### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
am suffering from systemic sclerosis ,ILD(intestinal lung disease) a auto immune disease ,its scarring(fibrous tissue replacing normal skin tissues) of skin & internal organs  I started facing problem from feb 2008 in which my fingers were swollen & difficulty in bending,the tips of fingers turns blue when temp drops After test were conducted .The reports are as such  ANA-(+) VEHRCT-GLASSY PATCHES AT THE BASE OF LUNG ESR-35 MY doctor prescribed me to take methotrixate(in small dose) weekly.after taking medicine for eight month.Following changes were observed even condition worsens   Symptom-severe coughing at time of sleeping,not able to run,heavybreathlessness,not able to climb stairs upto 1 floor,face skintightens(not able to smile),color of skin changing,difficulty in bending fingers,difficulty in swolling food and reflux on lying down(GERD).   The reports are as such:(after eight month)  HRCT-honeycombing at base of lungs,dialated oesophagus PFT-severly impaired DLCO,FVC-71 %Pulse rate - 95/min BP-130/90 ESR-40  After this they started corticosteroid(predisnolone),Azoran(immuno  supperesive),with lot of antacids medicine.these days they started  increasing doses of medicine(WHICH HAVE SEVERE SIDE AFFECT INCLUDING INCRESE IN BLOOD SUGAR,DAMAGE TO KIDNEYS,INFERTILITY).  These days I m taking rituximab therapy to reduce lung fibrosis,hardening of skin of forearms, face  I have severe dry coughing  all the time and it get worsrens while talking, exitement, stress , and sleeping. Can u suggest some medicine so that dry coughing will be reduced??

### output:

Respected user, hi I evaluated your query thoroughly.* This much intensity of the cough with all underlying parameters need to be assessed by thorough clinical examination by Physician doctor.* Till you manage it can take Bromine containing cough syrup 5 ml every 8 hourly to get temporary relief & take general measures as follows :- till possible try to relax in semi reclining position, head end of the bed elevated for 30 degrees - regular deep breathing exercises, YOGA are vital & most important.- avoid smoking / alcohol if using.- avoid exposure to noxious substances / fumes / chemicals / dusty atmospheres ; if needed to go use face mask.- maintain your HY Chat Doctor. - avoid stress / anxiety-regular sound sleep of 6-7 hours. Hope this helps you. Welcome for any further queries. Thanks for using Chat Doctor & giving us an opportunity to assist you. Regards dear take care.