Sir/Madam I am 26 yr female, having intractable cough since 2 wk which trouble my study. I have no sputum, no fever but my Mountox test 17 mm, ESR 38, CxR 9-10mm hilar lymphadenopathy. CBC normal, Sputum AFB normal, sputum for gene expert TB is normal. No feature of GERD. While in my room I am bit better but when I went for work my cough exaggerated and trouble much. Winter season is going on. I took antihelminthic drug 4mth back. drugs like fexofenadine, codeine etc doesnt work. Chest auscultation is normal. Currently having low dose COC pills. IT seems that I just have repeated ciugh with no reason. My doctors are not able to establish diagnosis and I am treated for no reason and my cough doesnt subside. Please help me out. Thank you
Hello dear, thanks for your question on Chat Doctor. In my opinion you are having allergic cough due to mild asthma.  Because your symptoms are having seasonal variation and more in outside home situation mostly due to exposure to environmental allergen. So better to consult pulmonologist and get done PFT (pulmonary function test). To diagnose mild asthma PFT is must. It will also tell you about severity of the disease. And treatment of asthma is based on severity only. You may require inhaled treatment in the form of inhaled beta 2 agonists and inhaled corticosteroid (ICS). So first rule out asthma.