Urine Leakage and Persistent Cough: Double Whammy Embarrassment

Women and Men with Chronic Cough May Occasionally Experience Urine Leakage

Urine leakage and Persistent Cough…Sometimes, for some people with Chronic Cough, they go hand-in-hand.  As if feeling embarrassed by your Chronic Cough isn’t enough, you may occasionally leak urine when you Cough.  Urine leakage may be happening because Chronic Cough is a pressure increasing activity that may tax your pelvic muscles and urinary sphincter.  You may be more likely to leak urine when you Cough if your bladder is full.  This form of urinary incontinence is called “stress incontinence.”  Women leak urine when they Cough more often than men, but it does affect both men and women.

Dr. Mandel Sher addresses management of urine leakage when it is associated with Persistent Cough.  It is part of a comprehensive assessment and treatment plan for Chronic Cough.

Dr. Mandel Sher is a nationally renown Cough Specialist.  In addition to caring for adults with an unexplained cough that won’t go away, Dr. Sher leads clinical research studies evaluating potential new Cough drugs, and is a frequent contributor to advancing the medical, scientific and research communities understanding and treatment of Chronic Cough.  Dr. Mandel Sher’s and Center for Cough’s care and services are evidence -based medicine blended with the innovative approach that comes from Dr. Sher being on the cutting-edge of groundbreaking Cough treatment.

Dr. Sher’s Chronic Cough patients are achieving remarkable real and sustainable results!  Over 8 out of 10 Persistent Cough patients at Dr. Sher’s Center for Cough, demonstrate a measurable decrease in Cough frequency and report an overall improvement in quality of life – even when they have seen other doctors and failed other Cough therapies.

Contact:  Dr. Mandel Sher and Center for Cough:  727-393-8067. www.centerforcough



Decluttering Hurricane Style: What I Learned About Myself During Hurricane Irma

First and most importantly, I hope Dr. Mandel Sher and Center for Cough team’s patients and families throughout Florida and Georgia came through Hurricane Irma relatively unscathed.  (Center for Cough’s practice location is experiencing a temporary power outage.  In the meantime, Dr. Sher is available 24/7.  Please call:  1-877-381-1131 and the after-hours answering service will connect you with Dr. Sher.)  Thank You to all the people and professionals who demonstrate acts of loving kindness and responsiveness to lighten the load of others.  I am a Center for Cough team member who learned a lot about myself during Hurricane Irma and am grateful for the lesson learned.  “Declutter Your Home, Declutter Your Life,” a currently popular mantra and activity, was actualized during my hurricane preparation and evacuation.  Until Hurricane Irma, weeding through “stuff” into the “yes” and “no” piles was a weekend recreational activity.  Decluttering hurricane style clarified what is the “stuff” that must stay.

4:24 AM Saturday a text message announced Tampa Bay was Irma’s direct hit target.  Our extended family decided to evacuate – NOW.  No time to think.  No time to take “stuff.”  Like others in history, often for different reasons, who have fled their homes in darkness with the hope of finding safe haven, we left.  My great grandparents’ candlesticks and photo albums – the treasures I had always imagined I would grab during emergency planning – left.  My husband, our dog, me, medications, food and drink for the road, cell phones and chargers, and a change of clothes and shoes – that was it.  We kissed our doorpost goodbye and left.  Now here’s what I learned about myself:

I didn’t look back.  I didn’t have a fleeting thought of “I should have…” All of my prayers were focused on the safety and well being of our family, friends, and community.  Our “stuff”is the color of the life we have built, but it’s all dispensable.  Decluttering hurricane style demonstrated that even “stuff” that brings joy and gives meaning can be left behind.  The memories are ours forever.

So grateful.  So much wiser.  A loved-one’s hand in yours and a furry friend lying his head on your lap – those are the treasures that are the cornerstones of our lives.  Now this wisdom is ours too.  Decluttering like your life may depend on it – we will be sharing much of our “stuff” with others who really need it.  I know now we can live without it.

We all go forward – together.


The Importance of CONTINUITY: People with Chronic Cough and Other Chronic Medical Conditions Require Special Preparation Before, During & After a Hurricane

People with Chronic Cough & Chronic Medical Conditions Require Special Hurricane Preparedness

Right on the heels of Hurricane Harvey, our State of Florida is in harm’s way from Hurricane Irma.  While Irma’s path  is unknown at this writing, many Floridians and specifically, many of Dr. Mandel Sher’s Chronic Cough patients on the Gulf Coast of Florida, East Coast of Florida, throughout the State of Florida and Southeast region of the United States will be affected.  So, we hope for the best and prepare for the worst.

