Happy Holidays!

Happening NOW: Seems Like Everyone in Tampa Bay Area is Sick

Seems Everyone in Tampa Bay is Sick: Is it Allergies, Cold, or Cough?

Seems like everyone in Tampa Bay area is sick now.  Cold, Flu, Cough – oh no!  According to an app,”Sickweather,” there is lots of respiratory illness in Tampa Bay area now.   “Sickweather” tracks illnesses, compares symptoms, and sees which viruses are going around in an area.  According to the developers of Sickweather, “Just as Doppler radar scans the skies for indicators of bad weather, Sickweather scans social networks for indicators of illness, allowing you to check for the chance of sickness as easily as you can check for the chance of rain.”

But maybe you’re not sick.  Maybe your symptoms are related to a Chronic condition.  Chronic and Acute Conditions (like cold and flu virus) can have similar symptoms, but they have different causes and need different treatment to be effective.  Don’t let a Cough or Runny Nose ruin another holiday season.  Find out what’s causing your symptoms.  

Know What Condition You Have Before You Begin Treating.  Self-Medicating May be Mismatched for Your Ailment Resulting in Prolonged Illness, Medication Side Effects, and Wasted Money. 

Dr. Mandel Sher knows the difference.  Contact Dr. Sher:   727-393-8067. www.centerforcough.com.

How do you know if you have a cold, flu, allergies, or cough?  Knowing what you have is the first step toward effective treatment and a solution.  There are three factors that help differentiate which ailment you may be suffering from:

  1. Sudden or gradual onset
  2. Fever
  3. Body aches

Cold and allergies may have similar symptoms such as runny nose and watery eyes, but a cold is caused by a family of viruses while allergies are associated with the immune system.  Cold symptoms may be able to be managed, but the underlying Cold virus generally resolves effectively only with time.  Unlike a Cold, Allergies do not generally cause body aches or fever and may persist a while or follow a pattern.  Your Allergist can advise you on medications that will relieve the discomfort associated with allergies.  Flu is generally characterized by sudden onset, high fever, and body aches.  Similar to Colds, Flu is caused by virus and while supportive therapy helps relieve Flu symptoms, time is the best determination of resolution.

Cough associated with Cold or Flu is generally acute.  But an acute cough can become a Cough that lasts for eight weeks or longer, also known as a Chronic Cough.  Chronic Cough can be triggered by many respiratory and other factors such as: virus, residual post nasal drip, allergies, reflux, medications, and more.  But Chronic Cough is generally caused by hypersensitive nerve endings at the back of the throat that are easily irritated by triggers and produce Cough.  You may be Hard-Wired and Hot-Wired to Cough.  And Cough begets more Cough…

Dr. Mandel Sher will offer a solution for both the trigger(s) and cause of your Chronic Cough.  Chronic Cough is different than acute cough associated with virus and requires a different approach to treatment.  Contact Dr. Mandel Sher Today at Center for Cough:  727-393-8067. www.centerforcough.com


Stop Throat Tickle, Reduce Urge to Cough, and Relieve Cough

Stop Throat Tickle, Reduce Urge to Cough, and Relieve Cough

Our friends “across the pond” published a simple to understand article on Chronic Cough.  The article emphasizes the important role of Throat Tickle and Urge to Cough in producing Cough.   It also includes helpful hints on Chronic Cough’s  management especially during the winter months.  Righto! (Learn more by clicking on link at bottom of page.)

The article supports Dr. Mandel Sher‘s mantra:  “Stop Throat Tickle, Reduce Urge to Cough, and Relieve Cough.”  Dr. Mandel Sher and Center for Cough team work with Cough patients to recognize the early warning signs of Throat Tickle and Urge to Cough, nip it in the bud, and avoid or minimize a Cough episode.  Call Center for Cough to learn how Dr. Sher WILL help you do the same:  727-393-8067. 

A tickly cough produces no mucus and can be difficult to shake.”

