COVID-Cough and Chronic Cough

Chronic cough may be mistaken for COVID-cough during this COVID pandemic making you a cough pariah in need of a cough intervention. Coughs and cough stories may sound alike so only a cough expert can differentiate among the underlying causes and then precisely match cough treatment with the specific cause. For instance, bronchitis, asthma, cancer, postnasal drip, and allergies may be the underlying problem with a cough symptom, but very often, chronic cough is THE problem. As a result, a trial and error cough treatment approach wastes time and money, produces side effects of unnecessary medications, and results in people feeling increasingly frustrated. Dr. Mandel Sher at Center for Cough uses advanced diagnostic tools and evidenced-based, comprehensive, and simultaneous cough remedy that is individualized to meet each patient’s unique needs, is safe and effective, provides rapid relief and lasting results, and has over an 85 percent success rate.   

Cough has been identified as a key symptom of this coronavirus.  There is a heightened awareness of and concern around cough.  So, while you may know that your cough is chronic, and is not COVID-cough, you may feel increasing embarrassed and isolated. Talking, laughing, singing, allergies, and environmental irritants may trigger the production of cough, and hoarseness, throat tickle, throat clearing, urinary incontinence, anxiety, and social isolation may be the results.   

 Dr. Mandel Sher is a world-renowned chronic cough expert.  He is an author in peer-reviewed medical journals, lecturer at national professional medical societies, clinical trials scientist and researcher evaluating novel cough therapies, teacher and trainer of the next generation of cough specialists, and honored to be consistently selected as “Best Doctor in America” and “Compassionate Doctor” by his patients. 

If you think you have a persistent cough, chronic cough or are throat clearing, constantly feeling a throat tickle and urge to cough, or your voice is hoarse, please call Dr. Mandel Sher for an appointment: 727-393-8067.    

Happy Birthday Dr. Mandel Sher!

Cough: Scratches the Itch in the Back of the Throat

Cough scratches the itch in the back of your throat. Unlike other places on the body where we use hands and fingers to scratch an itch, we cannot used hands and fingers to scratch an itch in the back of the throat. Itch in the back of the throat is often referred to as a tickle in the back of the throat.

“Cough scratches the itch in the back of the throat. If you stop the tickle in the back of the throat, then the urge to cough will decrease and less cough will be produced. “ (Dr. Mandel Sher, Founder of the Center for Cough)

Why do we Cough? Dr. Mandel Sher, Founder and Medical Director of Center for Cough says Cough is the body and brain’s way of scratching the itch in the back of your throat. There are many good and productive reasons for Coughing. Cough that lasts for eight weeks or longer is a Chronic Cough. ChroniChronic Cough that is ruled out as being a symptom of a serious underlying medical problem, has no productive value. Rather, it is a debilitating medical condition that is annoying, embarrassing, and produces other medical byproducts such as urinary incontinence, hoarseness, constant throat clearing, anxiety, depression and more. The good news is that Chronic Cough can be effectively treated and even resolved.

Contact: Dr. Mandel Sher at Center for Cough. 727-393-8067.

Do Pain, Chronic Cough, Itch, and Inflammation share a treatment approach? Bruce Bean, Ph.D. and Clifford Woolf, Ph.D., neurobiologists at Harvard Medical School, Dr. Bruce Levy, Pulmonologist and Critical Care doctor at Brigham & Women’s Hospital in Boston, and Nocion, a biotech company, want to find out. Doctors Bean and Woolf were focusing on pain and itch, while Dr. Levy’s laboratory was studying Cough. When the three put their heads together, simply put, they considered whether Cough might be produced as an itch in the airway. Learn more by clicking here:

According to Nocion’s website:

“Chronic cough, a condition that causes patients to often cough 60 to 100 time and hour for months and years, is one of the first indications Nocion is pursuing. It may seem surprising to jump from pain suppression with analgesics to cough, but cough is actually the “itch” of the lungs. 

