Can MS cause attacks of coughing and difficulty breathing?
Hi Denise,
I'm no expert, but I read on another MS site that coughing and resperitory problems are relatively common. One site said that about 20% of MS sufferers have respiratory problems.
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Eva1967
Wednesday, July 08, 2009 at 06:37 PM
Denise Coleman
Thursday, July 09, 2009 at 05:56 PM
Denise Coleman
Thursday, July 09, 2009 at 06:00 PM
Thank you for responding to my question. 20% is a lot of people who are experiencing coughing fits and breathing problems, I wish there was more information available about these issues. They probably aren't fully recognized as related to MS. My doctors say "maybe, it could be, don't know," but in the meantime I am having difficulty breathing, my blood oxygen level is down to 85, and no one seems to know why.
Hi:
I have had the same symptomology for about four years. After my GP ruled out all of the obvious things, I was referred to a pulmonologist. It hadn't occured to me that the coughing might be related to my MS. He ran a series of tests-breathing into a machine with and without broncho dialation medicine to rule out asthma, a swallowing study, chest x-ray (that is all I can recall) He then said since all of the things like asthma, allergies, lung cancer were ruled out, I have an MS related condition called laryngal spasm-where the vocal chords have intermittent paralysis that causes several things. I also have a slight affect of my swallowing ability where saliva builds up in my throat and I don't swallow automatically. If this is happening, when I cough the fluid can get into my lungs. I also can choke on liquids (solids don't seem to be a problem, because so far the swallowing is subtle).Choking is an ongoing issue-so my pulmonologist had me get a medic alert bracelet (to alert folks that if I am choking or having trouble breathing it is my spasming vocal chords--not something lodged in my throat)
Also, this is one of the 'rarer' MS symptoms, even with the pulmonologist's diagnosis it was difficult to get my neuro and GP on board (it doesn't help that I am a fat chick-so both docs suggested my shortness of breath and coughing came from a lack of excercise). So, I talked with my MS Society chapter and did some of my own research and found articles that I gave to them. I understand that this can be treated with a botox injection, but haven't looked into it yet.
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Denise Coleman
Thursday, July 09, 2009 at 05:55 PM
Thank you for this very informative and helpful response. I am seeing a pulmonologist as well and he has ruled out the typical possibilities, like asthma, allergies, etc. I have not heard of laryngal spasm, or of some of the other problems you identified and appreciate your bringing them to my attention. I am going to do a little more research and will bring this information to my pulmonologist when I see him again next week.
I wish you the best of luck in coping with this, and other MS symptoms. Thank you again, Denise
Denise Coleman
Tuesday, August 04, 2009 at 02:44 PM
One more question, if you don't mind. Has your voice changed from all the spasms and coughing. I always sound very scratchy or hoarse now, and at times the end of my sentences get lost because I don't have enough breathe to project the words very far.
I don't know what is causing all this yet, but losing my voice is a real problem. I do some public speaking as part of my advocacy work and don't want to lose that ability completely.
Hope you are feeling okay.
Denise
joguinn
Tuesday, August 04, 2009 at 07:54 PM
Denise:
Happy to keep the conversation going--It makes me nuts and angry when so-called MS specialists discount and disregard my symptoms. I can't count the number of times a neuro has said, no this or that isn't MS related and I find an article about the symptom on the National MS web site or other reputable web sites. Thank goodness for the internet. I will stop ranting now, but this is a sore subject with me.
As to laryneal spasm and MS,
here are some articles that I have located:
Article on Otohns.net on Nerve disorders of the larnyx. (link)
An excerpt from a Medical Text that lists Laryngeal as part of MS (link) If it doesn't go to the correct page, search for laryngeal spasm
One interesting connection that I discovered is that there is Uhthoff's Syndrome of the larnyx. (the syndrome is commonly connected to visual problems related to overheating) (link)
A discussion of two phenomena attributed to MS are discussed here: Dysphagia and Dysphonia (link)
More info from European Neuro Journal (link)
An excellent list of all neuro related speech/swallowing disorders (link)
If you search on the word 'vocal' on the UK MS society page there is alot of info: a comprehensive article I found there is (link)
and finally: an article on possible treatment/help (link)
I am just recovering from a terrifying week where if I tried to speak, I would have a tremendous coughing/choking episode. I am slowly getting better. Trying to build up the energy to go fight with my neurologist.