Sometimes, Cough is productive.  It is a defense mechanism that prevents foreign objects from entering the airway.  Cough can also be productive when Cough is associated with a cold or flu and mucus has to be coughed-up.

Chronic Cough is often associated with Throat Tickle and Urge to Cough.  Stop the Tickle, Reduce the Urge, and Relieve Cough.

Dry, nagging Cough that persists for a long time generally has no purpose, but it does have consequences:  Social isolation, Fatigue, Depression and Anxiety, Urinary Incontinence, Hoarseness, Disrupted Personal and Professional Relationships and more.  Chronic Cough is an Overarching Mood Buster! But, it Doesn’t Have to Be That Way.

The triggers that contribute to stimulating or exaggerating the tickle and cough response include:  dust, allergies, air pollution, smoke, and cold air.  Here are some DIY tips on managing the Throat Tickle and Urge to Cough:

  • Silence is Golden:  A Tickly Cough stresses your throat and vocal chords.  So, give it a rest!  Minimize talking.
  • Scarf to Look Good and Cough Less:  Cover Your Mouth with a Scarf to warm-up the air you breathe.   Breathing warm air reduces your Urge to Cough.
  • Herbal Tea:  Lubricates and soothes a dry throat.
  • Gargle:  Warm water reduces throat inflammation and Urge to Cough.
  • Hydrate:  Sip, sip, sip…Don’t let your throat become dry.  A lubricated throat reduces throat itch and reduces Throat Tickle and the Urge to Cough.
  • Sweeten Tea:  Sweetening your tea with honey coats your throat, reduces throat irritation, and relieves Cough.
  • Lozenges:  Treat your throat to hard, sweet, and lubricating lozenges.

Contact Dr. Mandel Sher WILL Help You Relieve Your Cough:  727-393-8067.  www.centerforcough.com.  #stopticklereduceurgerelievecough


Cough Lessons Learned: Thanksgiving’s Tasty Temptations are Tomorrow’s Cough

Ahhh…Thanksgiving was so nice.  You feel fine, but are Coughing.  You are prone to heartburn and maybe occasionally have some reflux.  Now you feel a Tickle in the Back of Your Throat, have an Urge to Cough, and are producing a Dry, Hacking Cough.  Why did Thanksgiving’s tasty temptations turn-into this week’s Chronic Cough?

Family traditions often involve lots of food, drink, and lively conversation around the table.  All the yummy gastronomic temptations and energetic catch-up with family and friends can distract us from realizing how much and how quickly we’re shoveling goodies into our mouths.  And now, that wonderful holiday meal and gathering that went down so nicely has triggered a nagging, dry Cough.  With Thanksgiving 2017 behind us, and the winter holidays  around the corner, what are the lessons learned for your Cough and managing temptations during celebrations?

WHAT you eat and drink.  HOW MUCH you eat and drink.  HOW QUICKLY you eat and drink.  WHAT you WEAR.  ACTIVITY after the meal…  ALL May Trigger REFLUX. 

REFLUX may TRIGGER Chronic Cough – But There May Also be an Underlying CAUSE.   Dr. Mandel Sher Relieves Persistent Cough by Treating Trigger(s) and Cause.  Call Dr. Sher Today:  727-393-8067. www.centerforcough.com.  Read what Center for Cough’s patients have to say in Patient Success stories. 

Lesson learned from Thanksgiving:  Be MINDFUL about food choices, portion control, pace, clothing, and activity:

  • Rich foods, fatty foods, spicy foods, caffeine, and alcohol are Reflux triggers;
  • Portion control really matters for your waistline and your Cough;
  • Slow Down!  Eating and drinking too much too quickly begets over indulging
  • Tight, fitted clothing is uncomfortable and can be a reflux trigger; and
  • Lying-down on the couch to enjoy the football game on t.v. promotes the acid from your stomach to flow up-into your throat and produce Cough.

Dr. Mandel Sher is a Cough Specialist.  He and the Center for Cough team are helping people suffering with Chronic Cough to achieve Remarkable  and Sustainable Cough Relief and Overall Improvement in Quality of Daily Life. 

