In response to many good comments and questions: The KEY issue is to decide if your cough is still a Covid cough: EITHER due to active infection, or the “aftermath” of clearing away debris from active infection (That kind of cough might last some weeks, but should gradually improve over time). OR, is your cough instead sensory neuropathic in nature, and Covid-19 was simply the cause of the sensory nerve damage? If the latter, and if you now have sensory neuropathic cough (SNC), the cough will be ongoing, often without much sense of improvement over time. - - - How do you tell if you have SNC, initiated by Covid-19? For a start, see if you match to one of the syndromes below: - - - 1. Each episode of coughing, whether lasting seconds or minutes, begins with a sudden ZING sensation. (Examples: a sudden tickle, or abrupt “dry patch” that demands that you cough even though you aren’t sick or producing mucus commensurate with the magnitude (violence or duration) of your cough. Other sensations might be a sudden dripping sensation, pinprick, feeling like a sudden popcorn kernel, etc.) 2. Coughing is often spontaneous and unexplained, but if you do certain things, you are more likely to cough. Talking, a loud laugh, taking a deep breath, trying to sing in upper voice, posture change (especially getting into bed at night or rolling to a certain position), a very strong odor, etc. makes it more likely that you will cough. 3. Cough "frequency" and "severity" are out of proportion to any illness or any mucus produced. What mucus is produced may be the RESULT rather than the CAUSE of coughing. In other words, you begin to produce mucus only after hard coughing for 10 or more seconds (If I force myself to cough hard just as an experiment, I produce mucus too!). - - - What would a person do if he or she suspects they may now have SNC, with Covid-19 as the cause of the nerve damage? - - - • Go to the internet and enter the search term PeerJ Bastian to find a peer-reviewed but open source journal article that will describe SNC and how it is treated. Print and take that article to your doctor. • Go to www.laryngopedia.com and enter the search term “cough” to bring up abundant teaching material about SNC. • Ask your doctor: “Would it be a problem for me to just try amitriptyline or gabapentin (etc.)?” What do I hope you can avoid by doing these things? Being told “Oh, this is just how it goes with Covid-19,” when you actually now have SNC, which is treatable … • And if you strike out with your doctors, call nearby large ENT groups and ask “Does any of your doctors treat sensory neuropathic cough?” • Or engage a Laryngopedia teleconversation (laryngopedia@bastianvoice.com) Keep pushing the medical system to help you, because imprecisely treated SNC can be debilitating!

I opened youtube and typed in a search for "covid tickle cough." Your description of SNC is exactly what I'm experiencing.

How come I never get a doctor like this? He seems knowledgeable, compassionate, and explains things in great detail. Every doctor I've ever seen spends only moments with me, has a somewhat sarcastic tone when answering questions, and seems to want to DEFEND his diagnoses rather than explain them. I've tried a dozen approaches, from stoic to extremely submissive to dominant, but nothing changes.

I got sick back in early January. I haven’t stopped coughing since. I’m constantly either clearing my throat or coughing. I was also diagnosed with Acid reflux. I finally went to see a pulmonologist. So far I’ve just been prescribed inhalers. So far nothing. It’s changed me so much both physically and mentally. I understand many of you. Hang on we can do this!

Over a year of constant violent coughing, 6 specialist, multitude of scans scopes and X-rays and in 4 days your gabapentin dose recipe stopped the cough completely! You have no idea how bad it had gotten and how weak the body and mind got I am SO SO grateful for your video. It was so spot on. Thank you so much!

Second testimony. It worked several months ago and this is my second try and once again... It worked. A million thanks with gratitude!

Thank you so much doc. Finally there is someone that understands what many are suffering and can treat the problem. Most grateful to run into this most educative and informative video.

I'm a doctor and I consulted my professors for my chronic cough, I tried bringing up this diagnosis but they're adamant that I try therapy for asthma, allergy, and acid reflux and they never work. Thank you for your work Dr. Bastian, I'll return for a follow up using the articles that you provided. I'm lucky I can "self-medicate" with proper guidance.

