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Read More. But, FWIW, the first 3 months I couldn't talk for more than a couple of minutes without coughing and the talking made it worse. The coughing is often caused by post nasal drip and there's a common sx called riba-cough. that's one reason I went out on medical leave. I (was) a teacher, too, and a vocal music teacher to boot. The coughing did go away after a couple of months but I think it's more coz I don't use the voice much than anything else.