Can multivitamins cause cough

Background: Chronic cough is characterized by sensory neuropathy. Vitamin B-12 (cobalamin) deficiency (Cbl-D) causes central and peripheral nervous system damage and has been implicated in sensory neuropathy and autonomic nervous system dysfunction. Objective: We evaluated whether Cbl-D has a role in chronic, unexplained cough Dietary vitamin C intake was in univariate analyses inversely related to morning cough, chronic cough, wheeze and wheeze ever PURPOSE: Vitamin B12 deficiency causes sensory neuropathy, that might contribute to the pathogenesis of chronic cough and pharyngo-laryngeal dysfunction. Increased nerve growth factor (NGF) levels have been demonstrated in cobalamin deficiency. We investigated upper and lower airway responsiveness and cough threshold to histamine before and after vitamin B12 supplementation (cobalamin 1000 mcg. Vitamin B12 is the largest of the B vitamins and has crucial roles in the functioning of the brain and nerves and the production of red blood cells. Deficiency is usually associated with anemia, but a change in nerve function is also a symptom. Chronic cough may be related to a dysfunctioning of the sensory nerves

INTRODUCTION. Recent guidelines allow for the obtainment of an accurate diagnosis and the achievement of a successful treatment in most patients with chronic cough (1, 2).Nevertheless, despite an exhaustive workup, cough remains unexplained in a consistent percentage of patients (3, 4) and is unresponsive to a variety of empiric treatments.A key feature of unexplained cough is heightened cough. Many vitamins can cause serious or life-threatening side effects if taken in large doses. Do not take more of this medicine than directed on the label or prescribed by your doctor. Before you use multivitamins, tell your doctor about all your medical conditions and allergies As a general caution, health sites including Drugs.com report that all multivitamins could cause side effects, including upset stomach and headache. However, these effects are not considered serious unless they're accompanied by hives, difficulty in breathing or swelling of the face, lips, tongue or throat

Unexplained chronic cough and vitamin B-12 deficienc

  1. C deficiency) Vita
  2. s and
  3. C, which is good for the body. On the other hand, the citric acid in these fruits can trigger acid reflux, irritating your throat and causing you to cough in the process. Instead of citrus fruits, indulge more in fruits that contain high water content
  4. C cannot help to prevent or treat with cough or even the common cold. For a person who has cough, any juicy fruits except citrus ones can be given to them to help ease their respiratory tract. Try to avoid caffeine as they cause dehydration and are not helpful to your cough
  5. B12 deficiency is not only common but it may be a serious problem that is contributing to your chronic cough and weakening your overall health. Individuals with vita
  6. D to build up in the blood. The risk of experiencing adverse side effects after absorbing vita
  7. D levels were linked with an increased frequency in these conditions, while supplementation reduced the symptoms and frequency by over 50%.[1

Dietary vitamin C intake is inversely related to cough and

A chronic cough is a cough that lasts eight weeks or longer in adults, or four weeks in children. A chronic cough is more than just an annoyance. A chronic cough can interrupt your sleep and leave you feeling exhausted. Severe cases of chronic cough can cause vomiting, lightheadedness and even rib fractures You can also eat foods rich in vitamin K2, such as grass-fed dairy and meat. Summary Although vitamin D is required for calcium absorption, high levels may cause bone loss by interfering with vitami An infrequent cause of chronic cough. Mrs. A, age 54 years, came to the clinic for further evaluation of a cough that had started five years ago and was progressively worsening. The cough was. Add to that list a number of debilitating conditions already associated with vitamin B12 deficiency, such as fatigue, memory loss, and pins and needles sensations. If you frequently battle with cold symptoms like sneezing and sore throat, you may need to consider vitamin B12 deficiency as a cause for chronic cough, as well

Vitamin B12 Deficiency and Chronic Cough and Upper Airway

Find Relief from Chronic Cough with Vitamin B12 NHR

  1. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Data sources include IBM Watson Micromedex (updated 1 July 2021), Cerner Multum™ (updated 1 July 2021), ASHP (updated 30 June.
  2. c can thicken phlegm, we decided not to waste time, but to get down to writing about it immediately
  3. B12 deficiencies? Regardless, a chronic cough has a reason and, to paraphrase a popular TV show in the 1990s, the answers are out there

