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Curing persistent cough in diabetics - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Ear, Nose and Throat Problems
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
User :   My father is a diabetic pateint. He has been coughing for the past two weeks. He saw a doctor who suggested Moxikind CV 625, but of no use. Can you suggest some immediate relief?
User :   Hello, am waiting. Please respond
User :   Hi
User :   This is Dr XXXXXXXX here
User :   hi doctor
User :   Hi AAAAAAA ..
User :   did u get my query please
User :   Let me read Your Query
User :   Do mention Your fathers age
User :   67 years
User :   ok
User :   Is it a dry cough
User :   No. He spits cough at more frequently
User :   Ok You mean to say that he has sputum?
User :   yes...
User :   Is Your father an asthamatic
User :   No
User :   Does he smoke?
User :   No. Not at all
User :   What is the colour of his sputum?
User :   mild yellow
User :   I would recomend that you continue with this treatment
User :   with Moxikind, he is also taking Lazine D
User :   However if you are not getting any relef with this You could go for a sputum culture
User :   to determine the cause
User :   he started both just yesterday... but the cough is severe today
User :   Then we can recomend an effective antibiotic
User :   Ok. You mean after the culture?
User :   Since You Have started treatment only yesterday I would recomend that You continue with this treatment as It takes at least one week for the treatment to be effective
User :   Other than medicines, would you suggest any precaution for some relief
User :   I would recomend that you consult Your physician for some antitussives
User :   This is a class of drugs which effectively suppressives cough
User :   Ok
User :   Also you may consider chest physiotherapy after consulting your physician
User :   I see
User :   If the cough is very persistant that is
User :   Have you understood what i am saying?
User :   yes. I got your point
User :   His is coughing today quite persistently... so worried :)
User :   even after taking the first dose yesterday
User :   If the cough persists You may also get a chest Xray after consulting your physician
User :   Ok
User :   Is there anything else I can help You with?
User :   I will get in touch again... let him complete the course of medicine. If required I will get the test and X-ray done.
User :   Bye for now
User :   Thanks a lot for your advise
User :   Hi. I have a quick question...
User :   Can you help me
Doctor :   Yes proceed.
User :   My mom a uterus problem. She bleeds while passing tools.
Doctor :   Ok
User :   She has been seeing many docs and used to take many types of antibiotics
Doctor :   What kind of uterus problem is she having?
Doctor :   Are you there?
Doctor :   Are you there?
Doctor :   I have to close the window as you are not responding. Please chat with our doctors 24/7 for medical queries.
Doctor :   Are you there?
User :   Hi
User :   Got disconnected.
User :   You there doctor?
Doctor :   Can you describe what uterus problem did she have?
Doctor :   Did you mean stool is stained with blood?
User :   Well, the earlier report she got from doc said, it was some kind of fibroid tumor
Doctor :   Ok
User :   Yes. stool stained with blood
Doctor :   May I know her age?
User :   the antibiotics she used to take did not work
Doctor :   Since when is she having the blood stained stools?
User :   59 years
User :   nearly 8 years
Doctor :   How often does she has this?
Doctor :   Does she have history of constipation?
User :   No specific frequency... at times it happens two a month... and sometimes, it continues all through a week
User :   No she has no specific issue like constipation
Doctor :   Ok
User :   Now she is taking some kind of ayurvedic medicine, In the beginning it worked, but now it does not any further
Doctor :   Is she feels pain while having the blood stained stools?
User :   yes, at times
Doctor :   Ok
Doctor :   Does she notice any mass around the anus area?
User :   She used to, but now it is rare
Doctor :   Ok
Doctor :   Let me brief you.
Doctor :   The problems your mom has/had are consistent with features of local rectum pathology.
Doctor :   It can be due to fissures or due to hemorrhoids.
Doctor :   Both these conditions are chronic conditions.
Doctor :   Let me explain it to you in simple terms.
User :   I see
Doctor :   The condition is not related to her previous uterine fibroids.
Doctor :   Its a problem that is precipitated by excessive straining while passing stools, lack of adequate fibres in her diet, not drinking enough of water or passing hard stools.
Doctor :   Any of these factors may be responsible for her symptoms.
User :   quite possible, I can make out
Doctor :   I shall suggest you few measures that should help her.
User :   sure
Doctor :   1. Ask her to drink plenty of water, one glass of water after each meal and atleast 8 glasses of water a day.
Doctor :   2. Increase dietary fibres consumption by adding plenty of vegetables, avoid refined cereal grain products.
Doctor :   3. Add fruits as much as possible in her diet, a minimum of 2 to 6 servings of fruits is necessary.
Doctor :   4. Dietary fibre products are available in any local pharmacy.
Doctor :   Some common products are AAAAAAA Isapaghuula.
User :   yes
Doctor :   you can use them, if she is not diabetic.
Doctor :   They can be mixed with a glass of water or fruit juice at night and taken.
User :   ok. of course, she is not diabetic
Doctor :   5. Avoid straining while passing stools.
User :   ok
Doctor :   As explained earlier, this is a chronic conditions and can only be prevented.
User :   ok
Doctor :   However, if she develops severe pain with bleeding, specific measures that you can follow are
Doctor :   1. Use warm water sit baths,
Doctor :   2. Consult a surgeon -proctologist for physical examination.
Doctor :   3. Surgical treatment may be needed if proved as the most effective form of treatment(its need is rarely necessary.
Doctor :   Have you followed what I have suggested?
User :   Yes Doctor
Doctor :   Do you have any other query?
User :   For now, that is all.
User :   Will get back to you again.
User :   Thanks for the suggestions
Doctor :   Thanks for consulting me. Bye for now.
User :   Bye
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