Call us today to see how we will help you:  727-393-8067.  www.centerforcough.com.

The Villages: Chronic Cough Can Get In The Way of Active Lifestyle

A day in the life of a person suffering with Chronic Cough in The Villages – “Florida’s Friendliest Hometown.”  It can be frustrating!  The Villages is a premier active adult 55+ community in beautiful Sumter County.  Fun, Full, and Fabulous describes life at The Villages:  Recreation, Entertainment, Shopping and Dining, Social Club, Health and Fitness and so many more wonderful lifestyle opportunities.

Chronic Cough Can Get In the Way of Fully Enjoying Life at The Villages.

Dr. Mandel Sher, one of the nation’s leading Chronic Cough specialists and the only dedicated Chronic Cough specialist in the Southeast, is an easy 90-minute highway drive, from The Villages.  Dr. Sher and the Center for Cough team have the pleasure of knowing and treating residents of The Villages  who suffer with a Chronic Cough.  In fact, several of Dr. Sher’s Cough patients from The Villages are participating in the Clinical Research studies for new Cough drugs that Dr. Sher and his team are leading.

Life is so full and enjoyable at The Villages.  Dr. Mandel Sher’s Cough patients realize that Fun and Fulfilling Social Engagement Opportunities are a Terrible Thing to Waste Due to a Persistent Cough.

Dr. Sher WILL Resolve Your Chronic Cough.  You Should Not Settle for Learning  to Live With Persistent Cough.  Dr. Sher’s Cough Patients are Achieving REMARKABLE RESULTS: Over 8 out of 10 patients demonstrate a MEASURABLE Decrease in Cough Frequency and Intensity and report an OVERALL VAST IMPROVEMENT IN THE QUALITY OF DAILY LIFE.

Residents of The Villages with Chronic Cough are motivated to see Dr. Mandel Sher because their Persistent Cough gets in the way of them fully engaging and enjoying the amazing opportunities at The Villages.  Dr. Sher and the Center for Cough team appreciate the debilitating social and physical consequences of Chronic Cough that generally affect people suffering with this chronic medical condition:

  • Annoying to the person coughing & those around
  • Embarrassing
  • Stressful
  • Fatigue
  • Urinary Incontinence
  • Overall Mood Buster

Persistent Cough, one that lasts approximately 8 weeks or longer, is not normal.  It may be a sign of a serious, underlying medical condition or it may simply be an unexplained Chronic Cough.  Don’t Delay Evaluation.

Dr. Mandel Sher is a renown Chronic Cough Specialist who brings world-class Cough care close to home.  People suffering with Persistent Cough come to see Dr. Sher and the Center for Cough team from the Tampa Bay region and the State of Florida, as well as from further destinations such as Georgia, Idaho, Maryland, Mississippi, New York, South Carolina, Tennessee, Canada, and the Virgin Islands.

Please Contact Dr. Mandel Sher.  Find Out How He and Center for Cough team will Help You and Your Chronic Cough:  727-393-8067.  www.centerforcough.com.

What Do Rheumatoid Arthritis, Type-1 Diabetes, and Chronic Cough have in Common?

(illustration: Bateman/Wellcome Images)

Question:  What do Rheumatoid Arthritis, Type-1 Diabetes, and Chronic Cough have in common?  Answer:  About the same order of magnitude of adults are affected by Chronic Cough as are affected by Rheumatoid Arthritis, Type-1 Diabetes and other familiar conditions.  So why doesn’t Chronic Cough have household name recognition?  Why are Rheumatoid Arthritis and Type-1 Diabetes featured in public information spots, pharmaceutical and other products’ promotional campaigns, and part of doctor-patient discussions, while Chronic Cough is not?

