cough blood

[audis6]

My daughter Amy 14 years old, started to cough blood(fresh,2ml) mostly once a day, in the night, about a month ago,does not loose weight(on the contrary),does not sweat, completely health, no fever, or any other signs of sickness.



She went through blood checks, liver functions, ESR (all values are ok)

Continued with gastroendoscopy, according to the surgeon, a small polyp 4 mm in diameter was spotted at the end of the esophagus, which is not of any sort of concern

Continued with echo-heart (normal) according to pulmonologist

Continued with CT (normal).

Continued with ENT, no substantial findings (being put on klacid for 5 days)

Continued with bronchoscopy, according to pulmonologist,found some scarring on one lung, relating to a previous infection?),took brushings, cultures, and put Amy on augmentin for 10 days, during this 10 day she hardly coughed.(al kinds of tests, and cultures came all negative, including provisionally for TB)

Blood stained cough resumed, being put on moxifloxacin for 10 days, with no improvement, (cough interval every day/ 2 days, once in the night)

Continued with barium swallow (normal).



Before the cough, there is accumulating pressure/pain in the chest, creating an irritation /scratchy feeling as Amy describes  for a minute or so, and the cough comes, sometimes that pain/pressure pulls to both side of the back as well.

[emmy]

Thanks--I read the article and found one of the cases sounded just like my symptoms, and the man had had them 10 years. I was hoping they would go away on their own, but now I'm not so sure. I will email you for the holistic info. I have also had a hoarse voice and sinus pain for the last 6 months. I saw an ENT and he says the vagus nerve involvement would be his diagnosis. He thinks reflux surgery would be my best solution at this point, but wants me to see a pulmonologist to be sure.

[Concerned lady]

Someone recently told me about a very interesting article that you might want to read, called "Vagal Neuropathy After Upper Respiratory Infection: A Viral Etiology?", by Milan R. Amin, MD and James A. Koufman, MD, in the American Journal of Otolaryngology, Vol 22, No 4 (July-August), 2001: pp 251-256.

The article's conclusions are that "Respiratory infection can trigger or cause vocal fold paresis [partial paralysis/weakness], laryngo-pharyngeal REFLUX, and neuropathic pain."

If you are interested in some holistic ways that my husband and I treat our gastric reflux, and some holistic ways we treat our sinus problems, please email me at ***@**** and then, please have your doc check out the tips that I would be happy to share, to be sure they are OK for you, before trying any of them.

It would also be good to be seen by a pulmonologist and ENT doc, etc. to find out what might be other possible causes of your symptoms. Reflux is one cause of cough. There are other causes, also.

Sincerely,
Concerned lady

[mizmamie]

Do NOT have a Nissen unless you are absolutely sure you have reflux!  Any good surgeon will insist you have several tests prior to surgery:  manometry, upper endoscopy, maybe 24 hour pH and maybe barium swallow.  

Get a 2nd opinion from a GI (if your doctor isn't a specialist) and speak to some surgeons as well.