So honest, clear, concise, and just overall professional. Makes one feel like they are being cared for in the presence of this Doctor. Thank you sir. We truly do appreciate your time and information in this video. Truly, a positive vibe. Thank you.

I can't thank you enough doc. My cough has been a nightmare! Coughing 3 to 4 months straight... bought gabapentin and cough disappeared the SECOND day! Took my pills for a month and am healed. God bless the work of your hands and your coming generations. 🙏 🙏

Thank you Doctor!! I've been looking everywhere for this information! Finally a name for this bugger of a cough! I need it GONE!!! ☹️☹️

I got covid, it's cleared up. A whole week later I started coughing every few seconds. The cough is very aggressive and seems to be the wrose in the morning and night

Finally a Dr who understands and can explain what's REALLY persisting and not ruling it out as Post Nasal drip.

This needs to go viral! spread the word!!!! I’m showing this to my uncle who is a doctor!

Thank you everyone for sharing your personal stories. I greatly appreciated cause I had covid 3 weeks ago on January 15th, 2022. Last week I took 3 tests on 3 different it all shows negative but I still coughing, shortness of breath & feel so weak. Before I could run a few miles & strong and ambition in everything in life but after covid my life change. I feel so related to each of you. Some day or a few hours you're ok & next few hours you feel weird. I pray for everyone including for myself.

After watching this video two weeks ago and following the advice, I got my doctor to prescribe Amitriptyline. After just 2 days symptoms reduced and now I'm almost completely healed after an additional week. Thank you so so much for sharing this information - God bless you

Finally an answer with possible solutions to my post Covid cough. More doctors should make themselves aware of SNC considering how many people I know who had Covid (workplace) and suffer from a cough they never had prior to catching Covid-19.

I had a cough for 2 yrs after covid . FINALLY GONE.

Thank you Doctor, Finally a Doctor who understands and can explain what is going on.

An excellent clear and concise explanation of a problem many people are having. Thanks for keeping the jargon to a minimum and explaining in language we can all understand.

Thank you. My father has been coughing for 2weeks after recovering from Influenza. I told him to go to hospital tomorrow. But i still need to look for on youtube. Thanks Doctor. You guys are The Angles. Love ya.

Omg really I'm happy and surprised at the same time knowing such great doctors are still working and gaining such huge knowledge for every new problem we gonna face.

I have exactly these symptoms for fifteen tears …..just knowing it has a name is a leap forward for me…thank you so much.

Quite possibly the best video about coughs by far that I have ever watched. Thanks for the clarity

My daughter is post covid like 4 weeks and still has a cough when laughing or speaking a lot. I am glad I found this video.

I was searching for a treatment of cough after covid then I saw Dr. Bastian, the most excellent MD that I worked with at Loyola. Thanks doc for your advices.

Definitely I’m going to share this my primary physician. I suffer from Long Covid. Many symptoms have hung on after being infected and thought it was over. Shortness of breath, palpitations, excessive fatigue, as well as what seems to be a never ending cough. 🤪

Thank you for this video! Has helped me stress less about my coughing now knowing what it is.

God bless you doc. Robert W. Bastian!. Thank you very much for these very important teachings!. 🙏😇❤️❤️❤️

this doctor truly cares

This definitely sounds like my wife. We had the Covid together but she still has a lingering cough exactly like you described.

Thank You! I have suffered with SNC for well over a year now and was given fluticasone and Albuterol. The Doctor, who is a pulmonologist, did not tell me that it was related to my acid reflux and seasonal allergies. This is so refreshing! Thank YOU so Very Much!!!

THankYou. A family member needs to watch this informative video and do his homework to get this cough be gone! God bless you and your team🙏🏼

Excellent resource. You are on to something. My cough continues at night and keeps me up until spasms stop. I then fall asleep from exhaustion.

Thank you doctor🙏 from Nepal I have been trying to find out why my mom has been coughing from past 40 yrs. And now I believe she is suffering from SNC, as you mentioned one a remedy of using capcaisin spray, we cannot but it there so instead, she boiled chilli in water. And strained it and gargle as often as needed, she is finally feeling better. Not to mention, no medicine works for her cough and no doctor in my country knows what she is dealing with. Thank you so much for you dedication to treat these rarest people.

