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Respiratory Disorders  (Expert Forum)
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Constant, violent cough
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This forum is for questions and support regarding lung and respiratory issues such as: Allergies, Asthma, Bronchitis, Colds - Flu, Chronic Cough, COPD, Cystic Fibrosis, Emphysema, Fibrosis, Lung Abscess, Nasal Polyps, Pleurisy, Pneumonia, Sarcoidosis, Sinusitis, Tuberculosis.

Constant, violent cough

by anida, Feb 25, 2003 12:00AM
I've got a contstant, violent cough, been tested every which way and have Sarcoidosis. But the cough persists.Tried many heds: Prednisone, hydrocodone, etc.now going to try Oxycontin. Any suggestions at all as to how to prevent/control this cough and the chest pain that follows.  Would love to have help from anyone.  ***@****

by National Jewish, Feb 26, 2003 12:00AM
Sarcoidosis is a disease that causes small clusters of inflammation, called granulomas.  The granulomas can occur in any area of the body, but are most common in the lungs, lymph nodes, eyes, and skin.  Inflammation in the lungs can cause shortness of breath, wheezing or cough, often a dry cough.  In some people, the symptoms go away completely.  In other people the inflammation leads to permanent scarring.

Corticosteroids are the main treatment for sarcoidosis.  They work to reverse the inflammation.  Prednisone is the most commonly used corticosteroid.  It is given daily or every other day, depending on the symptoms.  You may need to take prednisone for 6 months to control the symptoms.  It can decrease symptoms, improve lung function, decrease S.A.C.E. levels, reduce granuloma formation, and possibly, lessen scarring of the lungs.  Corticosteroids can cause a number of side effects.  Because of this, a doctor should carefully monitor people on corticosteroids.  The potential benefits from treatment usually outweigh the risks from the side effects.

Please read our Sarcoidosis MedFact at http://www.nationaljewish.org/medfacts/sarcoid.html for more information.

It is possible that your cough is due to something other than sarcoidosis.  Check with your doctor to be sure that the testing that's been done has looked carefully for post-nasal drip, gastro-esophageal reflux (GERD), and asthma.  Also cough can be a side effect of a group of medicines called ACE inhibitors.
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