is a division of Aptus Health.
This site complies with the HONcode standard for trustworthy health information.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.