The Importance of Continuity: People with Chronic Cough and other Chronic Medical Conditions Require Special Preparation Before, During & After a Hurricane. 

People with Persistent Cough often have more than one Chronic Medical Condition.  For example, Asthma is a Chronic Respiratory Condition that acts as an irritant and triggers Chronic Cough.  It is vitally important to the health and welfare of people with Chronic Medical Conditions to be vigilant before, during, and after a hurricane, especially about medications.

Please abide by the universal preparedness guidelines for a hurricane.  In addition, if you or someone you love has a Chronic Medical Condition, then please consider the following  tips to optimize Continuity during a disaster:  People with Chronic Cough and other Chronic Medical Conditions Require Special Preparation Before, During & After a Hurricane:  

  • Medication Continuity & Supply: Interruption of medication regimens before, during, and after a storm was the single largest contributor to acute illnesses and Emergency Room visits during Hurricanes Katrina and Sandy.  Medication supply and/or your access to a pharmacy for medication refills may be limited before, during and after a hurricane.  Be sure to have enough medication on-hand to last the entire storm period including the aftermath and cleanup.
  • Early Evacuation: Community evacuation shelters can be particularly hard for older people or people chronic medical conditions.  Sleep conditions, food and water, and personal hygiene may be compromised.  Infections may be spread.  If evacuation is anticipated, please consider evacuating early to a safe destination to avoid the trauma associated with moving to and living in a shelter.
  • Medication Knowledge: Keep a list of your medications with you.  If your physician or hospital is inaccessible during and after a disaster, you may not have access to your medical record.
  • Expectations for Your Chronic Cough: Hurricanes may introduce or exaggerate environmental irritants that stimulate Cough frequency and intensity.  Be aware of increased dryness, throat tickle and urge to cough.
  • Minimize DisasterRelated Stress: Stress exacerbates underlying bodily functions which in turn increases the severity of the Chronic Medical Condition.  For example, consider the adverse impact of stress on blood pressure and hypertension.  Hurricanes can be traumatic and disaster-related stress is a likely consequence.  So, while it may not be possible to avoid, try to minimize.
  • Adopt an Attitude of Gratitude and Be Kind to One Another: After all, it can always be worse.

Dear Center for Cough patients and fellow Floridians, stay safe.  Here’s to you and yours good health and welfare.  Dr. Mandel Sher and Center for Cough team:  727-393-8067.

To Our Persistent Cough Patients from Texas and Louisiana: An Open Letter

Dr. Mandel Sher’s Chronic Cough Patients from Texas and Louisiana

To  Dr. Mandel Sher’s Cough Patients from Texas and Louisiana:  An Open Letter

The devastation is hard for us to imagine.  The immediate and longer-term toll on life, health, property, economy and so much more pose what may now seem like insurmountable challenges.  But based on the determination and perseverance demonstrated by Dr. Mandel Sher’s Cough patients who travel from Texas and Louisiana for his Cough expertise, we are optimistic that relief and recovery lie ahead.    We understand that travel plans for Cough patients who normally travel from Texas or Louisiana to see Dr. Mandel Sher may temporarily be interrupted.   So, the purpose of this open letter to Center for Cough’s Cough patients from Texas and Louisiana is to reach-out and express our concern, support, and gratitude for you and all those professional and civilian responders who are helping you and yours.

Dr. Mandel Sher and Center for Cough understand that our Cough patients from Texas and Louisiana may experience an exacerbation of their Chronic Cough due to Cough irritants.  In addition, Texans who were not suffering with Chronic Cough before Harvey’s flooding and standing water may now find themselves with a persistent cough triggered by environmental irritants.

Allergies and Asthma, are Cough irritants that may be stimulated from mold and environmental factors associated with Hurricane Harvey.   Even people who have not had Chronic Cough before Hurricane Harvey may find that they are “hard-wired” to cough and recently introduced or exaggerated environmental irritants may trigger cough. 

Here are some of the health affects Dr. Mandel Sher’s Cough patients from Texas and Louisiana might anticipate:

  • Increased Cough Frequency and Intensity: One of the potential consequences of flooding and standing water is mold.  Mold can trigger allergies and/or asthma.  And, allergies and/or asthma can trigger Chronic Cough.
  • Stomach Distress: Our Cough patients who experience a dry persistent cough are advised to sip, sip, sip water to stay hydrated and lubricated.  Another potential consequence of flooding and standing water is contamination of a water source.  And, contaminated water source can result in stomach distress.
  • Mosquito Borne Illnesses: Standing water is a breeding ground for mosquitoes.  At best, mosquitoes are pesky annoyances.  At worst, mosquito borne illnesses such as West Nile virus and Zika can result in health effects.
  • Stress, Anxiety and/or Depression: Hurricane Harvey and its impact are traumatic.  The mental health challenges affect everyone – those people with existing stress, anxiety and/or depression conditions as well as give rise to new conditions.