” The unmet need is massive.” What folks don’t realize, even doctors, is that cough is the single most common reason why people in the United States seek medical attention.” (Dr. Peter Dicpinigaitis, Director of the Montefiore Cough Center in New York, Chair of the American Cough Conference, and Professor of Clinical Medicine at Albert Einstein College of Medicine)

While Nocion’s research is years away from being evaluated in human trials, it is yet another example of novel approaches being considered for the treatment of Chronic Cough and related medical conditions. Dr. Mandel Sher at Center for Cough leads a comprehensive center dedicated to diagnosing and treating people with Chronic Cough. Dr. Sher also leads clinical trials to evaluate drugs being developed for Chronic Cough treatment and is a frequent contributor of the evolving paradigm of Chronic Cough to professional clinical and scientific societies.

Disinfectants & Sick-Shaming: But Chronic Cough is NOT Contagious

Lysol Disinfectant Spray - Spring Waterfall

Cough: Contagious or Not? That is the question. Is it okay to spray disinfectants on a colleague’s desk and sick-shame them to “Go Home”? You may know that your Cough is a Chronic Cough that is NOT contagious, but how would others know that what you are ailing from is not contagious? As more and more people are working and recreating in open communal spaces where people are often sitting shoulder-to-shoulder and certainly within virus spreading distance, there is increasing awareness around the ripple effect of germs. When colleagues, friends, and family hear Coughing on a repetitive basis, they may be understandably concerned that you are sick and soon they will be too. As a recent Wall Street Journal article quoted a team member: “If one person gets sick, we all get sick.” Coughing produces a startling sound that is disruptive to the listener and embarrassing for the Cougher. So whether your Cough is the result of a virus or Chronic Cough, be mindful of others around you.

Chronic Cough is different than acute Cough produced by virus. Chronic Cough is NOT contagious. A Persistent Cough lasting 8 weeks or longer may be triggered by a virus, allergies, reflux, or other factors, but the underlying cause is often neuropathic hardwiring that sets you up to Cough.

Dr. Mandel Sher: 727-393-8067. doctors take care of people with Cough. Dr. Mandel Sher is an internationally recognized Cough Specialist who is resolving Cough in people who are suffering with this debilitating, annoying, and complex condition.

Dr. Mandel Sher offers comprehensive Cough treatment in one convenient location at Center for Cough. All services are traditional, evidence-based medicine, and covered by Medicare and major insurers. Dr. Mandel’s Sher’s experiences and successes are grounded in an integrated and innovative approach including: medications, diet, lifestyle, voice exercises, and breathing techniques. Dr. Mandel Sher also leads clinical research trials for novel Cough therapies and is a frequent presenter on Cough at national and international medical society meetings.

Be Especially Mindful During the Holiday Season: Minimize Chronic Cough Flare-Ups

“Be especially mindful during the holiday season; mindfulness helps minimize Chronic Cough flare-ups that can be aggravated by holiday landmines” advises Dr. Mandel Sher.

Holiday festivities can be too much of a good thing and aggravate your Constant Cough. Family, Friends, Food, and Fun – Cough-Cough-Cough. Each year, Dr. Mandel Sher reminds his Cough patients to be particularly mindful during the holiday season. To be mindful, Dr. Sher recommends really focusing and making mindful choices. For example, appreciating the color and texture of your holiday meals, slowly chewing and tasting each bite, and sipping rather than gulping beverages. Dr. Mandel Sher, Cough Expert, explains to Cough patients:

“Being mindful is beneficial all of the time and particularly so when there are lots of distractions that can divert attention from routine and discipline. Your Constant Cough can be aggravated during the holiday season by: Overeating, Caffeine, Alcohol, Talk-Talk-Talk, “Relaxed” medication regimen, Viruses transmitted through Hugs and Handshakes, and Cold air and home heat that can be drying.Being Mindful will help you minimize your cough-cough-cough mood buster and enhance your holiday enjoyment. Sip-sip-sip, Eat smaller portions, Keep moving, & B-R-E-A-T-H-E.”

Contact Dr. Mandel Sher & Center for Cough: 727-393-8067.

Dr. Mandel Sher and Center for Cough team thank the referring doctors and people with Chronic Cough throughout the United States who entrust their care to Dr. Mandel Sher; Dr. Mandel Sher’s physician, scientist, and researcher cough colleagues around the world; the people with Chronic Cough who voluntarily participate in Clinical Research Trials led by Dr. Mandel Sher to help advance novel cough therapies and promote effective outcomes; and those family, friends, and colleagues who are concerned about someone suffering with Chronic Cough and encourage them to see Dr. Mandel Sher and Center for Cough team.

