Cough: 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?

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

‘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?

“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.

Red Tide: Unexpected Guest at Dr. Mandel Sher’s Daughter’s Wedding Weekend

Red Tide was an unexpected guest at Dr. Mandel Sher’s daughter’s wedding weekend.  Sometimes there’s no odor & no dead fish on shore.  Red Tide can be invisible and suddenly sneak-up on you when the wind conditions shift.  Dr. Mandel Sher and his daughter’s wedding guests experienced this firsthand on Friday, October 26th, 2018 as the rehearsal dinner began.  Months of planning, but Red Tide was an unexpected guest.  Gusty winds produced by passing tropical weather seemed to stir-up the Red Tide in the Gulf of Mexico along St. Pete Beach.

The Red Tide irritative Cough sound, funny feeling in chest and throat,  and burning eye sensation was almost immediate upon guests arriving at the beach location.  Dr. Mandel Sher took it upon himself to explain to affected guests that the Cough, burning throat, and irritated eyes were very likely not the result of something viral and contagious, but rather the result of Red Tide.  To folks from New York, Pennsylvania, California, and other destinations, Red Tide is a foreign phenomenon, and Dr. Sher wanted to relieve guests of undue concern.   

Generally, Red Tide produces uncomfortable, annoying, and short-lived consequences.  For persons with pre-existing respiratory conditions, such as Chronic Cough, Red Tide can have more serious consequences.

Effective remedies for Red Tide include:  avoiding affected geographic areas by remaining inside with windows and doors shut; sipping fluids; and sucking on a moisturizing throat and Cough lozenge. 

So, Dr. Mandel Sher and Mindy and Jacob’s wedding guests might now say they were treated to an authentic coastal Florida experience.  Thankfully, the wedding weekend went on to be beautiful blue skies and bright sunshine inside and out.

Dr. Mandel Sher is a Cough Specialist.  He takes care of Cough patients, leads Clinical Research Trials on Cough therapies, and is a frequent contributor to the medical community’s understanding of Chronic Cough.

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

At Center for Cough, Dr. Mandel Sher offers patients an innovative and integrated approach toward conquering Chronic Cough.  Dr. Mandel Sher’s approach is anchored in traditional medicine.  In fact, all of Dr. Mandel Sher’s services are covered by Medicare and commercial insurance.  The innovation comes from how Dr. Sher puts the pieces of the puzzle together and uses diet, voice exercises, breathing techniques, and medications to help patients achieve Cough resolution.

Many doctors take care of persons with Cough; Dr. Mandel Sher focuses on persons who are suffering with a Chronic Cough for 8 weeks or longer.  Many of these persons have seen other doctors and tried but failed cough therapies.  Dr. Mandel Sher has helped over 85 percent of patients who have been suffering with Cough for months, years, or decades achieve relief.

Emotionally Intelligent, Artificial Intelligence Tool Offers Cough Drop

Have you seen the movie, “Her,” starring Scarlett Johansson and Joaquin Phoenix?  The movie addresses a human-computer love affair.  Far fetched?  Maybe not.  Emotionally intelligent, artificial intelligence tools are being introduced into health care.  Many believe it will transform who delivers health care and how it is delivered.  Algorithms, machine-based learning, privacy, and security are words we frequently hear associated with artificial intelligence tools  in health care.

CNet, a leading reviewer of technology products, featured: “Got the sniffles? Alexa may notice someday — and offer cough drops”  The article addresses the ongoing work to make virtual assistants more emotionally intelligent and in sync with a person’s physical and mental state.  The article states that Amazon was recently awarded a patent for making  it’s virtual assistant, Alexa,  more in-tune with a person’s physical and mental state.  “In an example in the patent filing, a user tells Alexa:

“I’m hungry,” while coughing and sniffling. Determining the user may have a sore throat, Alexa asks the user if she would like a recipe for chicken soup. She declines. Alexa follows up by asking “Would you like to order cough drops with one-hour delivery?” The woman responds: “That would be awesome!” (emphasis added)”