Thank You to the people of Texas and Louisiana for demonstrating determination, resiliency, and kindness to one another while weathering this storm.  Dr. Mandel Sher’s and Center for Cough team’s hearts and thoughts are with you.  727-393-8067.

Throat Tickle and Urge to Throat Clear: Throat Clearing is a Form of Cough


Chronically Clearing Your Throat Because It Feels Like There’s Something There…

Are you constantly throat clearing to get rid of the tickle and urge to clear your throat?  Throat Clearing is a form of Persistent Cough.

Throat Clearing leads to more Throat Clearing just as Chronic Cough begets more cough.  Break the cycle!  Learn how to quiet the tickle and fight the urge.  Dr. Mandel Sher offers comprehensive treatment and real, sustainable, and remarkable results:  727-393-8067

Both Chronic Cough and Constant Throat Clearing are symptoms of underlying medical condition(s), and often the only symptom present. People who experience Chronic Throat Clearing, like Persistent Cough, report an urge to get rid of a feeling like there’s something stuck in the back of their throat.  But when they give-into the urge and throat clear or cough, rarely is there anything there.   And, both share similar anatomical, personal and professional consequences including irritated vocal cords, embarrassment for the throat clearer, and annoyance for the people hearing this repetitive and grating sound.

Dr. Mandel Sher is a national leader in relieving Chronic Cough:  727-393-8067.  His approach is rooted in state-of-the-art, evidence-based medicine blended with cutting-edge innovation derived from Center for Cough’s clinical research and Dr. Sher’s contributions to continuing physician education. 

Each consultation results in a comprehensive, integrated, and rapid response treatment plan that is compatible with each person’s unique circumstances.  The results are REMARKABLE!  Motivation is a key ingredient to success.  In some cases, a family member, friend, or colleague is the one who schedules an appointment with Dr. Sher and accompanies the patient to the appointment. 

We all clear our throats from time-to-time to get rid of a feeling of fullness, but like cough, it irritates the vocal cords and perpetuates the cycle.  Irritated vocal cords cause us to notice otherwise routine and unnoticeable functions such as swallowing the mucous our bodies naturally make daily.  The more we notice this sensation, the more we have an urge to throat clear or cough, and the more we do, the more we have to.

Chronic Throat Clearing, like Chronic Cough, often begins with an upper respiratory infection, allergies, acid or non-acid reflux, and/or medication.  But the habit of throat clearing or coughing continues long after the initial event.  Treatment of Chronic Throat Clearing, like Persistent Cough, may include behavioral and voice therapy components to break the cycle.

You have so much to contribute and say.  Don’t let Chronic Throat Clearing and Coughing be a distraction.  Crack the Chronic Throat Clearing and Coughing Puzzle and achieve real and sustainable relief.  Contact Dr. Mandel Sher and Center for Cough team:  727-393-8067. www.centerforcough.com





Our Nation Needs You: The Importance of Clinical Trials

Dr. Mandel Sher is a leading clinical investigator for Chronic Cough

Our Nation Needs You… to Volunteer…  Remember this image of  Uncle Sam aiming his pointer finger at the viewer with the slogan “We Need You?”  Imagine replacing Uncle Sam with the Director of the National Institutes of Health speaking about the importance of volunteering for clinical trials.  We Need You!  Clinical trials can move scientific discoveries from the lab to the patient bedside.  Our nation needs more Americans to volunteer in clinical trials to continue to make medical advances.  Our Nation Needs You to Volunteer!

Dr. Mandel Sher is a leading investigator of Chronic Cough clinical trials.  Dr. Sher works with global researchers, scientists, and physicians to evaluate Chronic Cough medications.  Contact Nurse Amy:  727-210-3259 ,to join Center for Cough’s open Cough studies currently enrolling adults who are Coughing for 1 year or longer.    

Participation in clinical research may have longer-term and short-term benefits.  According to Francis S. Collins, M.D., Ph.D. Director of the National Institutes of Health:

“We need to spread the word about the value of participating in clinical trials.  Signing up for a clinical trial may indeed benefit medical research and help future generations.  But it is not strictly an altruistic endeavor.  In many instances, trial participants do gain personal advantages, such as, improved disease outcomes or better health.  (emphasis added) And we should not be shy about telling that story.”  https://www.nih.gov/sites/default/files/about-nih/nih-director/articles/collins/importance-of-clinical-trials.pdf

Sometimes, people do not enroll simply because they do not know about the availability and potential benefits of clinical trials.  Dr. Mandel Sher and Center for Cough team want you to know.

