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Cough and nose congestion - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
Doctor :   hi
Doctor :   how can i help you
User :   Hi doctor, how r you ?
Doctor :   fine
Doctor :   how are u
User :   fine, thanks you. I have some queries to ask you..may i
Doctor :   please go ahead with your query
Doctor :   r u there
Doctor :   I have to close this window since there is no response from your side, please get back to us if you need further medical advice. We are available from 9AM to 9PM IST everyday.
Doctor :   hi
User :   hi
User :   the window was closed, i was writing ...
User :   iam suffering from cough
Doctor :   u didnt respond for long time
Doctor :   ok
Doctor :   since when
User :   rinhitis - allergic ones seems
Doctor :   ok
Doctor :   since when
User :   since 2 months, after i came from abroad.
Doctor :   For Administrative and health purposes, Please provide these details -Age: Gender: Occupation: Location: Marital Status: Dependants: Yes/No

User :   age = 31 yrs, name = prabir, male, unmarried, dependents yes
Doctor :   ok
Doctor :   so how can i help you now
User :   i need your help in figguring out what could be the issues/disease with me in this case.
Doctor :   ok
User :   i will let u know the symproms
Doctor :   ok
User :   *symptoms.
Doctor :   how often do u get this?
Doctor :   any particular season u would get this
User :   previously occasional day & night cough.
Doctor :   do u have history of allergy/ asthma
User :   now little less and mostly in nights after i go to bed.
Doctor :   ok
Doctor :   any particular season u would get this
User :   well in my life it was not there till now, once after i returned from my 10 months of stay abroad.
Doctor :   ok
User :   i retunrned from abroad on April 08
Doctor :   do you runny nose and nasal congestion
User :   but since march i was getting little bit of cough.
User :   Yes
Doctor :   ok
User :   nose congestion only
Doctor :   is the cough productive?
User :   no runny nose at all
Doctor :   ok
User :   productive means ?
Doctor :   with sputum
User :   yes in day time and also in morning while i put brush in tongue cleaning...
Doctor :   isit dry cough?
Doctor :   ok
Doctor :   do you have watery or itchy eyes
User :   productive mostly and sometimes dry.
Doctor :   ok
User :   nope.
Doctor :   As this is an online consultation, I have to ask you a few questions because I cannot examine you. It will take some time so please be patient.
Doctor :   Do you have any other health problems? Diabetes, Hypertension, Asthma, Allergies?
User :   ears were blocked (rigt ear) but putting mustard oil in ear & nose it is opened now.
Doctor :   dont apply oil
Doctor :   get the wax cleaned
Doctor :   by ENT surgeon
Doctor :   ok
User :   Alright, i will do that.
Doctor :   do u have sinus pressure and facial pain?
User :   but my ear block was internal due to nose block by phelum and all
Doctor :   ok
User :   nope
Doctor :   what is the color of sputum u get
User :   I was detected High BP but now it is normal 100/80
Doctor :   phelgum i mean
Doctor :   ok
User :   if in large amount it is brownish green and in small amount with spit then it is yellowish
Doctor :   ok
Doctor :   did u see any physician for the same
User :   brown green is thick and yellow is light
Doctor :   or r u taking any medication?
User :   yes I did,
User :   and took medicine and then again iam fed up of medicine & not contuining and feel somewhat good than taking all those medicines...
Doctor :   ok
Doctor :   do u have fever?
User :   in fact medicones didnot much changed my status..i feel. not sure
User :   Nope
Doctor :   what the medicines given
User :   it was give nin three imes---
Doctor :   i didnt get you
User :   first -- syrup - Ascoril, Osonase nasal spray, Vepred tablets.
Doctor :   ok
Doctor :   did u get any tests done
User :   second - same + Capsules - Sefdin, Tablets Montek, Syrup - Perition
Doctor :   ok
User :   Tests like ?
Doctor :   Xray, blood test
User :   Third also some more medicine give but i am not taking ...
User :   Yes i did ask the doctor asked me to do a complete health check up
Doctor :   ok
User :   I have the brief Physician report ?
Doctor :   did u get the healthcheck check up
Doctor :   done
User :   Yes I did
Doctor :   it might be viral or allergic origin
Doctor :   ok
Doctor :   what was the reports
Doctor :   could u mention the report
User :   But that was a health checkup only
Doctor :   ok
User :   not specifically related to tis cough issue.
Doctor :   u need to get a Chest xray
User :   Let me give u the report --->
Doctor :   and couple of blood reports
Doctor :   ok
User :   Chest x ray was normal as doc said.
Doctor :   when was the done
User :   CBC --- high WBC
Doctor :   ok
Doctor :   ESR
User :   Blood Biochemical analysis --- hig uric acid, high sgot/sgpt.
