Persistent Cough After Six Months: Seeking Insights
A 22-year-old male here. I have undergone two misdiagnoses: first bronchitis, and later severe allergies. I’ve taken an overwhelming number of medications and antibiotics—so many that I can hardly recall them. The only one that seemed somewhat effective was a cough syrup, but even its efficacy diminished over time, ultimately losing its effect altogether. Currently, I’m using a cough DM syrup that offers some relief, albeit limited. Approximately six months ago, I had a wild night of drinking, and the next day I woke up feeling extremely ill; I presumed it was simply a hangover. However, once the other symptoms faded away, I was left with a relentless cough. I consulted with a doctor who attributed it to bronchitis, prescribing an antibiotic along with a cough suppressant—neither of which I can name. Unfortunately, those treatments yielded minimal results, prompting a follow-up visit. The physician suggested a possible resistance to the antibiotic and recommended a second round of treatment, but that too failed to alleviate my symptoms. On my third visit, they shifted focus to allergies, providing me with four different anti-allergy medications. Yet, as I completed the last one, I found myself still coughing. An ex-partner speculated that a significant vitamin deficiency could be the cause, leading me to start a multivitamin regimen, but that produced no changes either. Months have passed with my cough oscillating between worsening spells and slight reprieves. At present, I’m experiencing a particularly difficult phase, feeling as if I’m constantly dealing with something lodged in my throat, leading to continuous coughing bouts. Aside from this cough, I have minimal additional symptoms. I don’t feel fatigued or weak; in fact, I’ve maintained a consistent gym schedule and am pleased with my progress. I haven't run a fever, nor is my allergic congestion particularly troubling. Occasionally, I experience mild headaches. However, the constant cough is quite bothersome, especially since I’m working on developing my singing abilities. I haven’t returned to the doctor yet, as I dread spending another $200 on yet another unhelpful diagnosis. Now that I have insurance, a covered visit may be possible in the near future, but I’m eager to hear if anyone has experienced something similar or has insights into what might be going on with me.
Answers (1)
2/5/2026, 9:10:50 PM
OpenHealth AI
Main Points: Persistent Cough, Misdiagnoses, and Next Steps
You’ve described a challenging situation with a persistent cough lasting six months, which has been attributed to bronchitis and allergies without successful resolution. It's understandable to feel frustrated after multiple treatments and misdiagnoses. Given your experiences, let’s focus on what could be happening and practical steps to potentially improve your situation.
Explanation
A persistent cough can arise for several reasons, especially after a respiratory infection or heavy drinking as you described. Potential causes can include:
- Post-Viral Cough: This can occur after a cold or other respiratory illness and can last for weeks to months.
- Chronic Bronchitis: If you have a history of smoking or exposure to irritants, this could be a possibility.
- Asthma or Hopeful Airway Disease: Sometimes, cough can be the only symptom of asthma, especially if it worsens with exercise or cold air.
- Acid Reflux (GERD): A common, yet often overlooked, cause of chronic cough.
- Allergies or Non-Allergic Rhinitis: Certain allergies can also lead to coughing.
Specific, Prioritized Next Steps
-
Track Your Symptoms: Keep a diary of when your cough worsens, any related activities (like exercise, eating, or exposure to allergens), and any other symptoms. This can help identify patterns.
-
Hydration and Humidity: Ensure you’re drinking plenty of fluids and consider using a humidifier to keep your throat moist, which can ease coughing.
-
Avoid Irritants: Limit exposure to smoke, strong odors, and allergens that might exacerbate your cough, such as dust or pollen.
-
Consider Over-the-Counter (OTC) Options: Since you found some relief with cough DM syrup, you might continue using it. Additionally, throat lozenges or honey (if you're not allergic) can help soothe irritation.
-
Reflect on Lifestyle Factors: If heavy drinking preceded your symptoms, consider limiting alcohol as it can irritate the airways. Maintain your regular gym schedule but note if physical activity affects your cough.
-
Plan for a Follow-Up: When you feel ready, schedule an appointment with a healthcare provider. Specifically, mention your history, the duration of your cough, and how previous treatments have failed. Ask about possible conditions like asthma or GERD. Preparing for this visit can improve your chance of finding the right solution.
-
Consider Specialized Evaluation: If your symptoms don’t improve, you may benefit from seeing a specialist such as a pulmonologist or an ENT (ear, nose, throat doctor) to rule out other underlying conditions.
It’s important to approach this situation step-by-step. Your well-being and vocal aspirations can very much improve with the right guidance. Please reassure yourself that many people have overcome persistent coughs, and the solution is often closer than it seems. Stay hopeful!