Artificial intelligence tools in health care present many opportunities and many challenges.  In the meantime, Dr. Mandel Sher, a nationally renown Cough Expert, is the real deal, ready to help you resolve your Cough.  Dr. Sher and his patients suffering with Chronic Cough have demonstrated remarkable results through the Center for Cough’s innovative and integrated approach.  When it comes to diagnosing the underlying cause of cough in order to execute a targeted treatment plan that will be effective specifically for that cause, there is no substitute for being seen by an expert. So, ask yourself, why talk with a computer when you can talk with Dr. Mandel Sher?

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

Congratulations Dr. Mandel Sher: Internationally-Renowned Cough Experts Appointed to Clinical Advisory Board

Congratulations to Dr. Mandel Sher and four of his esteemed Cough scientific and clinical colleagues  from the United Kingdom, Ireland, and San Francisco on their appointment to a 5-person Clinical Advisory Board of BELLUS Health.  BELLUS Health recognizes this 5-person team as internationally-renowned Cough experts.  BELLUS Health is a biopharmaceuitcal company developing novel therapies for conditions with high unmet medical need including Chronic Cough.  Dr. Mandel Sher and his Cough colleagues’ role on the Clinical Advisory Board is to provide strategic guidance and support to the development of BELLUS Health’s lead drug for Chronic Cough.  Dr. Jaclyn Smith is Chair of the Clinical Advisory Board.  The first meeting was held on September 24, 2018 in London.

“We are thrilled to welcome this team of highly respected clinician leaders whose work has deeply influenced the treatment and management of chronic cough,” said Dr. Denis Garceau, Senior Vice President, Drug Development of BELLUS Health. “Their background and expertise will be invaluable to the clinical development of our lead drug candidate BLU-5937 as we prepare for a Phase 2 study, expected to be initiated in 2019. In addition to helping BELLUS Health navigate the regulatory aspects of drug development, this team of accomplished scientific and clinical experts will help guide our goal of bringing this potential best-in-class therapeutic for chronic cough to patients.”

Dr. Mandel Sher, Founder of Center for Cough: 727-393-8067.

Dr. Mandel Sher, 1 of 5, Internationally-Renown Cough Experts Appointed to Clinical Advisory Board

The Clinical Advisory Board members are:

  • Dr. Jaclyn Smith, MB, ChB, FRCP, PhD, Chair of the CAB, is a Professor of Respiratory Medicine at the University of Manchester in the United Kingdom and an Honorary Consultant at the University Hospital of South Manchester NHS Foundation Trust. She leads a multi-disciplinary research team whose focus is on understanding mechanisms underlying pathological cough and runs a regional clinical service for patients with refractory chronic cough. Dr. Smith is also the Director of the NIHR Manchester Clinical Research Facility. In collaboration with Mr. Kevin McGuinness (Clinical engineer), she has developed a novel method for automated cough detection.
  • Dr. Alan Goldsobel, MD, is a practising allergist and immunologist, a Clinical Professor of Medicine at the University of California, San Francisco and an Adjunct Clinical Professor of Pediatrics at Stanford University Medical School. He is also a Fellow of the American Academy of Allergy, Asthma & Immunology and past president of the California Society of Allergy, Asthma & Immunology. Dr. Goldsobel is co-director of the Allergy and Asthma Clinical Research Center in San Jose, CA where he has served as principal investigator for clinical trials of many of the new therapeutic agents for chronic refractory cough. He has published numerous scientific articles and book chapters in allergy and asthma and his area of interest, cough.
  • Dr. Lorcan McGarvey, MD, FRCP, is a Consultant Respiratory Physician and Professor of Respiratory Medicine at Queen’s University of Belfast, Northern Ireland. His main programme of research has focused on the clinical and scientific aspects of acute and chronic cough. Dr. McGarvey has been a core contributor to the British Thoracic Society and European Respiratory Society cough guidelines and serves on the American College of Chest Physicians Cough Guidelines Expert Committee.
  • Dr. Alyn Morice, MD, is a Professor of Respiratory Medicine, Head of Medicine, Hull York Medical School, University of Hull in the United Kingdom. He specialises in the diagnosis and treatment of cough and runs the Hull Cough Clinic, the first UK Cough Clinic which he established in 1989 and which has become the largest centre within Europe with an international pattern of referral. Professor Morice has led the European Respiratory Society and British Thoracic Society Taskforces on Cough. He also runs the Hull Respiratory Clinical Trials Unit specialising in the treatment of the airways diseases associated with cough.
  • Dr. Mandel Sher, MD, is a community-based clinician of pediatric and adult allergy, University of South Florida’s Clinical Professor and former Interim Division Chief of Allergy and Immunology of University of South Florida located at Johns Hopkins/All Children’s Hospital. With a unique sub-specialty in Refractory/ Recalcitrant/Idiopathic chronic cough, Dr. Sher established the Center for Cough in Florida in 2009, which combines existing evidence-based approaches with innovative therapeutic modalities to improve chronic cough patients’ clinical outcomes.