From all of us to all of you, Here’s to Your Health. Happy Holidays!

Cough: An ITCH in Your Throat

Cough Results from an ITCH in Your Throat

Cough is an itch in your throat.  Dr. Xinzhong Dong, a Johns Hopkins neuroscientist, recently published a study that supports Dr. Mandel Sher’s approach to treating Chronic Cough.  Dr. Dong identified itch receptors in our throats that produce an irritated or itchy feeling when they are triggered by other factors.  Dr. Mandel Sher and a handful of his Cough colleagues around the globe are evolving the paradigm for treating the underlying cause of Chronic Cough rather than the triggers only.  Dr. Mandel Sher and Center for Cough team agree with Dr. Xinzhong Dong’s finding that Cough is a response to an itch in your throat.  Dr. Dong and his team are hoping their discovery can facilitate new treatments for medical conditions such as Asthma and Chronic Coughing.

“Unlike in the skin, we can’t scratch an itch in our throats. Instead we cough, which causes a slight pain that blocks the itch.”–                         Xinzhong Dong, Ph.D.

“It’s all about the tickle in the back of your throat.  Stop the tickle and stop the Cough. ”                                                                                                                                    Dr. Mandel Sher                                                                                                                  Center for Cough 



Dr. Mandel Sher is a Cough Specialist.  He is a Duke, Harvard, and University of Michigan trained physician who focuses on treating people with chronic medical conditions such as Chronic Cough.  Dr. Sher is helping patients to achieve remarkable results in relieving or resolving their Cough – even if they have seen many other doctors and tried but failed other cough therapies.  In addition to successfully treating patients with Chronic Cough, Dr. Sher is a leading investigator on Clinical Research Trials for novel Cough therapies, and is a frequent contributor to the medical community’s body of knowledge around Chronic Cough by speaking at national and internal professional society meetings.

Read more about Dr. Dong’s work:



What’s All the “Whoop” about Whooping Cough?

Whooping Cough Produces a Long-Lasting Cough. Dr. Mandel Sher is a Cough Doctor. Dr. Sher will Accurately Identify the Cause of Your Cough and Match Treatment Approach to Fit the Cause.

What’s all the “whoop” about whooping cough?  Whooping cough, also known as pertussis, used to be primarily a childhood illness.  However, in recent years, whooping cough is on the rise among teens, young adults, and adults.  One of the theories behind this rise is the lesser effectiveness of the new pertussis vaccine.  While the side effects of the newer vaccine are also less than the older vaccine, the longevity of the vaccine is shorter.

Whooping cough symptoms are different in children and adult. Whooping cough treatment is generally symptom relief.  Early symptoms of whooping cough in adults and children include sneezing, runny nose, and coughing.  Children often make a “whooping” sound when catching their breath after a long coughing episode.  Whooping cough affects children worse than adults.  The vaccine is the best form of prevention.

Pertussis cough can last for a long time – at least two weeks – and can last for months.  Some experts estimate that 10% to 30% of long-lasting coughs in adults are due to whooping cough.  If you have a cough that won’t go away, it is very important for a Cough Doctor to identify the specific cause of your cough.  Dr. Mandel Sher is a Cough Doctor.  Cough treatment should NOT be a cookie cutter approach.  To optimize efficacy, Cough treatment must be targeted to the specific cause of your cough.

Contact Dr. Mandel Sher at Center for Cough: 727-393-8067.

Dr. Mandel Sher is an internationally recognized Cough Doctor.  Dr. Sher will accurately identify the cause(s) and trigger(s) of your cough and help you get cough relief or cough resolution through an integrated and innovative approach.  Dr. Mandel Sher’s approach is based in traditional, evidence-based medicine.  It is Dr. Sher’s and the Center for Cough’s team approach to listening to each patient’s cough story, reviewing relevant medical history, and putting the cough puzzle pieces together that produce remarkable results.  Over 8 out of 10 cough patients treated by Dr. Mandel Sher and the Center for Cough demonstrate a measurable reduction in cough frequency and cough intensity and report an overall improvement in the quality of life. 