Tomatoes contain a very high vitamin C. Vitamin C will act as an antioxidants that will combat infections that cause cough and sore throat. Even tomatoes can be a cough medicine without causing side effects to the body. Tomatoes can cure cough quickly because it can improve the overall health of the body He said, Generally, you can find these lower levels of vitamins in older people because they can have some problem with their nutrition. So how does low B12 cause a chronic cough? Well, over time, lack of B12 may cause inflammation of the nerves leading to your airways Vitamin allergy symptoms tend to mimic those of common food allergy symptoms, such as nasal complications, asthma, skin rashes and anaphylactic shock 2. If you experience unpleasant reactions when you take vitamins, talk with your doctor to determine the cause and best treatment options As we have seen above, there are many foods you can eat to help relieve cough symptoms. Food you eat may not treat your cough itself but some foods can help you feel better. While some foods can cause inflammation, certain foods can also help reduce inflammation to help ease a sore throat. Eat more foods that reduce inflammation A dry throat can cause discomfort when you swallow and can leave you with crispy cough. If you do not cure cough on time it can lead to other problems. One should have soup,ginger, honey, vitamin C and spicy foods which will be comforting for dry cough

There is evidence that statins can cause pulmonary lesions (small lesions on the lungs that show up on X-ray imaging), which may cause a chronic cough. Unfortunately, not enough is known about the effect of statins on the lungs at this stage. 4. Carvedilol. This medication is a beta-blocker, which can be used for multiple health issues such as. Allergies can cause a dry cough (no phlegm or mucus) or wet cough (very phlegmy), Dr. Bassett says, but post-nasal drip typically leads to a dry cough. The AAAI also points to a chronic dry. A group of drugs known as ACE inhibitors are commonly prescribed to treat high blood pressure; they can cause cough in about 20% of patients. A medication-related cough begins a few weeks after. However, excessive use of these supplements can cause mouth dryness. Here is how: Vitamin D influences the absorption and metabolism of phosphorus and calcium. Extreme levels of vitamin D in the body using supplements may cause increased thirst due to the high rate of phosphorous absorption in the body, leading to thirst and dry mouth

Unexplained chronic cough and vitamin B-12 deficiency1-3

Inflammation and extra mucus cause severe coughing. Phlegm production and inflammation over many years may lead to permanent lung damage. Time and tide waits for no man. So once we got an idea for writing on is vitamin c can thicken phlegm, we decided not to waste time, but to get down to writing about it immediately A cough can be one of the most frustrating symptoms of the common cold or other seasonal ailments. But believe it or not, it's a way for your body to clear out irritants and infections from your airways. There are several different types of coughs, depending on the underlying causes, but the most common distinction is dry cough vs a wet or. Some of the most common causes of coughing in dogs are heart disease, chronic bronchitis, heartworm disease, and respiratory infections caused by bacteria, viruses, or fungi. Beyond the usual suspects lurks other, less common culprits that may be behind your canine companion's hacking. If your vet can't find the root of your dog's coughing.

Vitamins can help boost the immune system and speed up the healing process of this type of dog coughing. A Vitamin C supplement can be especially beneficial. This kind of dog cough can cause. Bronchiectasis causes inflammation and irritation of the airways, which can cause people to cough up blood. It appears as streaks of blood or a small amount of blood. People with bronchiectasis need ongoing treatments including airway clearance, inhalers, possible antibiotics, or other treatments

Multivitamins Uses, Side Effects & Warnings - Drugs

  1. C through supplements can, however, cause side effects. In adults, the recommended dietary allowance (RDA) of vita
  2. D-3 supplement has the potential to trigger an allergic reaction in some people. This occurs when your body mistakenly recognizes the vita
  3. s are water-soluble like vita
  4. Formaldehyde can cause lung disease and The Environmental Protection Agency classifies it as a p robable human carcinogen, which means inhaling the substance could increase a person's cancer risk. Read more: 8 foods to avoid if you want to reduce your chances of cancer, diabetes, and early deat
  5. Frequent coughing can impact your social life and can also interrupt your sleep. A frequent cough is not only frustrating, but can also be painful. Let's take a look at how to stop coughing with these 5 simple steps to ease your breathing to help relieve one of the worst symptoms of lung disease