Dr. Mandel Sher and the Chronic Cough physician, scientist, and researcher community around the world are trying to change Chronic Cough’s relatively low awareness and understanding in the medical and public communities.  Dr. Sher and his colleagues have a new paradigm to explain the cause and triggers of Chronic Cough.  Together, Dr. Sher and his colleagues are conducting clinical research studies for new cough drugs and presenting emerging concepts in treating Chronic Cough through frequent contributions to the medical and scientific communities’ literature and professional societies’ learning.

According to a recent study in Denmark, around 160,000 Danes or approximately 4 percent of the adult population, suffer from Chronic Cough. Dr. Morten Dahl, who has been studying Chronic Cough, was surprised that so many people have been coughing for so long.

It’s a bit surprising that there are so many people who suffer from chronic coughing. It’s a problem that has been overlooked and not so much has been known about the illness before.”                                       

“However, 4 percent is about the same order of magnitude as are afflicted by some of the other big diseases common in the population such as type 1-diabetes or rheumatoid arthritis.” – Dr. Morten Dahl

Dr. Dahl and Dr. Mandel Sher hear their Cough patients report similar symptoms and consequences, including:  Significant disruption of relationships in personal, professional, and social life; Fatigue; Muscle Ache, and Incontinence.

Dr. Dahl observed that some people suffering with Chronic Cough don’t see a physician to have it evaluated.  He noted there are many causes of Chronic Cough that can be effectively treated.  His colleague, Professor Peter Lange, agrees:

“If you keep on coughing – sometimes also accompanied by other symptoms such as wheezing or coughing up phlegm – then you need to see your doctor. It’s not normal to continue to cough.” – Professor Peter Lange

Dr. Mandel Sher and Center for Cough team WILL help you resolve your Persistent Cough – even if you have been coughing for a long time, seen other doctors, and tried but failed cough treatments.  The results of Dr. Sher’s Chronic Cough patients are Measurable, Sustainable, and Easily Achievable – Quite simply, they are REMARKABLE! Contact Dr. Mandel Sher:  727-393-8067. www.centerforcough.com


3 x is the Charm: Dr. Sher & World-Class Cough Colleagues at Scientific Meeting of ACAAI

Dr. Mandel Sher and Colleagues Present 3 Chronic Cough Topics at ACAAI’s Scientific Meeting

Increasing interest in Chronic Cough resulted in 3 Chronic Cough topics being presented by Dr. Mandel Sher and his world-class Cough colleagues at the 2017 Annual Scientific Meeting of the American College of Allergy, Asthma & Immunology (ACAAI).  Just back from this meeting, Dr. Sher is feeling energized!

Dr. Mandel Sher and colleagues from San Francisco and Colorado presented two sessions, and Dr. Sher’s esteemed colleagues from the United Kingdom, New York, and Baltimore were featured at the plenary session:

  • Drs. Mandel Sher and Alan Goldsobel (of San Francisco area) presented:  “New Approaches to Chronic Cough in Children and Adults”
  • Drs. Mandel Sher and William Storms (of Colorado) presented:  “How to Start a Center of Excellence:  The Cough Center Experience”
  • Drs. Jaclyn Smith (of University of Manchester, UK), Peter Dicpinigatis (of Albert Einstein College of Medicine in NYC), and Brendan Canning (of Johns Hopkins) presented:  “Emerging Concepts in Chronic Cough.” This plenary session to an audience of thousands featured Dr. Canning speaking on:  “The Search for the Human Cough Receptor(s).”  Dr. Smith addressed:  “The Cough Hypersensitivity Syndrome:  Diagnostic Approach to Chronic Cough in Adults.”  And, Dr. Dicpinigaitis discussed:  “The New Therapeutic Approach to Chronic Cough in Adults.”

Dr. Sher is a life-long learner and teacher.  He regularly participates in professional society meetings and appreciates the value of long-term colleagial relationships, formal and informal opportunities for discussion and idea sharing, and progress updates that are relevant to treating patients with Chronic Cough.

Dr. Mandel Sher and Center for Cough’s approach to evaluating and treating patients with Chronic Cough is supported by the experience and findings of world-class Cough experts. 

