About this Cough

New Topic Post Reply Printable Version
[ << Previous Thread | Next Thread >> ]

babybloo
Regular Member


Date Joined Aug 2005
Total Posts : 289
   Posted 1/7/2007 5:47 PM (GMT -7)   
I was so sure it was the new blood pressure med, but I stopped it 3 weeks ago and it is still there.  It starts as a tickle and just keeps going.  It isn't all the time but multiple spurts throughout the day and it wakes me up a few times at night.  Usually a drink or two of water will clear it for a time before it starts up again.  Is it time to be concerned?  It has been over 6 weeks now.  No unusual shortness of breath mostly just the cough and for the most part it is a dry cough though I do have some sputum.  It is more like a hack and it is becoming annoying not just to me but to my coworkers aswell.  I also noticed I am losing weight now.  I have been sick a lot since starting methotrexate so some of it can be attributed to this, but look when I try to lose weight I can't lose an ounce and though I am eating somewhat healthier my heart isn't quite into it yet the weight is coming off and though I should be happy there is that inch of concern there aswell.  Actually, in the last three weeks my weight has dropped 15lbs.  So, I know something just isn't right.  Overall?  I don't feel too bad.  I can't say I am doing great but not horrible either.  I actually have had days where I was able to go ice skating and roller skating and stuff.  Okay, one day but I sure felt like a kid.  I did have a strange episode after mild-moderate exercise last week where the right side of my body didn't want to work right after I stopped exercising.  I literally couldn't get my right leg up to go up the steps right and tripped and my right arm felt heavy.  Then they hurt/ached for the rest of the night.  It almost seemed neurological.  It scared me enough that I decided to hold off on exercise till I talk to the rheumy again.  But, what about this cough?  Could it just be a dry cough?  It seems to worsen the more I come down off of the pred? and the more I go up on the MTX.  Could it just be nothing or have I got a serious issue here?
Thank you
 
Theresa
dx: Rheumatoid Arthritis.  Duration: 10yrs. Dx'ed 2006.  Asthma, hypertension, hypothyroid
 
Meds: Methotrexate 20mg wkly, Prednisone 20mg decreasing,  Advair 250/50, Diovan HCT 160mg/25mg QD, Synthroid .1mg QD, Women's One a Day, tylenol PRN.
 
 


Ducky
Veteran Member


Date Joined Mar 2005
Total Posts : 3199
   Posted 1/7/2007 6:12 PM (GMT -7)   
Hey Theresa.. you need to see a doc.. I know MTX can cause problems like this.. I belive elcamino has been going through something similar.. You may need to see a pulmonolgist... have you talked to your rheumy about it? Hang ing hthere and let us knjow what happens...
Confirmed Diagnosis of - Psoriatic Arthritis/Spondylitis/Graves Disease/GERD/Scoliosis/Hiatal Hernia/Graves Disease of the Eyes/Chronic UTIs
Current Meds -  Enbrel/Prevacid/Synthroid/Nitrofurantoin
Past Meds - Inderal/PTU/Prednisone/Voltaren/Feldene/Mobic/Cortisone and Steroid Shots
Additional Supplements - Multi-Vitamin/Bromelian/Acidophilus/Green Tea
 


elcamino
Veteran Member


Date Joined Sep 2005
Total Posts : 1744
   Posted 1/8/2007 6:38 AM (GMT -7)   

Hi Theresa,

Ducky's right--you should contact your rheumy immediately.  You're on a fairly high dose of mtx, and it sounds like you've been taking it a while.  I developed a cough within 3 weeks of starting mtx--rheumy took it seriously and I had to have a full evaluation by a pulmonologist.  As it turns out, it was not the mtx, but some sort of weird viral infection (perhaps viral pneumonia) that has scarred my lungs, although it has not altered my lung functioning.  The ramifications of letting the cough go are too risky--whether the cough is due to mtx  or to an infection.  Any kind of infection (viral or bacterial) can get out of control when you're taking immunosuppressant drugs.  I'm not trying to be alarmist, but what can it hurt to simply call your doctor?