A healthy person can experience short-term coughing on a moderate basis, both to clear it of irritating substances and to keep pathogens at bay.. The main cause of pathogen-induced coughing is, however, a secondary effect of the infection itself. In order to keep germs at bay, the lining of the throat produces mucus, which then is expelled by the mouth or swallowed Decongestants: Low potassium or magnesium, excessive stimulants eg caffeine, alcohol, nasal decongestants, cough / cold remedies containing pseudo Ephedrine or phenyl propanolamine eg sudafed ('-d' at the end of the name) can all cause heart beat symptoms Can vitamin B12 deficiency cause dry cough? Posted on Thu, 21 Jan 2016 . Question: İ get a dry cough after every cold that lasts for more than 3 months. This has been happening since more than 10 years now. Allegra and montair is not working fully. Can this be B12 defficiency? What is you advice At the very first sign of cold symptoms, many people reach for Vitamin C, whether in supplements, juices, cough drops, tea, or other forms. Vitamin C was first touted for the common cold in the 1970s

Can Vitamins & Minerals Cause Headaches? Livestrong

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Vitamin C. This is one of the most common home remedies for the flu and the common cold. Vitamin C deficiency can cause poor immune function, low energy levels and even heart complications. Vitamin C keeps the immune system strong so that patients can fight off illnesses, including cold and flu viruses, similar to those that cause croup cough This can be divided into smaller, more frequent doses if needed. 40 lbs / 2.2 = 18.18 X 375 = 6,818.18 / 1112 (the mg of vitamin C in one 1/4 tsp dose) = 6.13 doses in one day. At this dosage, the vitamin C should cause bowel flushing, the point at which bowel tolerance of vitamin C is reached and stools become loose But for Chronic and health related sickness finding out the underlying cause for a persistent dry cough is the key factor in eradicating the cough which can be done only by visiting a Doctor and getting a complete check up with a blood test and scan the lungs are examined which gives a detail information regarding any abnormalities A rash that can develop from an allergic reaction to vitamin K may involve eczema, hives or general irritation. Chemicals released by the surface of the skin cause irritation, swelling, itching and redness. Hives form in various-sized welts that can move from one part of your body to another in a matter of minutes

As we mentioned before, your first step in treating a cough is to see a doctor. If you have a mild cough, you might consider trying some of these remedies: 1. Onion garlic tea to get rid of a cough. This hot beverage made from onions and garlic can be calming when your cough is related to common problems like a cold Cough Variant Asthma Can Be Hidden. The problem with cough variant asthma is that it is easy to miss. It usually develops simultaneously with, or at the tail-end of, some other medical issue like a cold or an upper bronchial infection. It also hides from tests that would normally detect classic asthma. And finally, many people just aren't. Vitamin C. People use this vitamin to prevent and reduce symptoms of the flu or common cold. In fact, many people believe that eating food daily that contains vitamin C can help prevent these health conditions. A study published in the Nutrition Journal mentions that the consumption of vitamin C could be directly related to reducing fatigue Vitamin B deficiency can increase the risk of various diseases and conditions which can affect your heart health, brain health, mental well-being, and more. For example, both B9 and B12 deficiency causes anemia in some cases - a condition in which your body lacks healthy red blood cells (which makes it hard for different parts of your body to.

These Cross reaction guides list medications that can cause either non-reaction (have no effect) or are reactive (you fail) to specific drugs, medications, vitamins, herbs or foods. As an example, if you take Dristan Cough Formula, which some Cross Reactive Guides say is reactive to an Opiate drug test, you could test positive for Opiates. There are many types of coughs: for example, dry cough, wet cough, a barking cough, whooping cough, stress induced cough, acute cough, and chronic cough. Cough is a symptom of an underlying condition or disease. Treatment of cough as a symptom is generally with OTC lozenges and liquids. The cause of the cough will be necessary to treat

It typically takes around two to 14 days for kennel cough to develop. While many cases of the disease end up being mild, kennel cough can turn into a more severe form of pneumonia in dogs — which can require hospitalization. This most commonly happens with puppies, dogs with an existing medical condition, and older dogs A cough can be caused by a number of factors: illness, environment, or simple throat irritation. When you cough, it is your body's way of trying to expel phlegm or other irritants that are in your respiratory system. Most conditions that can cause a cough are not life-threatening Quit smoking to rid yourself of a nagging cough. Smoking is one of the leading causes of coughing. The chemicals in the cigarette cause irritation, which contributes to a persistent cough. In addition, smoking can make you susceptible to other conditions, such as bronchitis, emphysema, lung cancer, and pneumonia