Thank you for sharing. Very informative and stress relieving.

I'm still coughing and it's annoying. Heading to month 2 in a few days and I am coughing like once an hour on average. Month 3 and I got my vaccine today. Still coughing and God is good. Stay safe my brothers and sisters. I noticed that I coughed 4 minutes after I ate. 30th September I only coughed twice , it's a new record

Omg thank you so much I've been finding my type of cough for so long in google but this vid straight away shows it which is SNC cough and my type of snc cough is just once

I had Covid variant in Dec, 2020. I coughed so hard, I tore my diaphragm. I got my first injection to reset my voice box. I’ll get a 2nd on the other side. For the first time in 3 years, I could talk about 15 min. Without a cough. 12 days and it’s beginning to wear off. I cough so hard, I’d throw up, feel faint from not able to get oxygen in. People run from me. Sleep? I also had to give up speaking and singing. Sweets and stress are my triggers. COPD from prior chemo. Gabapentin is my drug , it slows the frequency. The 300 mile drive is worth 10 days of reduced cough. If I didn’t get this cough gone, this IS NOT QUALITY OF LIFE. I did not want to live like this.

Thank you so much for posting this Dr. Bastian. I've been struggling with this cough, just as you described, for more than a month after my course of Covid illness. Because I'm fully vaccinated I had hoped I wouldn't have lingering symptoms. I have a primary care appointment in 2 days and thanks to this video I'm better prepared to discuss this problem with my doctor. I also understand I may need to seek help elsewhere, so I won't give up!

This is immensely helpful. My neighbor no longer has covid but is still coughing violently. Now I know why. Thank you, Doctor! 🥰

Took 200mg of gabapentin for 3 weeks, it did stop the coughing and gagging and the zing. But the coughing returned. So, I'm now following this Dr's advice.

Why isn't there doctors like you when I go to the hospital. Majority are young who are always joking/goofy or mid age who seem mad or frustrated and in a rush. They don't offer any solutions and 90% of the time pushes to a "specialist"... Maybe I need to go to Chicago.

Absolutely excellent discussion thank you DR

many people neglect covid. but this lingering covid cough is freakin real :(

Very informative, Dr .Thanks

Thank you, Doctor, I finally have an answer. You described my symptoms perfectly!

You nailed exactly what I have! I hardly sleep because of the cough. I definitely need the medications you suggested!

So far one of the best discussions and addressing the post Covid bioweapon cough. I have had this now 3 times and the post cough takes longer and longer to get rid of. I have had none of the symptoms they take about when being infected and never had a fever… finally someone is talking real science and medicine!

It been a year since I got Covid. I had laryngitis for about a month. I still have a cough. Sometimes it feels like my larynx is contracting. Sometimes I get a small scratch in my throat or dryness and I go to coughing to the point that I'm gagging. It's a violet cough.... sometimes I have mucus, sometime times I don't. This SNC explains me to the T!

This video was so interesting and informative. Thank you doctor.

I have MS and my neurologist dx me with neurogenic cough. I don't know if SNC is the same or different, but one of your videos helped me tremendously. The video with the straw method to inhale actually helps relieve even the spasm feeling I get in my throat. I have had what you described as laryngospasm while drinking coffee. I didn't aspirate the coffee thankfully, because I couldn't even breathe in or out. When I could inhale it was tight and constricted. Gabapentin helped relieve it too, but I don't want to keep talking that. So tired of pharma. Thank you for your video on laryngospasm!

Big thanks for this Doctor. I had a really bad cough for a few days while infected with Covid that left me feeling like I'd been mugged. Worried when a week later ,even though it's no longer painful,I can't shake the cough. Got something to take to my own Doctor now,as soon as you pointed to "the spot", yep that's exactly it.

Best explanation of cough after COVID. Thank you, doctor! At least we know a few things going on in our throats after COVID. Hope to get well soon…and hope all others get well soon as well!