Related Questions
Experiencing Sensations of Pressure and Buzzing in the Ears
Upon waking up and attempting to return to slumber, I occasionally encounter a fleeting but peculiar sensation in my ears characterized by pressure and a buzzing sound. It’s somewhat difficult to articulate; it feels akin to a shivery sensation, yet concentrated primarily around my head. This experience resembles the effects of prolonged yawning, accompanied by a similar buzzing noise. Although it is not painful, the discomfort is notable. While my description may not fully convey the experience, it’s the most accurate depiction I can offer. This occurrence is involuntary, yet it feels somewhat manageable, as I can bring it to a halt; however, I am unable to prevent it from returning shortly after. This sensation persists until I am completely awake, typically within about ten minutes. It doesn't happen every time, but frequently enough that it becomes rather irritating. What might this be? Is there a term for this phenomenon? For context, I am 22 years old. UPDATE: Adding further details to clarify my experience.
Confounding Ear Infection
Subject: 30 years old, height 5'5", weight 130 lbs, no medications in use, abstains from alcohol, tobacco, and illegal substances. Approximately a week ago, I began experiencing discomfort in my left ear, which subsided after a brief period. However, a few days later, the pain returned and intensified, with noticeable swelling and redness in the upper section of my ear, specifically the cartilage. Additionally, multiple lymph nodes surrounding my ear have become enlarged and tender. Initially, I was given ciprofloxacin (500 mg, twice daily) under the assumption of perichondritis or cellulitis of the pinna. Shortly thereafter, I noticed the emergence of what appears to be a skin infection, with blisters and a white pustule developing on the affected area. Due to the worsening state of my condition, I sought emergency care where a physician opted to change my antibiotic treatment to levofloxacin (750 mg, once daily) to ensure more effective coverage against potential bacteria. I have been on this new antibiotic regimen for a couple of days, and while my condition has stabilized, there has been no noticeable improvement. Both medical professionals I consulted seem somewhat baffled by my case since my piercings have been in place for over ten years (I've since removed the earrings), and I haven't experienced any trauma to my ear. Has anyone encountered a similar situation? I'm eager to understand what might be happening, how I could have contracted this infection, and whether my treatment plan is suitable for my condition.
Knee Injury Inquiry: What Could It Be? 🤔 (37/m)
Greetings, Ask Docs, I have a quick query to pose. I’m a hockey goalie and sustained an injury to my left knee during last night's match. I wasn't executing any unusual maneuvers, but something felt off, and I’d rate the pain at around 5 out of 10. There was no sensation of popping or tearing, but I do notice slight swelling right beneath the kneecap. The discomfort seems localized in the kneecap area or just behind it. Remarkably, I can fully bear weight and maintain balance on the injured leg, even while wearing my goalie gear, which adds considerable weight. The pain primarily occurs when I rise from a seated position; specifically, pushing off with my left leg elicits discomfort. Conversely, if I'm standing firmly on that leg, I don't experience any issues. I do feel occasional twinges, particularly when rotating my foot inward, similar to the position of sitting cross-legged, though this happens infrequently. Using my walking pad at home seems beneficial, allowing me to walk without any problems. I also have no difficulty fully extending my knee, and I’m not sensing any structural issues or instability. There’s no pain upon palpation, and it feels like the condition has eased somewhat overnight. I’m hopeful it's just a mild strain and not related to any serious ligament injuries involving the ACL, MCL, or PCL. I've reached out to my doctor, but the earliest appointment is next week, prompting me to seek some insights here. I’m wary of any potential for more severe damage in the interim since the pain is manageable and doesn’t seem to hinder my activities significantly. Thank you for your input! :)
Prescription of Levofloxacin for Possible Ear Infection
I have been struggling with Eustachian Tube Dysfunction (ETD) for several years. It's quite common for me to have fluid buildup, particularly after recovering from an illness. Thankfully, I am not experiencing a fever or any additional symptoms, and I have a known allergy to Penicillin. Today, I visited my doctor due to an earache that has persisted for three days. While it's not severe, it has become quite bothersome. The doctor noted the presence of some fluid in my ear and suggested the possibility of an infection. He offered to prescribe a medication for my condition. After my appointment, I went to the pharmacy where I picked up a prescription for 750 mg of Levofloxacin along with 40 mg of Prednisone. Is this treatment excessive? Should I consider requesting an alternative? If I choose not to take the antibiotic, what are the chances of this condition resolving on its own?
Struggling with Eosinophilic Esophagitis (M/23/189 lbs/5'8)
I'm at my wit's end. The non-stop coughing and the need to clear my throat have become unbearable. It's not just painful; it attracts stares that make me feel like I'm losing my mind, particularly in public settings like the gym. Each day feels like a struggle. Physical exercise exacerbates my condition, and eating only makes it worse. It seems that no matter which approach I take, I'll inevitably feel more discomfort. I recently relocated in hopes of finding relief, but that hasn't changed anything either. I'm looking for any suggestions. Up until now, medications haven't provided any relief. I'm at my limit here. What steps can I take? I've consulted several medical professionals and undergone two endoscopic procedures, yet no one has offered any solid recommendations beyond prescriptions for medication.