El


Current dx: Rheumatoid Arthritis
Suspected dx: UCTD/Early Lupus
Current Meds: Enbrel, Plaquenil, Aciphex, Ultracet, Zyrtec, Allavert-D, Zantac, Tylenol PM
Past Meds: Relafen, Vioxx, Mobic, Voltaren, Sulfasalazine, Entocort, Prednisone, Humira, Reglan


babybloo
Regular Member


Date Joined Aug 2005
Total Posts : 289
   Posted 1/8/2007 7:12 AM (GMT -7)   
Okay, here is the reason why I haven't said anything or that I hesitate. I am a smoker and I am ... well, I am scared of what I am going to hear.... strangest thing? I still pick up that next cigarrette.... ugghhh... I would be really sick or something if it were something really bad right?
dx: Rheumatoid Arthritis.  Duration: 10yrs. Dx'ed 2006.  Asthma, hypertension, hypothyroid
 
Meds: Methotrexate 20mg wkly, Prednisone 20mg decreasing,  Advair 250/50, Diovan HCT 160mg/25mg QD, Synthroid .1mg QD, Women's One a Day, tylenol PRN.
 
 


elcamino
Veteran Member


Date Joined Sep 2005
Total Posts : 1744
   Posted 1/8/2007 1:22 PM (GMT -7)   

Hey Theresa,

I used to smoke as well--I quit 5 years ago.  I was also scared of what I might have heard when I went to the pulmonologist.  But, ultimately, I had to go anyway.  You would not necessarily be sick (or feel sick) if mtx were affecting your lungs.  The lung infection I had didn't make me feel sick at all--I had no fever, no fatigue, nothing--just a dry cough that got worse at night.  And yet, it still scarred my lungs. 

I would still recommend that you get it checked out anyway.  Good information to know.  Plus, when I got my evaluation done, my rheumy said it was excellent that now I had a very extensive work up on my lungs--more than most people get in a lifetime.  So now, if anything were to happen to my lungs, I have a great baseline for comparison purposes.

Make the call anyway--worry about quitting smoking some other time.  What you have going on could be absolutely nothing.

 

Elcamino


Current dx: Rheumatoid Arthritis
Suspected dx: UCTD/Early Lupus
Current Meds: Enbrel, Plaquenil, Aciphex, Ultracet, Zyrtec, Allavert-D, Zantac, Tylenol PM
Past Meds: Relafen, Vioxx, Mobic, Voltaren, Sulfasalazine, Entocort, Prednisone, Humira, Reglan


yalinda
Veteran Member


Date Joined May 2006
Total Posts : 1179
   Posted 1/8/2007 3:04 PM (GMT -7)   
if u remember i had a bad cough for like 8 weeks (oct-nov) and i was on mtx and very nervous. my pulm said coughs are hard to get rid of and rarely mtx, although i think elcaminos doctor was at first that way he or she then changed to it being more frequently related to mtx? but both my pulm and rhuemmy docs said it wasnt mtx. i tell u i got my flu shot and pnuemo vax and within 2 days it was gone and never back again. they said it was asthma etc and i think it was the flu! no cold symptoms but the shot cured me, cuz it never came back and my family has all had coughs and sinuses and knock on wood i am fine. still have my 7 nodules in both lungs and on monday i am having ctscan for again to see how much they have grown the past 3 months as they doubled in size after 6 months? and i dont smoke? good luck but coughs are symptoms of MANY things they told me and therefore hard to get rid of. get urself checked it will take a weight off ur shoulders, good luck yalinda

babybloo
Regular Member


Date Joined Aug 2005
Total Posts : 289
   Posted 1/9/2007 9:16 AM (GMT -7)   
I called the Rheumatologist office yesterday but really don't feel any better. They didn't call back yesterday. Did call this morning though. Said it probably isn't the mtx so continue taking it and try to stop smoking. That's it. So, why am I still very concerned?