Chronic Cough has significant consequences for a person’s well-being and physical and mental health.  Chronic Cough can be effectively treated and resolved.

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

Dr. Mandel Sher Saved a Stranger’s Life: Know CPR

Dr. Mandel Sher saved a stranger’s life.  The importance of knowing CPR and taking appropriate action in time of emergency cannot be overstated.  It started out like a regular Thursday evening at one of Dr. Sher’s favorite dinner restaurants.  That all changed when a manager of the restaurant asked Dr. Sher to help a non-responsive person who was lying on the ground, not breathing, and had a bluish-grey skin color.  The restaurant team had already called 911 but Dr. Sher determined the patient was in imminent danger.

Dr. Sher immediately began CPR and directed use of the restaurant’s defibrillator.  The victim gasped and resumed breathing.  By the time the emergency responders arrived, the person had come-to and was transported to a nearby hospital.    Thankfully, the grateful family and person reported to Dr. Sher the next day that all was well.     

Dr. Mandel Sher saved a stranger’s life.  While Dr. Mandel Sher is a Cough Doctor by day,  he emphasizes that each one of us can learn to determine when someone is in need of CPR and learn how to administer CPR.  Knowing CPR can make the difference between life and death.  Dr. Mandel Sher is grateful that the person is well and that he was there – prepared to assist.

Dr. Mandel Sher is a Cough Specialist.  Cough is a very common medical condition.  In fact, cough is the number one reason people visit a doctor.  But some coughs linger for weeks, months, or even years.  Sometimes, in spite of really good doctors who try their very best to resolve a persistent or chronic cough that does not have an underlying medical condition, those doctors and the cough treatments they try, fail and the person continues to cough.

Very often, persons with Chronic Cough are told to “learn to live with it.”  A persistent cough that lasts for around 8 weeks or longer is a serious problem that produces debilitating consequences for the person suffering with cough and their loved ones and colleagues around them. 

Chronic Cough is treatable and can be resolved. Dr. Mandel Sher is a Cough Specialist.  He is helping patients achieve REMARKABLE results even if they have seen many other doctors and failed other cough therapies.  Dr. Mandel Sher WILL help you. 

Call Center for Cough today:  727-393-8067.

Dr. Mandel Sher is a Chronic Cough Specialist.  In addition to helping persons with Chronic Cough relieve and resolve cough, Dr. Sher also conducts clinical trials for new cough treatments with scientists, researchers, and physician colleagues around the world, and is a frequent contributor to the medical community on evolving paradigms for diagnosing and treating Chronic Cough.

Jarring Sound of Cough: Lesson Learned from Dr. Mandel Sher’s Granddaughter

Have you ever heard the expression, “Out of the mouths of babes”?  Children are generally truth-tellers.  Dr. Mandel Sher keenly observed how his 11-month old granddaughter, Mia,  consistently responded to the sound of C-O-U-G-H during a recent family vacation.

