Recently Recognized Neurogenic Cough

Neurogenic Cough is a recently recognized type of cough. This new way of thinking has implications for cough diagnosis, cough therapy, and cough resolution. Neurogenic Cough describes people who are hard-wired and hot-wired to cough.  Different triggers contribute to cough, but renowned Center for Cough expert Dr. Mandel Sher observes that hypersensitive throat nerve endings are often the primary source of cough. Cough may be the symptom of inflamed throat nerve endings.  If a person is set-up to cough, then triggers may produce just enough irritation to produce explosive cough.  For instance,  talking, viral and post-viral infections, allergies, laryngeal reflux, gastrointestinal reflux, and more, may flip the switch on inflamed throat nerves.

Dr. Mandel Sher and his cough doctor colleagues refer to this as “neurogenic cough” or cough hypersensitivity syndrome. There are different categories and sources of cough.  Find out from a cough doctor if your cough originates from neurogenic cough and be sure that the cough therapy is accurately matched to the cause for best results. See Dr. Sher and the Center for Cough doctors before wasting time and money or risking side effects of other cough therapy. Call today for an appointment to finally control your cough: 727-393-8067. Telehealth and in-person appointments are available.

Cough, Scratchy Throat, Headache

Headache, Cough, Scratchy Throat: Allergies or COVID

COVID-cough, allergic-cough, asthma-cough, chronic cough, sometimes it is hard to know what’s what. Atlanta Mayor Keisha Lance Bottoms and members of her family have tested positive for COVID-19. Cough, scratchy throat, headaches and other common COVID symptoms are also seasonal allergy symptoms. Mayor Bottoms and some of her family have seasonal allergies and therefore thought the symptoms were allergy related. “I felt like I have seasonal allergies: Scratchy throat, headache, and all the things that come with allergies. My husband was sleeping a lot. He has allergies too so I thought it was his allergies too.” (Mayor Bottoms)

Covid-cough can be present during active virus, linger long after the virus is gone, and then become Chronic Cough. A Chronic Cough should not become part of your new normal. Advanced diagnostic approach and comprehensive, evidence based cough treatment approach distinguish Dr. Mandel Sher as one of the nation’s foremost cough experts and Center for Cough as a leading clinical research site for novel cough therapies. Dr. Mandel Sher will help resolve Chronic Cough, in fact, over 85% of patients diagnosed and treated at Center for Cough demonstrate measurable relief and report a vast improvement in the quality of their daily lives.

Call Center for Cough for a cough evaluation and treatment today! 727-393-8067.

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. www.centerforcough.com

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: https://www.statnews.com/2019/04/17/how-one-company-thinks-unraveling-cough-can-provide-a-new-way-to-treat-pain/

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

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. www.centerforcough.com.Many 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. www.centerforcough.com

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!