Persistent Cough Can be Tricky to Treat
I went through many tests for a cough that lasted for 30 years. No treatments worked. The only sign my doctor could find was that my throat had scars from coughing that long. My allergy specialist had tried for years with all kinds of prescriptions, to no avail.
I am now living a normal life since a doctor prescribed tramadol (50 mg) twice a day. What a relief. My wife, grown children, friends
ANSWER: I found only a single case report of tramadol being used for chronic cough, and it was effective in that patient. The authors advised further study on its use.
Tramadol is a pain medication distantly related to codeine. Its abuse potential is low, but there have been overdoses and deaths due to this drug, so I don’t recommend its indiscriminate use. However, I have seen personally and received many letters from people with intractable coughing for years, so much so that I wanted to call attention to this as a possible treatment worth discussing with one’s doctor for people with
Tramadol at the low dose (for an adult) you mention usually is safe.
[question] I have a very dear relative who had radiation seed therapy for prostate cancer in 2003 after a biopsy revealed a Gleason score of 7 (3/4). Afterward, his PSA was only 0.1 to
ANSWER: Rising PSA after cancer treatment typically is due to cancer returning, not an increase in normal prostate. However, that does not mean that your friend “must” have treatment. Goals for cancer treatment in an 83-year-old man may be very different from those of a 20-year-old man. In his case, since it took about 10 years to increase by 10 times, it may be a very long time before
I certainly would recommend that he go to see a urologist as his VA provider has recommended. He may be able to learn whether it really is
Dr. Roach regrets that he is unable to answer individual letters, but will incorporate them in the column whenever possible. Readers may email questions to [email protected].
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