I also called my GP about that medication that helps people stop smoking called Chantix. And I think they are just giving me the run around as they want me to come in yet again for a 3rd BP check even though the last one was down significantly. So, she isn't going to rx it either.

Do I just have a bunch of doc who just want money? I don't want to leave either of them because they both are the ones who finally figured out what was going on, but I am not made out of money either. For some reason I feel like I am being taken for a ride here and that in the end she won't rx the med anyway.

Still don't know what to do about this cough though.

Theresa
dx: Rheumatoid Arthritis.  Duration: 10yrs. Dx'ed 2006.  Asthma, hypertension, hypothyroid
 
Meds: Methotrexate 20mg wkly, Prednisone 20mg decreasing,  Advair 250/50, Diovan HCT 160mg/25mg QD, Synthroid .1mg QD, Women's One a Day, tylenol PRN.
 
 


Harley Diva
Regular Member


Date Joined Oct 2006
Total Posts : 160
   Posted 1/9/2007 9:53 PM (GMT -7)   
Baby Bloo.......Don't wait. Go to a doctor and demand a chest xray. This has been going on for too long.
Harley Diva
 
....RA, HPT,  drugs: Sulfasalazine, MTX, prednisone, bp meds


babybloo
Regular Member


Date Joined Aug 2005
Total Posts : 289
   Posted 1/12/2007 2:14 PM (GMT -7)   
Well, I did call back and they finally said they would mail me an order for a chest xray even though they know it isn't mtx related without seeing me. Go figure. I got the order in the mail today and it says. Persistent Cough from tobacco use. Great. My insurance company is going to love this one. Not sure I am getting this xray done. Cough has improved anyhow and I am thinking it is from reflux after all of this.

Theresa
dx: Rheumatoid Arthritis.  Duration: 10yrs. Dx'ed 2006.  Asthma, hypertension, hypothyroid
 
Meds: Methotrexate 20mg wkly, Prednisone 20mg decreasing,  Advair 250/50, Diovan HCT 160mg/25mg QD, Synthroid .1mg QD, Women's One a Day, tylenol PRN.
 
 


Ducky
Veteran Member


Date Joined Mar 2005
Total Posts : 3199
   Posted 1/12/2007 5:17 PM (GMT -7)   
How can they say it is from tobacco use? They have no idea if it is tobacco use or not... you need to switch docs... can you go for a 2nd opinion?
Moderator of Arthritis/Epilepsy Forums
Temp Moderator of Bi-Polar Forum
Confirmed Diagnosis of - Psoriatic Arthritis/Spondylitis/Graves Disease/GERD/Scoliosis/Hiatal Hernia/Graves Disease of the Eyes/Chronic UTIs
Current Meds -  Enbrel/Prevacid/Synthroid/Nitrofurantoin
Past Meds - Inderal/PTU/Prednisone/Voltaren/Feldene/Mobic/Cortisone and Steroid Shots
Additional Supplements - Multi-Vitamin/Bromelian/Acidophilus/Green Tea
 


yalinda
Veteran Member


Date Joined May 2006
Total Posts : 1179
   Posted 1/12/2007 6:23 PM (GMT -7)   
how unprofessional to be so sterotypical in looking at symptoms. i agree with ducky this guy is gonna label everything on ur smoking- not good. i wouldnt want my hmo to get that script either....of course the xray maybe would document smokers type lung view anyway? idk, i would want to confront the office and ask the doc why he would jump to that relationship verses the standard persistant cough. period! - but i would be too chicken to really do it. well not to fuel ur fire here but UGH. good luck, hopefully u will keep getting better.
((((hugs))))) yalinda