The sudden, unexpected sound of COUGH shatters the sound of silence.  The sound of COUGH is startling – just watch a baby literally “jump” in your arms and cry in response to the agitating and loud sound of COUGH.  The sound of COUGH is alarming and frightening. 

Contact Dr. Mandel Sher, Cough Specialist: 727-393-8067.

Dr. Mandel Sher’s Granddaughter Responds to Unexpected, Loud, Agitating Sound of Cough

Dr. Mandel Sher’s children invited Mia’s four grandparents to join them for a family vacation in Colorado.  All the family stayed together under one roof.  Shimmering aspen trees, babbling brooks and streams, and snow-capped mountains formed a beautiful and serene backdrop for this awesome time.  That is until early each morning and after meals when the quiet would be shattered by Mia’s maternal grandpa’s Coughing fits.    Mia’s face would scrunch-up and then she would cry.

Dr. Mandel Sher treats many Cough patients who report being referred by a family member because they just can’t stand the grating sound of Cough anymore. 

Chronic Cough and/or constant throat-clearing is debilitating for the person suffering & annoying for those around.  You have a lot to say.  Don’t let Cough drown-out your message. Don’t let Cough interrupt a bedtime story.

Contact Dr. Mandel Sher for a Cough Solution:  727-393-8067. Dr. Sher is working with global Cough doctors, scientists, and researchers to evaluate effective Cough therapies.  Dr. Mandel Sher is a frequent contributor to the medical community’s body of knowledge around Chronic Cough by presenting evolving paradigms for Cough treatment at professional societies.

Dr. Mandel Sher and Center for Cough team are helping patients to achieve REMARKABLE COUGH RELIEF and RESOLUTION – including those patients who have been Coughing for years, seen other doctors, and tried but failed other Cough therapies. 

If you have a persistent Cough that’s been lingering for 8 weeks or longer, contact Dr. Mandel Sher now.  Get your Cough treatment right from the start:  727-393-8067.

Cough Patient Success Stories: Power of Dr. Mandel Sher’s Online Reviews

Cough Patient Success Stories matter! There’s nothing more satisfying to Dr. Mandel Sher and Center for Cough team than knowing they have given back life to a person who has been suffering with the debilitating consequences of Chronic Cough.   Cough Patient Success stories under Dr. Mandel Sher’s care, and the importance of online reviews, cannot be over-stated.  Here’s feedback from a grateful Cough patient who believes Dr. Mandel Sher “saved her life”:

“I am an RN of 25 years and have had a cough for my entire life. For 3 years it was severe. I went to countless specialists & had every test available, all offering ZERO answers. I was on 12 prescription meds with ZERO improvement. Dr. Sher has saved my life! I no longer need a laundry list of meds or to spend every day off in a doctor’s office. I finally have a normal life without a hacking cough, exhaustion, embarrassment & constant disruption to everyone around me. Everyone there is great!”

 (Denise S. of Fort Myers area in Lee County who drove 2.5 hours each way to see Dr. Sher)

Patient Success stories are heartwarming.  Patient  Success stories that are shared in online reviews are important for Chronic Cough advocacy and facilitate Dr. Sher’s tireless efforts for more effective Cough treatments.  Popular review sites: Google, Center for Cough facebook page, healthgrades, vital:  Here’s how an online review helps:

  • Raises awareness about Chronic Cough as a specific & distinct medical condition
  • Gives hope to frustrated people who are suffering with Chronic Cough
  • Leads people seeking effective tried & true Cough treatment to Dr. Mandel Sher

Thank You to those who have shared a Cough Patient Success story with Dr. Mandel Sher and Center for Cough team.  Please consider sharing your Cough Success story with Dr. Mandel Sher in an online review. 

Contact Dr. Mandel Sher to Resolve Your Chronic Cough Once & For All: 727-393-8067.