However, the cough can last seven to 10 days and persist. Roughly 25 percent last up to one month. Chronic Bronchitis . If you have chronic bronchitis, the bronchial airwaves are irreversible, usually if you are a smoker. You experience recurrent bronchitis. However, other studies show that indoor and outdoor pollution can cause the disease The cause I found is lack of microcirculation to the nose caused by clogging of blood vessel from chocolate, ice cream, cheese, and fatty liver from excess fruit and alcohol intake. In some case there is atherosclerosis and to stop this I used EDTA and Vitamin C. I have updated the remedy to include vitamin k to prevent calcification of arteries Emphysema is a chronic lung condition that causes shortness of breath, a chronic cough, wheezing, and more. Thyroid cancer is cancer of the thyroid gland and can cause a cough, hoarseness, a lump in the neck, and more. Generalized anxiety disorder is a condition in which a person has nearly constant anxiety While mucus is a necessary component in the body, excess mucus can cause a number of issues including coughing, trouble breathing and digestive issues. Natural treatments including a variety of spices and herbs are effective at limiting excess phlegm as well as removing it from the system Pneumonia also causes coughing in dogs, amongst other symptoms. The cough is usually a moist, bubbling one, which indicates fluid or phlegm in the lungs. Pneumonia can be a result of an infection, or secondary to other conditions, such as allergies, aspiration of liquid, or heart failure

Taking Too Many Vitamins? Side Effects of Vitamin Overdosin

Thus, another homemade cough remedy for your dog is supplements of this vitamin. You must administer 100mg a day if a small breed, 250mg if medium or 500mg if it is large or giant. Do not provide more than the specified amounts as this can cause diarrhoea Kennel cough in dogs causes. Bordetella bacteria cause the kennel cough. This bacterium affects the upper respiratory part of dogs. A dog's respiratory tract has a mucus membrane that traps germs from causing infection. Dogs contract the kennel cough when this mucus membrane weakens. And several things can cause this. Poorly ventilated area

Vitamin B-6 is very important to keep immunity in top condition, many types of biochemical reactions present in vitamin B6 boost immunity. Therefore, keep consuming vitamin B6 regularly in your diet. By the way, there are better options in the diet of non-vegetarian people. For vitamin B6, you can eat eggs, chicken, salmon fish Fruits and vegetables are some of the best sources of vitamins A, C and E, particularly useful in building immunity. Hide Caption. 7 of 8. Chronic cough can have many causes, and you and your. Suggest treatment for low vitamin B12 levels and anemia. . Presently left sided sore throat , low grade fevers periodically. Non productive cough, wheeziness. WhatAnemic (7.3 hgb) , B12 deficiency, fatigue, hiatal hernia area burning/ NOT reflux burn View answer Thirty percent of people with chronic cough are thought to have laryngopharyngeal reflux as the cause. Standard treatment includes twice daily dosing of a proton pump inhibitor such as omeprazole, lansoprazole, pantoprazole, rabeprazole, esomeprazole. Dexlansoprazole can be given once a day - or antireflux surgery. An 80 y/o WF with chronic cough due to larygopharyngea When stomach acid backs up (known as acid reflux) into the esophagus and is breathed in, it can cause coughing. Irritation from the acid reflux in the throat can also cause coughing. A persistent cough can have many different causes, and it's important to have this symptom evaluated by a doctor. Michael Krasowitz / Getty Images

Cough expectorants. Consult your doctor before starting any over-the-counter drug or complementary medicine (vitamins, herbal products). a rare condition that usually affects children in the wake of a viral infection and can cause serious liver or brain damage. Diagnosing Chest Congestion Causes of Vitamin B12 Deficiency. Your body does not need much vitamin B12 to function and only requires about 25-100 micrograms (1 milligram = 1000 micrograms) per day. However, there are numerous ways you can end up being denied these amounts and develop a deficiency. Being vegetarian or vegan: Vitamin B12 only comes from animal-based foods. Vitamin C is necessary for your skin and gums. Likewise, it helps in the production of collagen which is a component in connective tissues. Moreover, a lack of vitamin C can serve you with weak immunity, frequent cold, cough, inflammatory diseases, damaged skin and even cancer. Symptoms of Vitamin C Deficiency are