babybloo
Regular Member


Date Joined Aug 2005
Total Posts : 289
   Posted 1/12/2007 7:45 PM (GMT -7)   
I want to quit, but I want the help with the new drug that is out now so since the cough has improved I think I will put this one on the back burner for now and talk to my GP on wednesday at my BP check about an xray just to see how things look without the labels before I do quit. I think she would do that for me. Hopefully the doc will prescribe the medication and I will soon be a non smoker so that maybe the rheumy won't use this as an excuse for everything. I am afraid of switching rheumies really. If I go elsewhere I fear they will undiagnose being that I have negative RF. Remember I went untreated and was called mental for nearly 10 years before I found the people I am currently with. It just got to the point the last group of people I sought out, new GP, ortho said something isn't right then the infectious disease doc said autoimmune, and then I got the referral to this doc. There weren't many more rheummies around that I hadn't seen, but if I have to I will go elsewhere.

Theresa
dx: Rheumatoid Arthritis.  Duration: 10yrs. Dx'ed 2006.  Asthma, hypertension, hypothyroid
 
Meds: Methotrexate 20mg wkly, Prednisone 20mg decreasing,  Advair 250/50, Diovan HCT 160mg/25mg QD, Synthroid .1mg QD, Women's One a Day, tylenol PRN.
 
 


yalinda
Veteran Member


Date Joined May 2006
Total Posts : 1179
   Posted 1/13/2007 1:53 AM (GMT -7)   
ah, it was the rhuemmy- not the pcp. got it. perhaps they wrote that smoking thing because like my rhuemmy he felt mtx cough was extremely rare and therefore never considered any other factors as he is a specialist. hence the narrow thought. definetely get the rx from the pcp later this week. good luck yalin

elcamino
Veteran Member


Date Joined Sep 2005
Total Posts : 1744
   Posted 1/13/2007 12:10 PM (GMT -7)   
I agree with everyone else. Get a second opinion. True, mtx cough is very rare, but it is not dose or duration dependent. It can happen to anyone without warning, not matter how much or how little mtx you take. It should be taken seriously by any doctor. My rheumy took it seriously, even though, like Yalinda's rheumy, he said it was quite rare. It was downright imcompetent of your doctor to put down smoking as the cause without even meeting with you!

El
Current dx: Rheumatoid Arthritis
Suspected dx: UCTD/Early Lupus
Current Meds: Enbrel, Plaquenil, Aciphex, Ultracet, Zyrtec, Allavert-D, Zantac, Tylenol PM
Past Meds: Relafen, Vioxx, Mobic, Voltaren, Sulfasalazine, Entocort, Prednisone, Humira, Reglan


CaMama
Veteran Member


Date Joined Mar 2005
Total Posts : 1884
   Posted 1/14/2007 9:41 AM (GMT -7)   

I was on mtx for a year - I had a horrible tickle/pain in my chest and throat. I had a persistant cough. I couldn't walk by someone smoking w/o hacking for the next hour and then felt rotten for the rest of the day. I felt like my lung capacity shrunk by 1/2 - I suddenly couldnt walk the stairs w/o huffing and puffing. I always felt like I was coming down with something constantly (you know that "I don't feel right today" feeling, only it was every day.) They checked me with xrays, breathing test, etc. and claimed I was "not allergic to methotrexate" nor were my problems "methotrexate releated" and said I had plurisy (sp?)

It was a bunch of crap. I had never had those problems before I started it and once I stopped the med,the problems. went away. Get it checked out.

