Conversation: The conversation between human and AI assistant.
[|Human|] My 14 year old daughter has had a cough since August she coughs mainly at night and in the morning but seems fine during the day, I took her to the docter last week they gave her a chest x ray and all clear gave her Anti histamine for one week she is still no better. My worry is she sings in a choir should she stop doing this could she damage her voice?
[|AI|]  Thanks for your question on Chat Doctor. I can understand your concern. Nighttime coughing in 14-year-old patient is commonly seen with allergy. I don't think it is due to sing in chorus. In my opinion, you should take her to pulmonologist and get done clinical examination of respiratory system and PFT (pulmonary function test). If PFT is showing obstructive Airway defect then possibility of allergic asthma related cough is more. Combination of anti-allergic (montelukast) and anti histamine (levocetrizine or fexofenadine) is superior to plain antihistamine. Sometimes, inhaled bronchodilator and inhaled corticosteroids (ICS) are also beneficial. So consult pulmonologist and discuss all these. Don't worry, she will be alright with appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wishing good health to your daughter.  Thanks.