Dr. Sher founded Center for Cough in the Tampa Bay area of Florida in 2009.  Dr. Sher appreciates that Chronic Cough is a distinct medical condition and as such, deserves a separate identity and focus. Since establishing Center for Cough, Dr. Sher and Center for Cough team evaluate and treat people with Persistent Cough from the Tampa Bay region and from other places of origin near and far.  Dr. Sher is one of the nation’s leading Cough Clinical Research Investigators, working with scientists and researchers to develop new Cough drugs.  And Dr. Sher is a frequent contributor to the medical literature and medical community’s understanding of Chronic Cough.

Dr. Sher’s Cough patients are achieving REMARKABLE RESULTS.  More than 8 out of 10 Cough patients demonstrate a measurable reduction in Cough and report an overall improvement in the quality of daily life – even when they have seen many other doctors for Persistent Cough and failed other Cough therapies.

Dr. Sher WILL help you resolve your Chronic Cough.  Please contact Center for Cough to find out how Dr. Sher WILL help you:  727-393-8067.  www.centerforcough.com.


Boston-Bound: Dr. Sher at American College of Allergy, Asthma & Immunology

Dr. Sher is Boston Bound for the American College of Allergy, Asthma & Immunology 2017 Scientific Meeting.

Boston-Bound!  Dr. Mandel Sher will be participating in the 2017 Annual Scientific Meeting of the American College of Allergy, Asthma & Immunology happening in Boston this weekend.  This year marks the 75th anniversary of the American College of Allergy, Asthma & Immunology.

This year’s program features a plenary session on Chronic Cough!  

The meeting location is a doubleheader for Dr. Sher:  First, Boston is where Dr. Sher had the honor of serving as Chief Resident at Boston Children’s Hospital, the primary pediatric training hospital for Harvard Medical School.  Second, Dr. Sher is thrilled to see Chronic Cough in the spotlight and welcomes the opportunity to engage in robust idea-sharing with his Chronic Cough colleagues.

Dr. Sher believes in the value of being at annual meetings with colleagues.  It supports lifelong learning, collegial relationships, and fun.  Some of Dr. Sher’s Chronic Cough colleagues from the United Kingdom, NYC, San Francisco, Baltimore and other North American and international hometown locations are also expected to be at the meeting.

Dr. Mandel Sher is a renown Chronic Cough expert.  As the founder of Center for Cough, Dr. Sher and Center for Cough team have demonstrated remarkable success treating patients with Persistent Cough even if they have seen other doctors and failed other cough therapies.  Over 85% of patients with Chronic Cough seen by Dr. Sher demonstrate measurable reduction in cough activity and report an overall improvement in quality of life.  In addition to evaluating and treating patients with Persistent Cough, Dr. Sher leads clinical research trials at Center for Cough, and is a frequent contributor to the medical community’s understanding of Chronic Cough.

Persistent Cough is often under-diagnosed and under-treated in the United States.  Dr. Sher works tirelessly to advocate for people suffering with Chronic Cough.  Increasing awareness in the medical community as well as among the public, and working alongside researchers and scientists to develop new cough drugs is key to improving treatment for Chronic Cough.

Please contact Dr. Mandel Sher:  727-393-8067. www.centerforcough.com.  Dr. Sher will help you or a loved one treat your Chronic Cough to achieve real and sustainable results. 



2017-2018 FLU Season is Here! Persistent Cough Implications

2017-2018 FLU Season is Here!  Dr. Mandel Sher at Center for Cough encourages all people to get a 2017-2018 flu vaccine – now!  It’s the single most effective thing you can do to protect yourself and your friends and family from the 2017-2018 flu.  Dr. Sher says, “Getting a flu shot is the patriotic thing to do.”  The more people who get vaccinated, the more people will be protected from flu.  While flu is uncomfortable for everyone, it can result in very serious complications, and even death, for older people, very young children, pregnant women, and people with certain long-term health conditions who are medically vulnerable.

