Paderla Anitha, many thanks for your reply.
Your diagnosis is spot on, indeed I also suffer from GERD and sinusitis.
I think I can cope with that with some diet changes, omeprazole and some antihistaminics, but, in your opinion, what you see in my lungs is somehow reversible or the damage is done already?
Hi, there appears to be emphysematous changes. It is a long-term, progressive disease of the lungs that primarily causes shortness of breath due to over-inflation of the alveoli (air sacs in the lung). It is a type of COPD (chronic obstructive pulmonary disease). The main cause of emphysema is long-term regular smoking. The other causes for long term cough besides asthma are GERD and post nasal drip from allergies. GERD is gastro esophageal reflux disease where the stomach acids come back into the esophagus and spill into the wind pipe causing cough. Treatment with antacids will help neutralize the acids. Post nasal drips can occur with sinusitis and throat infections. Giving up cigarettes will abolish smoker's cough in 90% of people. Talk to your GP about the other causes for cough in the meantime you could try warm salt water gargles and breathing exercises. Regards.