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In a person who has a normal chest x-ray and who doesn’t smoke the most common causes of cough are postnasal drip, chronic sinus problem, heartburn, and asthma. A chronic cough can also be a side effect of a group of medicines used to treat high blood pressure called angiotensin converting enzyme (ACE) inhibitors. You may want to see a specialist, such as a pulmonologist. It can take a while of using Singulair® (montelukast sodium) and other medicines for postnasal drip for them to help as much as possible.
A nasal wash helps remove mucus and germs from your nose and sinuses. This can temporarily decrease the postnasal drip and lessen your cough. Please read our Nasal Wash MedFact at http://www.nationaljewish.org/medfacts/nasal.html for more information about this technique. Share this information with your doctor to see if you would benefit from this daily treatment. Doing a nasal wash before using any nasal spray can make that nasal spray work better.
Tussionex is not a good long-term solution for this problem. You might ask your doctor for a short course of prednisone to see if the cough responds to steroids. If prednisone controls the cough, it should be replaced with an inhaled steroid for the nose or the lungs. There is less risk of side effect with an inhaled steroid than with prednisone. It will help to identify if this is a problem of your lower or upper airways. Even though your tests did not do this, the inhaled steroids may.