People with Chronic Cough are at higher risk for having complications associated with flu.  Persistent Cough often has underlying respiratory conditions, such as allergies and/or asthma,  that may be exacerbated by flu.

It takes about two weeks after vaccination for antibodies to develop in the body that protect against flu.   CDC recommends that everyone 6 months of age and older get a flu vaccine.  To optimize effectiveness, getting vaccinated by end of October 2017 is best.  But, better later than never – Flu vaccination after October can still offer some benefits.  Flu season generally begins in October, peaks in December through February, and continues through May 2018.  According to the CDC:

ONLY injectable flu vaccine is recommended for this 2017-2018 flu season.  Nasal spray flu vaccine is not recommended.

Dr. Sher is frequently asked: “ Can I get a flu vaccine if I am allergic to eggs?” According to the CDC, the answer is:  YES! The CDC’s recommendations for people with egg allergies are:

  • People who have experienced only hives after exposure to egg can get any licensed flu vaccine that is otherwise appropriate for their age and health.
  • People who have symptoms other than hives after exposure to eggs, such as angioedema, respiratory distress, lightheadedness, or recurrent emesis; or who have needed epinephrine or another emergency medical intervention, also can get any licensed flu vaccine that is otherwise appropriate for their age and health, but the vaccine should be given in a medical setting and be supervised by a health care provider who is able to recognize and manage severe allergic conditions.  People with egg allergies no longer have to wait 30 minutes after receiving their vaccine.

Flu vaccine is now available with Dr. Mandel Sher at Center for Cough, and is also widely available in the community.   Help yourself, your loved ones, and your community to avoid illness, possible hospitalizations, and missed work and school.  Please get a flu vaccine – now!

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






Are You Over-Thinking Chronic Cough?

Are you over-thinking chronic cough?

Are you over-thinking your Chronic Cough? Certainly you’re feeling tired, depressed, and blah… who wouldn’t?  Your nagging Chronic Cough is interrupting your and/or your partner’s sleep.  Your hacking Chronic Cough is embarrassing you and annoying to those around you so you are staying home and feeling socially isolated.  Your Chronic Cough seems to be relentless.  You’ve seen lots of doctors and tried lots of Cough remedies but you’re still coughing and feeling blah about ever feeling better.  But could there be some underlying psychological conditions contributing to how you’re feeling?  Dr. Mandel Sher and Center for Cough team address the multiple factors that could be contributing to unexplained Chronic Cough.  This COMPREHENSIVE TREATMENT APPROACH is helping patients to achieve REMARKABLE COUGH RELIEF RESULTS.

Does unexplained Chronic Cough make you feel worse than people who have a medical diagnosis for why they are coughing like Asthma or Chronic Obstructive Pulmonary Disease  or people who don’t cough at all?  YES!

A recently published research study demonstrates that people with unexplained Chronic Cough really do experience more fatigue, depression, and overall low moods than people who know why they are coughing or people who don’t cough at all.  The researchers conclude:  “The prevalence of fatigue, low mood, negative illness beliefs and increased physical symptom reporting should be considered in consultation and in developing novel interventions for Chronic Refractory Cough patients.”

Dr. Mandel Sher  and Center for Cough team offer patients COMPREHENSIVE Cough Treatment aimed at the multiple triggers and consequences associated with unexplained Chronic Cough.  Dr. Sher pursues multiple cough treatment pathways simultaneously rather than sequentially, leading to RAPID, REMARKABLE and SUSTAINABLE RESULTS.  Over 8 out of 10 patients demonstrate measurable decrease in cough frequency and report improvement in overall quality of life – even for those patients who have tried and failed other cough therapies.

Dr. Mandel Sher is one of the nation’s leading Cough Doctors.  In addition to effectively resolving Chronic Cough for patients, Dr. Sher collaborates with global scientists and researchers to develop new Cough drugs, and is a frequent contributor to the medical community’s literature and professional society meetings.

If you or someone you care about is suffering with a Cough that won’t go away, please contact Dr. Mandel Sher at Center for Cough:   727-393-8067.