[64M] With persistent cough and canker sores

Patient Description

A 64-year-old male has been experiencing a persistent cough for 8 weeks, which is mostly dry but occasionally produces light green mucus. The cough may worsen with exertion but does not have identified triggers or relief methods. The patient also reports having 2 or 3 small, painful canker sores under the tongue for a couple of weeks. Additionally, he mentions a bit of sinus congestion. There are no other associated symptoms such as chest pain, shortness of breath, weight loss, wheezing, or difficulty breathing. The patient has no known allergies, adverse reactions to medications, or pre-existing conditions, and is not on any medications.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Chronic Bronchitis: This is a type of chronic obstructive pulmonary disease (COPD) characterized by a long-term cough with mucus. It's often caused by smoking, but can also be due to other lung irritants like air pollution, dust, or fumes.

    • Treatment typically involves medications to open the airways and clear mucus, as well as lifestyle changes like quitting smoking and avoiding lung irritants.
  • Postnasal Drip: This is when excess mucus from the nose drips down the back of the throat, causing a cough. It can be caused by various conditions, such as allergies, sinus infections, or changes in weather.

    • Treatment often involves addressing the underlying cause, such as taking antihistamines for allergies or antibiotics for a bacterial sinus infection.
  • Gastroesophageal Reflux Disease (GERD): This is a digestive disorder that occurs when acidic stomach juices, or food and fluids back up from the stomach into the esophagus. It can cause a chronic cough, among other symptoms.

    • Treatment typically involves lifestyle changes and over-the-counter medications. If these don't help, a doctor may prescribe stronger medications or recommend surgery.

The canker sores could be due to a variety of factors, including stress, certain foods, or minor injuries to the mouth. They're usually harmless and go away on their own, but if they're large, last longer than two weeks, or are accompanied by other symptoms, you should see a doctor.

What you can do

While waiting for your doctor's appointment, here are some things you can do:

  1. Keep a symptom diary: Note when your cough and canker sores occur, what you're doing at the time, and any potential triggers. This can help your doctor diagnose you.
  2. Stay hydrated: Drinking plenty of fluids can help thin mucus and soothe an irritated throat.
  3. Use a humidifier: This can help keep your throat and nasal passages moist and relieve congestion.
  4. Avoid irritants: If you smoke, try to quit. Also avoid secondhand smoke and other lung irritants.

What you should look out for

You should seek immediate medical attention if you experience:

  • Difficulty breathing or shortness of breath
  • Coughing up blood
  • Unexplained weight loss
  • Fever or night sweats

Remember, while I strive to provide accurate information, I'm not a doctor. You should consult with a healthcare professional for a formal diagnosis and treatment.

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1 yr ago

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People Also Ask


What are the common causes of a persistent cough lasting more than 8 weeks?

A persistent cough lasting more than 8 weeks can be caused by chronic bronchitis, postnasal drip, gastroesophageal reflux disease (GERD), asthma, or infections like tuberculosis. It's important to consult a healthcare professional for an accurate diagnosis.


How can postnasal drip lead to a chronic cough?

Postnasal drip occurs when excess mucus from the nose drips down the back of the throat, which can irritate the throat and lead to a chronic cough. It can be caused by allergies, sinus infections, or changes in weather.


What are the potential causes of canker sores under the tongue?

Canker sores can be caused by stress, certain foods, minor injuries to the mouth, or underlying health conditions. They are usually harmless and resolve on their own, but persistent or severe sores should be evaluated by a doctor.


When should I be concerned about a persistent cough and seek medical attention?

You should seek medical attention for a persistent cough if you experience difficulty breathing, coughing up blood, unexplained weight loss, fever, or night sweats, as these could indicate a more serious condition.


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