****
 


Ducky
Veteran Member


Date Joined Mar 2005
Total Posts : 3199
   Posted 1/14/2007 9:48 AM (GMT -7)   
Hey Theresa, how are you? Any better?
Moderator of Arthritis/Epilepsy Forums
Temp Moderator of Bi-Polar Forum
Confirmed Diagnosis of - Psoriatic Arthritis/Spondylitis/Graves Disease/GERD/Scoliosis/Hiatal Hernia/Graves Disease of the Eyes/Chronic UTIs
Current Meds -  Enbrel/Prevacid/Synthroid/Nitrofurantoin
Past Meds - Inderal/PTU/Prednisone/Voltaren/Feldene/Mobic/Cortisone and Steroid Shots
Additional Supplements - Multi-Vitamin/Bromelian/Acidophilus/Green Tea
 


momto3
Veteran Member


Date Joined Nov 2006
Total Posts : 1331
   Posted 1/14/2007 1:21 PM (GMT -7)   
bablybloo,
 
I'm not sure what is causing your caugh, I don't smoke but I do have asthma and a little over a year ago I got a bad chest cold and one of those coughs you are describing, it just wouldnt go away and kept me awake all night, finally I had to go in and get a prescription cough medication.  But from there, my joints began to hurt, I just hurt everywhere and I began to have the swelling and from there it settled in the hands, knees, fingers and hips and here I am sad
 
If I were you, just go in to see your pcp, it sounds like it could be a chest cold, it is that time of year and people get sick! Especially if your chest feels like it is on fire when you cough, you need to go soon!  I am sure the smoking is not helping the situation but assuming it is the cause is not okay.
 
I hope you feel better!

babybloo
Regular Member


Date Joined Aug 2005
Total Posts : 289
   Posted 1/14/2007 9:26 PM (GMT -7)   
Thank you everyone for your responses.  I am going to be seeing my GP on Wednesday about the new stop smoking medication and will ask her about writing a new order for a chest xray without the words tobacco use on it, just with persistent cough.  I think I need to have this done as though the cough did seem to subside it seems to have started slowly creeping back and I can't hardly get up the stairs anymore and taking my pup out to potty has been hell.  The RA is flaring up like you wouldn't believe too and I know I am not supposed to but I took ibuprofen on top of everything else just to get some sort of relief.  It sort of helped but I am exhausted.  What really sucks is I am only 31 and am pretty useless right now, can't do anything, can't really go anywhere, and have no idea what the future holds... I have or had so many plans about getting my life back and doing the things I used to do and now I am beginning to realize that this may never happen.  Thanks for asking how I am Ducky sorry it couldn't be a happier answer.
 
Theresa
dx: Rheumatoid Arthritis.  Duration: 10yrs. Dx'ed 2006.  Asthma, hypertension, hypothyroid
 
Meds: Methotrexate 20mg wkly, Prednisone 20mg decreasing,  Advair 250/50, Diovan HCT 160mg/25mg QD, Synthroid .1mg QD, Women's One a Day, tylenol PRN.
 
 


CaMama
Veteran Member


Date Joined Mar 2005
Total Posts : 1884
   Posted 1/14/2007 10:23 PM (GMT -7)   
Hang in there Theresa!

 


yalinda
Veteran Member


Date Joined May 2006
Total Posts : 1179
   Posted 1/15/2007 6:50 PM (GMT -7)   
hey things will get better! (((((((((((((((((((((((((((((((((((((hugs)))))))))))))))))))))))))))))))))))))))))))

opps i hugged so tight that may have hurt ? ok so i am a kook
New Topic Post Reply Printable Version
Forum Information
Currently it is Saturday, December 03, 2016 8:40 AM (GMT -7)
There are a total of 2,732,059 posts in 300,984 threads.
View Active Threads


Who's Online
This forum has 151152 registered members. Please welcome our newest member, JesperTrottier.
245 Guest(s), 12 Registered Member(s) are currently online.  Details
clo2014, ashlingd, sararectenwald1, Chellety, exqualls, colitisteen98, Traveler, eat2bwell, snowboat, bdavis, JamesE, trumpet123


Follow HealingWell.com on Facebook  Follow HealingWell.com on Twitter  Follow HealingWell.com on Pinterest
Advertisement
Advertisement

©1996-2016 HealingWell.com LLC  All rights reserved.

Advertise | Privacy Policy & Disclaimer