instruction: hello doctor I have a cough that lasts for more than a month now this usually occurs during night time while lying and sometimes at dawn at first it was a dry cough then it turns into a wet cough I do not spit yellow or green phlegm it is all sticky white mucus I do not have any history of asthma and this is the first time I experience this I did not experience fever pain in my stomach and ibm I have already taken azithromycin for three days and ambroxyl but still no relief please help
output: hello I can understand how troublesome it is if it is disturbing your sleep these cough episodes you are having are mostly due to hyperactive airways I would advise you certain investigations mentioned below also I would like to know if you get a cough after exposure to dust pollen or pets do let me know anything that might cause the worsening of your symptoms secondly do you have heartburn or on and off cold bronchial asthma allergic bronchitis spirometry with bronchodilator reversibility testing ray chest blood counts with absolute eosinophil count bronchial asthma allergic bronchitis bronchial asthma allergic bronchitis inhaler formoterol mug budesonide 200 mug with spacer puffs twice daily and can be taken up to four times daily if required and once exacerbation is over it can be tapered off for a month tablet fexofenadine 120 my once a day for a month rest continue previous treatment avoid exposure to allergens per peak expiratory flow rate monitoring follow up with investigation reports