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I was diagnosed with polymyalgia rheumatica in 2016. I have been taking the steroid prednisolone for five years, and have had a chronic cough since. Is the cough a result of the steroid? My doctor says the drug is causing reflux, which Gaviscon combats. Bill Hepke, Yorkshire. A permanent cough is uncomfortable and irritating more so now, during the Covid pandemic, than ever before. Polymyalgia rheumatica is a condition that typically affects those over 50 and begins as stiffness and aching in the shoulders, neck and hips. This pain tends to resolve after two or three years and, as you know, can be controlled by steroid tablets such as prednisolone.

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