I have a cough that comes and goes through out

Patient : I have a cough that comes and goes through out the years and has been going on for years. I had all tests and than had surgery to remove the opening to my stomach and some esophagus because of acid reflux. They reconstructed my stomach opening and tacked my stomach up for the new opening. Was told I can't throw up, burp, etc. Cough stopped for a couple of years but now is back. If I talk a little bit, I cough. I get like a really dry feeling in the back of my throat all of a sudden and have coughing fits until I get moisture back there. No warnings of it coming on. Had stomach checked everything ok. Since that surgery, I snore with mouth closed, my voice changed and gag alot. 12 days ago cough started and than 3 days ago sore throat. Last night sore throat was sever as is today with a cough that now has mucus in it. No other symptoms. Live in small town where medical is over 100 miles away. What is going on?
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