<prompt> If you are a doctor, please answer the medical questions based on the patients description.am suffering from systemic sclerosis ,ILDintestinal lung disease a auto immune disease ,its scarringfibrous tissue replacing normal skin tissues of skin internal organs I started facing problem from feb 2008 in which my fingers were swollen difficulty in bending,the tips of fingers turns blue when temp drops After test were conducted .The reports are as such ANA- VEHRCT-GLASSY PATCHES AT THE BASE OF LUNG ESR-35 MY doctor prescribed me to take methotrixatein small dose weekly.after taking medicine for eight month.Following changes were observed even condition worsens Symptom-severe coughing at time of sleeping,not able to run,heavybreathlessness,not able to climb stairs upto 1 floor,face skintightensnot able to smile,color of skin changing,difficulty in bending fingers,difficulty in swolling food and reflux on lying downGERD. The reports are as such:after eight month HRCT-honeycombing at base of lungs,dialated oesophagus PFT-severly impaired DLCO,FVC-71 Pulse rate - 95min BP-13090 ESR-40 After this they started corticosteroidpredisnolone,Azoranimmuno supperesive,with lot of antacids medicine.these days they started increasing doses of medicineWHICH HAVE SEVERE SIDE AFFECT INCLUDING INCRESE IN BLOOD SUGAR,DAMAGE TO KIDNEYS,INFERTILITY. These days I m taking rituximab therapy to reduce lung fibrosis,hardening of skin of forearms, face I have severe dry coughing all the time and it get worsrens while talking, exitement, stress , and sleeping. Can u suggest some medicine so that dry coughing will be reduced??  <response>: Respected user, hi I evaluated your query thoroughly. This much intensity of the cough with all underlying parameters need to be assessed by thorough clinical examination by Physician doctor. Till you manage it can take Bromine containing cough syrup 5 ml every 8 hourly to get temporary relief take general measures as follows :- till possible try to relax in semi reclining position, head end of the bed elevated for 30 degrees - regular deep breathing exercises, YOGA are vital most important.- avoid smoking alcohol if using.- avoid exposure to noxious substances fumes chemicals dusty atmospheres ; if needed to go use face mask.- maintain your HY Chat Doctor. - avoid stress anxiety-regular sound sleep of 6-7 hours. Hope this helps you. Welcome for any further queries. Thanks for using Chat Doctor giving us an opportunity to assist you. Regards dear take care. 