Just in a bad place right now-losing speech scared me to death.
Any other questions? You can also read my blog to learn more about my symptoms this past week.
All the best, Janine
WOW!! I was looking for more information on a news article about games for MS and your profile was listed. First, I have to admit that I rarely take the time to look at the many items listed on a web page along with the article the item I searched for...I'd never get anything done!
I have always struggled with a cough following a cold or flu, sometimes for a month or more. Last August I started coughing...as a first symptom, followed by sinus symptoms. The cough was worse than ever before and the sinus symptoms persisted. I've had trouble choking on liquids for years...since before I was diagnosed with MS in 2001.
This time though, I began to have episodes during coughing where I was unable to breathe in or out... I told first my GP, then an ENT, a pulmonologist, allergist, MS doc, hematologist/oncologist and ER doc over the next 4 months...it's like breathing through a straw and then the straw closes up while coughing. Then add fluid build up in my eyelids about 4 months into this...every test in the book left docs insisting this was not allergies and not MS related but I was diagnosed with asthma, vocal chord dysfunction, sinus infection. The inhalers did help my breathing and cough and speech therapy helped me avoid the slamming shut of the vocal cords while coughing. Antibiotics didn't help the sinuses much...and steroids helped temporarily. Finally my GP tried 30 days of steroids with a very slow taper and an 'anti-inhaled-mold' pill daily for the same 30 days. I felt about 80% relief of symptoms and now have occasional bouts of mild persistant cough and sinus...tolerable. Choking on liquids is about the same frequency as before the 8 month nightmare.
My MS specialist does not believe this is MS related. My bloodwork seems to prove it's not an allergy. The only 2 explanations I was left with are another wacky immune response or something hormonal since my period stopped abruptly at the same time all these symptoms started...and returned last month!
Your question and the responses you received put MS back on my list of possible explanations!
On an unrelated topic...I'd like to talk to you because of your expertise with non-profit organizations.
take care of you,
fitMS
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My mom has had MS now for over 20 years. She is almost bedridden but still in good spirits but about 1.5 weeks ago now, she had either a small stroke or a MS episode so she currently is still in a hospital bed in Illinois. They did all the tests etc. and no indication of a stroke, but the results now is she cannot swallow. We have the pathologist come in twice a day, but she still can't swallow. We are thinking now of putting a trach in to relief the pressure and make it easier to breathe. Its a very very tough situation right now, and if you have any advice, please reply, thanks.
Jeff Kruse
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Hi Denise, I have been suffering with a horrible cough, asthsma, wheeze, and severe pneumonia since April of this year. My CT is clear & I don't smoke. I was DX with MS in 2008 after 12 years of symptoms. The pneumonia put me in the hospital for 14 days in August. My Neuro tells me it's not MS related, but I'm having swallowing problems & I think he's wrong. A pulmonolgist put me on long taper prednisone, strong antibiotics, and a vibrating vest to loosen lung secretions. I am still on these drugs. This is only the latest course of treatments this year. I'm worried about the condition returning after I finish this current treatment. It has returned before. I am also a professional singer. This breathing disorder has made my life quite miserable. I'm also experiencing blurred vision & extreme lethargy. I am going to be treated with IgG infusions starting this month. This was precribed by a Hemotoligist because my numbers are so low. I'll let you know how or if this works out. God Bless us, Katkan
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I have that problem quite a bit. I'm a fan of Fox News NY and I noticed some things with Neil Cavuto, from business news. That I had experienced, I was curious and googled him, to my surprise he has Multiple Sclerosis, I was shocked. The breathing part sometimes it's like a giant bear hug or it mimics a heart attack
I was in the hospital 2x because they thought it was my heart.
This is one strange disease.
All The best- Eva1967