[52F] Experiencing severe cough and hives

Patient Description

A 52-year-old female has been experiencing severe, dry coughing fits that began at the end of September, which sometimes worsen in cold air, accompanied by shortness of breath. Additionally, she has had severe hives every evening for the past three weeks, affecting her neck, chest, forearms, inner thighs, and calves. The hives are raised, itchy, red, and large, and she has been managing them with Benadryl. The patient also mentioned a transient burning sensation in her eyes, which has since resolved. She has a history of high blood pressure and is on daily Lisinopril and Sertraline. For the cough, she uses a prescription cough suppressant, Benadryl, and Mucinex as needed. She has no known allergies and no history of similar allergic reactions since receiving allergy shots 15 years ago.

Show More

Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions might be considered:

  • Chronic Cough: This is defined as a cough that lasts for more than 8 weeks. It can be caused by a variety of conditions, including postnasal drip, gastroesophageal reflux disease (GERD), asthma, and certain medications. Given the duration of your cough and its association with cold air, asthma could be a possibility.

    • Treatment typically involves addressing the underlying cause. For example, if asthma is the cause, inhalers may be prescribed to help manage symptoms.
  • Chronic Urticaria (Hives): This is a condition where hives or welts appear on the skin, disappear, and then may appear again. The hives can last for more than six weeks, and they often come and go. The exact cause of chronic urticaria is often difficult to identify.

    • Treatment usually involves antihistamines to control the itching. In some cases, a short course of oral corticosteroids may be necessary.
  • Allergic Reaction: Given the presence of hives and coughing fits, it's possible that you're experiencing an allergic reaction to something in your environment. This could be a food, a medication, or something else.

    • Treatment typically involves avoiding the allergen, if it can be identified, and taking antihistamines or corticosteroids to manage symptoms.

What you can do

  1. Keep a symptom diary: This can help identify any patterns or triggers for your symptoms. Note down when your symptoms occur, what you were doing at the time, and what you had eaten that day.
  2. Try over-the-counter remedies: Antihistamines can help with the itching from hives, and cough suppressants can help manage your cough.
  3. Seek medical attention: Given the severity and duration of your symptoms, it would be a good idea to see a healthcare provider. They can perform a more thorough evaluation and may be able to provide more targeted treatments.

What you should look out for

Watch out for any signs of a severe allergic reaction, such as difficulty breathing, swelling of the face or throat, or a rapid heartbeat. If you experience any of these symptoms, seek medical attention immediately.

Please note that while I strive to provide accurate information, I am an AI and not a doctor. The information I provide should not be used as a substitute for professional medical advice. Always consult with a healthcare provider for advice about your health.

Show More

1
 Hugs
0
 Comments

Save

11 mo ago

People Also Ask


What are common causes of chronic cough in adults?

Common causes of chronic cough in adults include postnasal drip, asthma, gastroesophageal reflux disease (GERD), chronic bronchitis, and certain medications. Identifying the underlying cause is crucial for effective treatment.


How can chronic urticaria be managed effectively?

Chronic urticaria can be managed with antihistamines to control itching and reduce hives. In some cases, a healthcare provider may prescribe oral corticosteroids or other medications if antihistamines are not effective.


What should I do if I suspect an allergic reaction is causing my symptoms?

If you suspect an allergic reaction, try to identify and avoid the potential allergen. Over-the-counter antihistamines can help manage mild symptoms. If symptoms are severe, such as difficulty breathing or swelling, seek emergency medical attention immediately.


Can medications like Lisinopril cause hives or coughing?

Yes, medications like Lisinopril, which is an ACE inhibitor, can cause side effects such as coughing and, in rare cases, hives. If you suspect your medication is causing these symptoms, consult your healthcare provider for an evaluation and possible alternatives.


Preview

Post

No comments yet

Be the first one to comment

Share your feedback

All Stories

Experiencing symptoms?

Our AI will conduct a medical interview and assess what might be happening. You can also make a post afterwards.

Share your feedback