Doctor :   what was the Eosinophil count in WBC
User :   Ultra sonographys ---- fatty liver
Doctor :   ok
Doctor :   ok
Do you smoke or chew tobacco/drink alcohol/Any illicit drugs/ betel nut chewing? If yes how much/how often?
User :   Eosinophils ---1.40 % [0.00 - 7.00]
Doctor :   ok
User :   was smoking and left now since three weeks.
Doctor :   to Arrive at exact diagnosis
Doctor :   i need to clinically examine you
Doctor :   ok
User :   and now chew pan/betel nut once in two days, and chew tobacco.
Doctor :   ok
User :   letf drinking since december 2007.
Doctor :   ok
Doctor :   i suggest u to complete the course of the medicines
Doctor :   which doctor has prescribed
User :   doctor said Wbc count might be high because i was on steroids - medicines first
Doctor :   if the problem persists
Doctor :   u need to consult the physician
Doctor :   again
Doctor :   Please fill this form I send, While I type the necessary information, and do inform me when done.
User :   Sure.
Doctor :   anything else u would like to know about
Doctor :   i will give u few tips
User :   Do i need to vist a lung specialist ?
Doctor :   u can visit physician
User :   I have A Physician Report.
Doctor :   could u type it
User :   from the health check up report, can i share with u
Doctor :   sure
User :   Impression ---> Overweight, cought-allergic rhinitis/Asthmatic bronchitis, HTN, Hyperuecemia, Steathhepatits, Mild leococytosis -- currently on steroids.
Doctor :   ok
User :   Also she gave me Advise ...
Doctor :   like
User :   1. Loose 16 kgs, exercise daily.
Doctor :   I would recommend you to take the advice of a nutritionist who can help you with the menu you require based on your diet patterns. For all weight problems, you can also call them alternatively at 0000
Doctor :   ok
User :   Sure.
User :   2. Being followed by Dr AAAAAAA Quit smoking.
Doctor :   ok
User :   3. Continue low salt diet and Telma 20 mg 1-0-0
Doctor :   ko
Doctor :   ok
User :   4. Low purine diet, low fat diet. monitor sgot/sgpt after 6 weeks.
Doctor :   ok
User :   5. monitor wbc when off steroids.
Doctor :   ko
Doctor :   ok
User :   thats all.
Doctor :   u continue with doctors advise
Doctor :   and finish the course of medicine
Doctor :   any time the sputum test was done?
User :   nope.
Doctor :   get a sputum test done if the cough persists
User :   but one test was done
Doctor :   which test
User :   PBT test
User :   PFT sorry
Doctor :   ok
User :   Well, I have a concern with this doctor i am checkig now...
Doctor :   Pulmonary Function Test isit
Doctor :   the treating doctor ur seeing the best one to decide what is good for u
User :   Yes.
Doctor :   since he can clinically examine and correlate with investigative findings
Doctor :   go by his advise
User :   well, i am not satified it seems. If you wish, we can fix up your appointment with a doctor in your area.
User :   he justs ask me , notes it down and then diretly gives lots of tables, capsules...syrup....
Doctor :   We have a long queue of patients waiting to get medical advise. Please restrict your conversation to Medical queries only.
User :   That day i visited him third time...he gave me high BP tablets, without re-checking my pressure, then when i asked him to check it was found normal. Then he cut the medicine from the prescription.
User :   Should I consult another lung specialist in the same hospital now ?
Doctor :   ok
Doctor :   we can fix appointment with pulmonologist
Doctor :   if u wish so
User :   the doctor i consulted was a Consultant Respiratory
User :   edicine & Internal Medicine.
User :   was that ok ?
Doctor :   yes
Doctor :   he is pulmonologist
User :   he is not a Pulmonologist right ?
Doctor :   respiratory medicine and pulmonology is same
User :   May i share with you the third set of medicines he advised me--->
Doctor :   ok
User :   1. Tablets - Deriphylline R-150
Doctor :   ok
User :   2. Tablets -- Montek - LC
Doctor :   ok
User :   3. Syrup Pirition Exp.
Doctor :   ok
User :   2 & 3 were there from the second visit with him
Doctor :   ok
User :   Will jogging in the morning be good for me or Walking. Because jogging I get very exhausted while doing so.
Doctor :   if u take medicines regularly
User :   Lots of nose from nose , throat I hear while jogging...and spit accumulate in my mouth.
Doctor :   there should not be any problem
Doctor :   however some people do get cough
User :   *lots of noise...
Doctor :   i mean in some asthamatics
Doctor :   any doubts
Doctor :   Thanks for consulting Health care magic. Bye for now. Please refer your friends to our service
Doctor :   How can I help you?
User :   Hi Doctor, ru there..
Doctor :   Hi Again...
Doctor :   r u there
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