Surprising Foods That Can Trigger a Cough The Glamorous

Nonprescription cough and cold combination products, including products that contain dextromethorphan, can cause serious side effects or death in young children. Do not give these products to children younger than 4 years of age Vitamin C helps to boost your immune system and it decreases the severity and duration of colds and other respiratory issues caused by viruses. You can take 1,000 milligrams of vitamin C per day to fight off oncoming cold symptoms, or take 4,000 milligrams per day to get rid of a cold that is already in your system Overdosing on this vitamin can cause intracranial pressure, dizziness, nausea, liver damage, headaches, rash, pain in your joints and bones, coma and even death. High levels of vitamin A are also. If you are unable to get on top of a cold or a cough, then these minor infections can spread into your chest and cause more serious lung infections such as bronchitis and pneumonia. If we look back into history then we are given one very large clue as to how to best help ourselves when faced with pneumonia or any lung infection Find relief for your sore throat now with these helpful at-home remedies. 1. Salt Water. While salt water may not provide you with immediate relief, it is still an effective remedy for killing bacteria while loosening mucus and easing pain. Simply mix half a teaspoon of salt into 8 ounces of warm water and gargle away. 2

The most obvious of causes of vitamin B12 deficiency. Anything wrong in its ileum can cause a deficiency. In Still coughing I went back to dr today and dr. said again no b12 shots unless she could establish an issue with the B12 so no shots yet. Trying over the counter B12 vitamins but not feeling well still Cough cough, me. If you had asked me a year ago if I was acne-prone, I would've said no! That said, not all B12 supplements are created equally and de Sousa says injections may be more likely to cause acne than supplements. That's because injected vitamin B12 enters the blood stream and stores in the liver's muscle tissue posted July 17, 2021 at 07:20 pm by Desiree Carlos. If it is prescribed by the vet, yes you can give cough medicine to your dog. But if not, never self-medicate your dog. You can do more harm than good. Always ask your vet if a certain medicine for humans is safe for your dog (How To Cure Asthma Cough Naturally) Histamine, a chemical produced by the body, can increase inflammation in asthmatics and cause constriction of smooth muscles. Vitamin E is another antioxidant that can help alleviate asthma Cough symptoms such as shortness of breath, coughing, and wheezing

Oranges - A source of Vitamin C or will it worsen cough

Too much vitamin A can cause dehydration, joint pain, and can even harm your dog's blood vessels. On top of that, there are very few studies that have tested the long-term safety of dog vitamin. Vitamin C (a moderate amount) may help reduce the progression of osteoarthritis. Vitamin C is involved in the formation of both collagen and proteoglycans (two major components of cartilage, which cushions the joints). While most adults need between 75 mg (women) and 90 mg (men) of vitamin C each day Vitamin A. A lack of Vitamin A can cause a large array of issues: miscarriages, infertility, weak babies, cough, raspy breathing, diarrhea, decreased milk production, crooked head, thick nasal discharge, and even hair loss. Vitamin A supplements are available by injections, loose mineral, or multi-vitamin pastes. Vitamin

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Lemon is a fruit that has many useful uses, especially eliminate sputum and mucus. Vitamin C is an essential vitamin as well as an excellent antioxidant, which is essential for immune function and health. Also, vitamin C in the lemon can kill off bacteria that cause a cough and eliminate the phlegm in your throat [23] Coughs and colds are usually caused by infection with a germ called a virus. They normally clear away on their own, and antibiotic medicines are usually of no use. Paracetamol or ibuprofen may ease some of the symptoms. Make sure the child has enough to drink. Coughs and Colds in Children. In this article Many conditions can cause a persistent cough that mimics chronic bronchitis. People who have a persistent cough need to be carefully evaluated for asthma, lung cancer, allergies, acid reflux and sinus disease, especially if they are current nonsmokers Here are some vitamin C-rich foods that you can consume to fight cold and cough: 1. Citrus Fruits. Fruits with high water and citrus content are rich in vitamin C. For instance, 100 gms portion of orange or lemons will provide you with about 53 mg of vitamin C, as per United States Department of Agriculture (USDA) database Colds aren't as immediate as allergies. Instead, they tend to develop over the course of a few days, says Dr. Bryson. You can try a few different things to help relieve a cough.Decongestants can.