Please contact Center for Cough’s dedicated Research Nurse Coordinator, Nurse Amy, at:  727-210-3259.  Learn how you can join our efforts to advance the treatment of Chronic Cough.


Dr Sher treats patients from Georgia, Alabama, Mississippi, Louisiana and across the USA

Calling All Coughers! Dr. Sher is Looking For Participants to Help Evaluate a New Cough Drug

Dr Sher treats patients from Georgia, Alabama, Mississippi, Louisiana and across the USA

Dr.Sher and Center for Cough are currently enrolling patients in Cough studies.

Calling All Coughers!  Dr. Sher is Looking For Participants to Help Evaluate a New Cough Drug.  Please call 727-210-3259 to Speak with Nurse Amy Directly and Join Our Effort: 727-210-3259

Dr. Mandel Sher is a leading investigator of new cough medications.  Dr. Sher advises national and global scientists and researchers developing new cough drugs.  Center for Cough has been conducting national and global pharmaceutical trials since 2009.

Center for Cough conducts clinical research studies as part of the process of FDA approval for new Chronic Cough treatment options. These studies are sponsored by pharmaceutical companies and give patients who qualify, and volunteer to participate in these studies, access to the most current treatment options before they become available to the general public.  Here is some general information about the current  Cough studies at Center for Cough:

  • Women and men over 18 years of age with Chronic Cough are eligible to participate
  • Health insurance is NOT necessary to participate
  • Study medications, labs, examinations, and other medical tests are provided at no cost to eligible patients
  • Participation in research studies is always voluntary
  • Volunteers are carefully selected based on meeting specific criteria

Center for Cough’s full-time Clinical Research Nurse Coordinator, Amy, is the primary contact for research volunteers.  Amy has over 35 years of experience in patient care, most helping patients with respiratory disorders.

Dr. Sher and Center for Cough team appreciates the contribution to Chronic Cough treatment being made by research study volunteers.  Chronic Cough in the United States is an under-diagnosed, under-treated, and under-appreciated medical condition.  Approximately 12% of the population suffers personal, social, and professional consequences from this embarrassing, annoying and worrisome condition. 

Dr. Mandel Sher WILL help you relieve the frequency and intensity of your Cough.  Contact Dr. Sher and Take Back Your Life:  727-393-8067.


Kids and Cough: Dr. Mandel Sher Cough Expert at FDA

Nearly 100 Americans die every day from an opioid overdose including children, according to the Center for Disease Control.  Drug treatment for kids and cough has come under increasing scrutiny due to opioids in some medications.

One internationally known Tampa Bay area Cough Specialist, Dr. Mandel Sher, is doing his part to increase the safety of treating kids and cough and stem the tide of cough medicine-related opioid deaths.  Dr. Mandel Sher, Cough Expert and Founder of the Center for Cough in Largo, focuses on comprehensive cough treatment and leads the investigation of novel, safe medicines. 

Dr. Mandel Sher represented the American Academy of Allergy, Asthma & Immunology at FDA Roundtable of Experts on Kids and Cough

Dr. Sher represented the American Academy of Allergy, Asthma & Immunology at a roundtable meeting of experts convened by the FDA Center for Drug Evaluation and Research on the use of cough suppressants in children, particularly opioid-containing antitussives. 

Dr. Sher says, “At the present, there is no safe and effective cough medicine for both children and adults.” 

As a result of input by Dr. Sher and his colleagues, the FDA has restricted the use of codeine and tramadol medicines in children.

Codeine is approved to treat pain and cough, and tramadol is approved for pain. These medicines, however, have been shown to carry serious risks, including slowed or difficult breathing and death, which appear to be a greater risk in children younger than 12 years. Codeine and tramadol should also be limited in some older children, according to the FDA. Codeine and tramadol are both opioids.

Dr. Sher is the only dedicated cough doctor in the Southeast, a leading clinical investigator of new cough drugs, and an educator among his peers.  After 25 years of diagnosing and effectively treating patients with chronic cough in Sher Allergy Specialists, Dr. Sher founded the Center for Cough in 2009.  He offers patients a comprehensive approach to cough diagnosis and cough treatment.

