I am diagnosed with Tourettes by my primary and a neurologist. I've been ticcing ever since I was a teen, if not earlier. vocal tics include echolalia and possibly coughing, clearing throat. I say possibly since there's a diagnosis of hiatal hernia too. No other "symptoms" of HH. So is there a way I can tell if its TS or HH. Coughing for over 20 years. I am middle aged now. Its a dry cough.