Wow that’s great information. My coughing attacks can last for 10-15 minutes. I get to the point of having difficulty finding a chance to take a breath of air in between coughs. My eyes water, my nose runs, I gag and mucus comes out eventually. The gagging is the most embarrassing because it sounds like I’m violently throwing up. I can’t go to work and I can’t go out to public places. My doctor just sent me for a chest X-ray and the results are still a day or two away. Nothing is fixing this problem and I’m exhausted. I always cough through the night and the cough suppressant isn’t fixing the coughing episodes. Even though I don’t yet have a cure, it brought me comfort just watching this video because your description of the violent type of coughing and how it feels is 100% accurate. Btw I did have Covid and since I recuperated, the coughing has been extreme. I will mention this to my doctor when he calls me in a day or two.

Well medically explained. Thank you that my questions are satisfactorily answered.

Thank you so much for this information. I just had a horrible episode tonight and I was searching and thank God that I found this video. I'm going to do a video reaction on my other page .. I appreciate this information so much because I'm at my breaking point and I feel like this video just gave me hope I'm so emotional right now that I can't even really cry because if I cry I'm going to choke and throw up just from me having this horrible lingering symptom from covid. I appreciate you for this video.

Thank you so much! I have been quarantined for 19 days now and I’m feeling okay. My darn cough just won’t go away. This is very informative.

Your lecture is like sunlight cutting through fog. Even non technical folks could understand. I wish all medical practitioners watch this and update themselves Any small home fixes, doc?

Thank you so much sir...very informative and detailed.

Yep, had all this for couple of years after whooping cough five years ago. Medical people, hospital staff were incredibly dismissive as were family when I spent MONTHS violently coughing. For at least two months i was coughing violently until blue in the face and vomiting and pissing my pants for up to two hours at a time, then half an hour of collapsing into complete exhaustion until the next fit of 2 hour coughing episodes, this was my life. I could not function. I now have permanent damage in my lungs and had major sinus surgery last year from disease that resulted from pertussis. Prior, I had no respiratory disturbances. I then spent the next year with terrifying paroxisms where my airway almost closed up, I was going through an inhaler every few days. It took 'them' years to find the source of my long term coughing fits because they looked everywhere BUT my lungs. I finally got onto the right inhaler. I still have a bit of trouble laughing really hard. Because of these airway disturbances, I simply CANNOT tolerate wearing a mask.

Thankyou ssoososooo much doc.. iam from india and when I consulted doctors here those guys gave me lots of tablets for cold and allergies but didn't checked me properly or asked about the symptoms, they are only interested in taking money from poor ppl.. but after seeing this video iam sure that this is what is happening with me for the past one and half month.. still I don't have a good quality doc here to consult with.. anyways god bless doctors like you who are genuine and quality professionals! 💯💯

Thank you so much. I really appreciate you posting. This has helped me so much.

Thank you for this information. You described my situation exactly and no ones been able to diagnose it for treatment. At least I can bring this to their attention.

Thank you for this great description of this “mystery cough” ... I’m one week into recovery from a 2 week covid infection ... I’m experiencing this type of cough.

Slices of ginger root, lemon and hot water---drink up Then chew ginger!!!works🙏❤️

Very informative. Thank you for educating me.

Thank you very much, Doctor! Just giving this thing a name has helped me mentally tame the cough slightly. This video gives excellent advice for the Next Steps as well! God bless you!

Thank you for giving this menace a name. This information is invaluable 🙏🏻

Oh my god where have you been man!!? I had COVID March last year and coughed ever since.. no help no explanation!! I was telling the doctors it feels like my larynx!! Anyway I just recovered from COVID again a few days ago and cough is terrible again, really strong in my larynx again.. so glad I found this video for explanation

Thank you for sharing your awesome video i really enjoyed it I'll share with my family and friends

Very well done video on this problem.

