I do laugh a lot, but i also experience the coughing with it which is annoying. The cool thing is .... some of my perfectly healthy friends will cough after they laugh too ,so i dont feel so alone in that. I was trying to read my mom something over the phone that is hillarious 2 weeks ago, called " how to poop at work" I could barely get thru 2 sentences and she'd start laughing and then i'd start and we would both start to cough. If i am feeling well i can laugh pretty good but not like i used to with a rip roaring laugh that brought tears to my eyes. Now it is more of a calm laugh and when i dont feel good its more like a laugh that takes no effort........... no effort = no coughing