Conversation: The conversation between human and AI assistant.
[|Human|] I had a serious accident two years ago which involved traumatic brain injury , many injuries and my treatment required a tracheostomy for over 5 months. After removing tracheostomy tube I started having very strong cough and my throat is constantly itching. I was hoping that this condition will disappear after few months but it continues for over two years. The coughing and itching is very strong and it became stronger during the last few weeks. I would like to find out if this could be the side effect of the tracheostomy and what are available treatments. Also, what test I should perform to learn what causes the coughing and strong etching. I will be very grateful for any suggestions
[|AI|]  Hi, Thank you for posting your query. Long term tracheostomy does cause certain adverse effects and minor complications. These may include traumatic (inflammation over the trachea) and narrowing of the trachea. Your symptoms could also be related to infections of the upper respiratory tracts, either by a bacteria or virus. Lastly, it could be allergic symptoms. You require a detailed evaluation by an ENT surgeon to establish the exact diagnosis, so that the appropriate treatment can be suggested. Wishing you good health, Chat Doctor.