Damn, happy to see I'm not alone!! I got covid 2 weeks ago and I always have that zing when I go to sleep and lay down and sometimes even couple times during the night I cough my lungs off for a minute or two, its so annoying 😪

My covid cough lasted about 20 days. I didn't understand why I was coughing and everything else with me was fine, thanks for explaining this it was very helpful.

Appreciate the research very much, thank you doctor!

Just what I need to hear. Thank you

When I had covid, I would sometimes cough until I almost vomited. I coughed so much that the muscles in my chest began to hurt tremendously.

Thank you very much. I just had Covid19 recently and now am stuck with that persistent coughing that is uncontrollable. Will check my Dr tomorrow.

Thank you Dr ! For your Amazing video!

So we'll verse of his specialisation... Keep it up Doc...

Interesting video, thank you! This is the only one I have seen so far that describes exactly what this lingering cough is like 😩 Having been vaccinated and my booster, I ended up testing positive for Covid the first week of this month. Out of nowhere I developed a cough followed with a horrendous sore throat, fever, and my sinuses were jammed. Felt like a bad cold really. This cough is driving me nuts. It may not sound like a lot, but I am going on a hair over three weeks. I have cancelled scheduled appointments with different doctors because I don’t want to put myself in a waiting room with other people with a mask on, and hack my brains out. I am respectful of others and even the receptionists all appreciated my actions. Anyway I have contacted my primary doctor to see if there is anything I can take for this cough. She told me they don’t typically prescribe anything because coughing was good as it will prevent pneumonia from setting in 😫 It’s disruptive period. This was very informative and will suggest it with my doctor. My patience is zero right now…….Thank you very much!

Goes without saying.. You better be taking Zinc, vitamin D, C and K-2. Sunshine.. Lots of zinc

I got COVID in November 2020 & have been dealing with a cough ever since. My mom sent me this and now I have something else I can bring to my PCP. I thought I’d live with this forever, but now I have something else to read up on. Thanks for the informative video.

Thanks for sharing this information, I’ll definitely bring this to my doctors attention on my next visit.

Never had cough from COVID was taking Ivermectin, but had stomach issues. All of family got it 71, 70, 55, 53, 25, 23, 21, 9 years old. All took Ivermectin and none to hospital. Confirmed tests.

I was tested positive, i had symptoms like overfatigue, slight cough, muscle pain but no fever.. 15days of isolation and thank God the virus did not progress.. but after isolation i have this like a feather itching my throat, i cough but not a bad cough. It triggers then stop, then again.. Thanks for this video now i know what is happening to me, i was a little concerned that i still have the virus.

Thank you so much for this video. Now I know what this long standing cough is called. I had COVID twice and I am left with this cough. It is very aggravating and at night worse. Thank you again for addressing this subject.

Thank you. This has been bothering me for such a long time! Now I finally know what it was.

Goodness the most informative honest helpful diagnosis and information to try to help with this SNC cough that I certainly have ...thankyou 😊😊😊

This is what I have been experiencing, 100%. I've had Covid twice, both times was horribly sick with a tortuous cough/bronchitis/pneumonia. This was on top of already existing asthma cough. Thanks for giving me a direction.

Hi Doctor. This cough especially dry cough and occasionally mucus always creates doubt whether COVID has again attacked me. This video gives a sense of relief that it will take time to heal. Thank you.

Really helpful information - thanks so much.

I never had covid but I have this cough exactly as you explained.. my doctors were trying to treat me for ocpd.. lots of chest x-rays and pulmonary testing.. then I saw your video and I took it to the doctor's office.. where you explain the symptoms.. and I told them that's me that's exactly what I have.. so they prescribe me your first medication on your list.. I'm happy to say five days later I am about 80% better.. such a great relief thank you doctor..

This Dr. knows what he is talking about.

This is a real doctor we need more like u

Great video, thank you!

Thank you for this information.

Thank you for this video, it completely explains the cough I still have months after covid.

For early recovery and use ginger, gooseberries juice, garlic, turmeric, salt, pepper, schewan pepper n honey

You are right about Gabapentin! Mom takes it for myelopathy symptoms occasionally but when she does, she does not have the lingering post covid cough nor the mucus!