Thanksgiving Overeating and Triggering Your Cough

Thanksgiving Overeating and Triggering Your Cough

‘Tis the season…the holiday eating season is upon us.  As you gather with family and friends and share feelings of thankfulness, beware of Thanksgiving overeating and triggering your cough.  The wonderful distractions of  lively conversations and a bounty of delicious food set out as a feast table, are a recipe for Thanksgiving overeating and triggering your cough.  In addition to feeling uncomfortably full and lethargic during and after a holiday meal, Thanksgiving overeating may be triggering your cough.

There are many reasons you may be coughing after a holiday meal.  For those of you who are already suffering with a persistent or chronic cough, Dr. Mandel Sher suggests you control what you can control and in doing so, manage your cough.

If you are coughing for 8 weeks or longer OR if you have  treated your cough but are still coughing, then contact Dr. Mandel Sher:  727-393-8067. 

Dr. Mandel Sher’s and Center for Cough’s comprehensive cough treatment are  covered  by Medicare and commercial insurance payors.

Dr. Mandel Sher suggests the following tips for managing your cough during holiday feasts:

  • Take Your Time:  Be mindful. Enjoy taste & texture of each bite.
  • Use Smaller Plates:  Trick your brain into believing your belly is satiated.
  • Indulge with Portion Control:  Don’t deprive yourself; Use fist or tablespoon as a measure.
  • Limit Alcohol, Caffeine, Chocolate, Mint:  All can be green lights for reflux.
  • Be Hydrated: Water is filling and moisturizing in cold & dry climates and heated spaces.
  • Wait 20 Minutes:  Before getting dessert and/or seconds.
  • Move:  Avoid a comfortable sofa & expandable pants.  Help clean-up, walk the dog, move!

Most importantly, enjoy those around you and those you are missing and thinking about.  Don’t let the very temporary pleasure of indulging in Thanksgiving overeating spoil your good feelings that follow.

  Cough begets cough.  So, the best defense is an offense.  Control what and how much you eat and drink and manage your cough.

Dr. Mandel Sher and Center for Cough team wish you and yours a meaningful and healthy Thanksgiving celebration.  Please contact Dr. Mandel Sher for treatment that WILL resolve Your Cough:  727-393-8067.

Constant Throat Clearing: More Common Among Men Than Women?

Your Throat Clearing is Driving Me Crazy! Dr. Mandel Sher will Resolve & Restore Peace.

“A-H-E-M …A-H-E-M!”  Your throat clearing is driving me crazy! Is throat clearing more common among men than women?  Dr. Mandel Sher was at a recent social gathering when a male friend started speaking with him about his constant throat clearing.  The very next day, a colleague of Dr. Sher’s friend had an initial appointment with Dr. Sher at Center for Cough to evaluate the causes of his constant throat clearing and begin treatment.  Of course, Dr. Sher did not reveal that just the evening before he had been discussing the same condition with this gentleman’s colleague.  Unknowingly, the gentleman (and now Center for Cough patient) mentioned to Dr. Sher that he and a colleague have regular throat clearing sound-offs.  Coincidence or easily explainable?

Throat clearing is a symptom of an underlying medical condition.  All throat clearing is not created equal.  Effective treatment and Resolution depends on knowing what’s causing your throat clearing.

Contact:  Dr. Mandel Sher: 727-393-8067.

Dr. Sher is a specialist in chronic respiratory and related medical conditions that have inflammatory, neurogenic, and behavioral  components.  He combines existing evidence-based approaches with innovative therapeutic techniques to resolve constant throat clearing.  Dr. Sher’s services are recognized by Medicare and most commercial insurers.

Many of us throat clear occasionally.  But when throat clearing becomes constant, a physician should evaluate the underlying cause.  Very often, throat clearing starts with a physical component and then becomes behavioral.  The more you clear your throat, the more you feel you need to clear your throat.  Throat clearing can, and often does, turn into a habit.  And, constant throat clearing can drive a colleague, spouse, partner, fellow church worshiper, or theater goer CRAZY!

Such an annoying medical condition!  But throat clearing usually responds swiftly to simple, do it yourself treatment.  The most important step in treating throat clearing is accurately diagnosing the underlying cause – after all, there are many reasons why someone may feel the need to constantly clear his/her throat.  Therefore, it is critically important that the cause of throat clearing be matched with a targeted therapy.