7 Ways to Beat a Chronic Cough For Good - DrJockers

Any virus that invades the upper respiratory tract can cause persistent cough, Bernstein said. Having the cough linger longer than a week or 10 days, as my kids' have, isn't all that common, though, so I still should be on the lookout for those secondary infections Until further studies are available, a dose of over 100 micrograms is not advisable because excessive vitamin D can cause enhanced calcium absorption, which can damage the kidneys and the heart Hydrocodone combination products come as a tablet, a capsule, a syrup, a solution (clear liquid), an extended-release (long-acting) capsule, and an extended-release (long-acting) suspension (liquid) to take by mouth. The tablet, capsule, syrup, and solution are usually taken every 4 to 6 hours as needed. The extended-release capsule and the. Many vitamin deficiencies can cause tingling in the extremities. A Vitamin B12, or cyanocobalamin, deficiency is the most notable of these and can lead to pernicious anemia, which can cause peripheral neuropathy. Other vitamin deficiencies that can cause tingling and similar symptoms in the extremities include: Pyridoxine or Vitamin B6; Niaci Eat more vitamin C-rich foods like lemons, oranges, bell peppers, kiwis, berries, dark leafy greens, broccoli, tomatoes, and papayas. You can also take vitamin C supplements. Consult your doctor for the correct dosage that may help you stop infections that cause post nasal drip cough. 11. Baking soda nasal irrigation

Vitamin D: Side effects and risks - Medical News Toda

Listen for coughing. A dog infected with kennel cough may suddenly develop a cough, which can vary in severity from a quiet, persistent huff to a harsh hacking, choking cough. The latter is commonly mistaken for the dog having something stuck in his throat Other than the cough, many dogs with kennel cough do not act sick. They are their usual active selves, eating and drinking, but coughing excessively. In some cases, kennel cough can also cause gagging, vomiting, sneezing, a runny nose and eye discharge. Symptoms of kennel cough generally appear about three to four days after exposure to the virus Warning: An ingredient in some butterbur products may cause damages to your liver and lungs. Butterbur may cause a reaction if you are allergic to daisies, ragweed, or marigolds. 3. Green Tea. In addition to vitamin C for allergies, green tea is an alternative natural antihistamine that can interfere with an allergy skin testing

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Health Benefits of Vitamin D. Vitamin D is an important health component in a variety of ways. While it is often considered a preventative supplement, it is also important for treating a variety of conditions. The nutrient can be used to treat and prevent such conditions as rickets, osteoporosis, bone pain, brittle bones, heart and blood. Diet. Malnutrition and overnutrition may increase the risk of seizures. Examples include the following: Vitamin B1 deficiency (thiamine deficiency) was reported to cause seizures, especially in alcoholics.Vitamin B6 depletion (pyridoxine deficiency) was reported to be associated with pyridoxine-dependent seizures.Vitamin B12 deficiency was reported to be the cause of seizures for adults and. Some OTC cough medicine for children can be used to help treat minor coughing in dogs. For example: Cough Expectorants. Expectorants do not suppress the cough reflex, but they help to liquefy mucus secretions so that they can be coughed up more easily. Expectorants are good for productive coughs (phegmy coughs) A dry cough due to viral infection cannot be treated easily and it takes time and patience. Coughing can make the irritation in your airway get worse; therefore, you can try warm liquids and throat lozenges to get relief. 5. Environmental Irritants. Environmental irritants such as pollution, smoke, mold, dust, and pollen can cause a dry cough The health of dogs is a well studied area in veterinary medicine.. Infectious diseases that affect dogs are important not only from a veterinary standpoint, but also because of the risk to public health; an example of this is rabies. Genetic disorders also affect dogs, often due to selective breeding to produce individual dog breeds. Due to the popularity of both commercial and homemade dog. Dogs can develop symptoms of kennel cough from the vaccine but, no, a full-blown form of the illness is extremely unlikely. There are two forms of the kennel cough vaccine, live vaccine and killed vaccine. They also come in either an injectable vaccine that is given under the skin with a needle and an intranasal vaccine that is squirted into.