instruction: query regarding chronic cough almost dry not completely dry from last days gets more persistent during sleep no fever whatsoever took tab of citrizine on day one thinking its allergic since no fever or stuffy running nose so ruled out allergy since then no medication taken just some ot antacid digene mild heartburn twice at night coughing was so strong that I puked looks like herd to me non smoker male 25 years old no history of any other illness height 167cm weight 64
output: dear welcome to icliniq thank you for providing a detailed history I just want to clear one thing what do you mean by chronic cough the history you provided is of just five days so it is not chronic but you used word chronic which means cough for months or years so if it is just five days of cough then yes it is suggestive of some reflux episode which is leading to laryngeal irritation followed by cough and occasionally can lead to choking like sensation in sleep I will like you to start the following medications and it will help out cap deslansoprazole 30mg cap twice daily before breakfast and before dinner for weeks spy rondec dextromethorphan 10ml three times daily for 10 days you need to avoid late time eating three should be a gap of at least hours between dinner and going to bed avoid smoking avoid evening coffee or tea thank you incase of any further query get back to me