I, Mr A, take you, Miss B, for my lawful wife, to have and to hold, from this day forward,for better, for worse,for richer, for poorer,in sickness and in health, until death do us part..
Nope. Not if people are not willing to seek help. And better to leave before kids rather than after them. Or is it better to end up hating someone for 50 years rather than admit there is a problem…?
Mr M-B A quack speaking- the family bit is interesting. There are a whole range of conditions which can cause difficult coughs which may have a family link from Asthma through to Alpha-1-antitrypsin related emphysema. There are things a family could have been exposed to (like Aspergillus) but there are also annoying “habit” coughs which can be “learnt” in a family. Any history of eating disorders by the way?
The causes of coughs are almost limitless – starting with earwax (yes – it can cause a cough…) through sinusitis/rhinitis/nasal polyps (can be a family history) Ciliary dysmotility syndromes, Acid reflux leading to laryngeal/airway irritation, and that is before we get near to lungs and airways… Then you get connective tissue disorders, wegeners, etc etc and TB… – then further down emphysema, asthma and bronchiectasis.
A young patient with a chronic cough I would expect to have had a couple of weeks of peak flow measurements and spirometry done, trials of salbutamol and low-dose inhaled steroids, a trial of an antihistamine, a trial of a PPI drug like omeprazole, and a trial of a nasal steroid spray for at least 2 months. Further investigation (such as high-res CT scanning of lung bases and/or referral to a respiratory specialist/bronchoscopy or flexible naso-laryngoscopy) would depend on signs found on examination… And psychogenic coughs are far from uncommon.
But that isn’t the issue. The issue is she will attaches little value to Mr A’s concerns and how much it upsets him, and she is unwilling to deal with what sounds like a genuine medical issue. I think Mr A needs to make it clear to her that this is not just you (ooops… MrA 😉 being embarrassed, but his genuine concerns.
If she does nothing I think you/he may need some counselling from an outside party or a divorce lawyer…
This all sounds a bit odd to me. e mail in profile if you wanted to discuss anything privately.