Dr. Sher is a frequent contributor at national professional society meetings.  So far in 2017, Dr. Sher has presented at the American College of Allergy, Asthma & Immunology and the American Academy of Allergy, Asthma & Immunology.  Dr. Sher has also contributed to the evolving body of knowledge on cough by being a co-author on a paper reporting clinical research findings of a promising new non-narcotic cough drug that was presented at the American Thoracic Society International Meeting in Washington, D.C. last month.




The Cough Whisperer: Dr. Mandel Sher

The Cough Whisperer” an honorary title bestowed upon Dr. Mandel Sher by a Cough patient whose Cough is GONE..Read below:

“I had a persistent cough that would not go away. After seeing Dr. Sher, he correctly diagnosed the problem and with his guidance on diet, exercise therapy and medicine the cough is gone. I had a cough lingering for almost 7 months and Dr. Sher, quickly got the problem solved. I would call him the “Cough Whisperer” His staff was friendly and effective and thorough. I would highly recommend Dr. Sher.”

What does it mean to be “The Cough Whisperer?”  A “whisperer” generally refers to someone who has a natural or unusually effective way of communicating and interacting with someone or something to achieve desired results. And so it is with Dr. Sher and people suffering with Chronic Cough.

Dr. Mandel Sher as “The Cough Whisperer” has a remarkably effective approach to relieving people of Chronic Cough – even when those people have seen other physicians and tried but failed other cough therapies.  

Dr. Sher’s stunning effectiveness is rooted in things that come to him naturally and other that he has and continues to work tirelessly for:

  • Empathy, Confidence, Optimism and Determination:  Dr. Mandel Sher and the Center For Cough team understand the adverse impact Chronic Cough has on Quality of Life.  Anxiety, Frustration, Embarrassment,  and Needless Worry Be Gone!  Dr. Mandel Sher Never Gives Up.
  • Specialty Training in Chronic Medical Conditions at the World’s Leading Academic Medical Centers including Northwestern, Duke, Harvard, and the University of Michigan
  • Expertise in Respiratory and Throat Triggers That Result in Cough
  • Scientific and Clinical Research Collaboration with Global Cough Leaders on Promising New Cough Drugs
  • Lifelong Learning and Teaching to Other Physicians

Thank You to Dr. Sher’s patient for so generously bestowing “The Cough Whisperer” honorary title upon him.  Nothing is more satisfying to Dr. Sher and the Center For Cough team than knowing they have made a meaningful difference in improving patients’ health and quality of life.

A Cough that Does Not Go Away is Not Normal.  Don’t Learn to Live With It.  Contact Dr. Mandel Sher at Center for Cough:  727-393-8067.  www.centerforcough.com


Wait, Wait, Hurry Up!: Coughing for Years and Now Want an Appointment Yesterday…

“Wait, Wait, Hurry Up!”

That’s a familiar sentiment this Center For Cough New Patient Coordinator often hears from callers and prospective patients.  People who state they’ve been coughing for months or years without relief, call Center For Cough and suddenly want an appointment to see Dr. Mandel Sher yesterday.  What’s up with that sense of urgency?  Well, I get it…

Sometimes, people with Chronic Cough are STUCK. 

They are stuck believing that because they have seen other doctors and tried other cough treatments that have failed, they have to learn to live with Chronic Cough.  Then, they learn about Dr. Mandel Sher and the REMARKABLE SUCCESSES of Center For Cough patients, and these same people GET UNSTUCK.  They are MOTIVATED.  They have finally DECIDED TO TAKE ACTION TO FINALLY ACHIEVE REAL, EFFECTIVE, AND LASTING COUGH RELIEF.    “Wait, Wait, Hurry Up!…”

Wait, Wait, Hurry Up! I’d Like an Appointment with Dr. Mandel Sher YESTERDAY!

“I Can’t Stand It Anymore”

“I’m Worn-Out”

“I’m Tired of Sitting Home Alone Because Everyone Thinks I’m Sick”

“I Feel So Embarrassed.  My Coughing Episodes Interrupt the Silence”

I’m Frustrated.  I Used to Love Singing and Now I can Barely Talk Without Coughing”

Dr. Sher and Center For Cough understand this wait, wait, hurry up sentiment. They understand that people who have been looking for a real and lasting cough solution can almost taste it now that they have found Center For Cough.

After many conversations with people who have been coughing for a long time, I now understand that people often procrastinate because of anxiety – that something really serious may be wrong – and because of past cough treatments and failures.

Don’t Wait!  Be Evaluated by Dr. Mandel Sher and FINALLY Understand the Cause(s) of YOUR Cough and Begin the Short Road to Cough Relief and Success!    After all, why put-off feeling good and living life to the fullest one more day?

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