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Having terrible cough problems, using antibiotics, but still no result. Advise? - Online Doctor Chats

Date : 03-Jul-2013
User rating for this question
Very Good Posted in: Infections
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
Doctor:How can I help you?
User:Hello doctor
User:Just wanted to ask you, I have some trouble with severe cough from last couple of weeks. Have consulted 4 doctors till now.
User:Was using 625mg antibiotics, but still no result.
User:Had done tests : XRAY & blood tests. Result was normal, but there was a chest congestion shown in the report.
Doctor:Are you there?
Doctor:Are you there?
Doctor:Can you explain a bit more about the cough?
Doctor:Do you have dry cough or with sputum?
Doctor:Are you there?
User:Yes it is dry cough.
Doctor:Is the cough present through out the day or do you get intermittent bouts of cough?
User:It was happening every 10-15 mins daily, but everyday now I atleast get 2-3 severe coughs in a day.
Doctor:Do you have breathing difficulties?
Doctor:These questions are essential to understand your problem better.
User:One more thing to add is, I also vomit cough not this week; but past week have experienced it.
Doctor:I hope you do not mind answering it.
User:After the cough, yes I do have some breathing problems.
User:Only when the cough happens, for few minutes I do have breathing problems.
User:Absolutely Dr XXXXXXX will answer each & every of your question. :)
Doctor:Have you had similar complaints in the past?
Doctor:Do you have history of wheezing, asthma, diabetes, high blood pressure?
User:No similar issues in the past. It just started a month back.
Doctor:Do you smoke?
User:No I don't smoke & don't drink (alcohol) as well.
Doctor:Thanks for confirming the details.
Doctor:Let me brief you now.
User:Sure. Thank you.
Doctor:1. Bacterial infection of lungs (pneumonia) does cause congestion on X-rays, however we expect blood counts to be raised unless you started antibiotics before performing the test.
Doctor:Presuming antibiotic was started after investigation, the cause of infection seems to be viral or chronic condition.
Doctor:2. This may be the reason why the symptoms did not recover despite antibiotic
Doctor:3. Viral infections are usually self resolving. However we commonly see patient persisting to have some amount of cough for few weeks to a months time after recovery.
Doctor:4. Absence of similar complaints in the past and short duration of symptoms without fever and weight loss rules out chronic conditions.
Doctor:To summarize in simple words.
Doctor:What you have seems to be a sequalae of viral infection.
Doctor:As mentioned earlier, this cough could last for a few weeks.
Doctor:If you are on any cough suppressant syrup, I suggest you to continue it.
Doctor:Along with the syrups, deep steam inhalation will work.
Doctor:If the symptom is troubling you, you can take a few puffs from bronchodilator inhalers such as salmetrol.
Doctor:They will relieve the distress.
Doctor:In addition, you can take a course of proton pump inhibitor drugs such as pantoprazole for a week.
Doctor:to treat any acid reflux.
Doctor:These measures will help you recover back to normal faster.
Doctor:Have you followed?
User:Just a moment. Just reading.
Doctor:Let me know if you have any doubts.
User:Thanks for the brief message. I am actually using a syrupl as suggested by my physician. Additionally will follow the steps which you recommended.
Doctor:Do you have any questions?
User:That's it for today. Thank you very much for your assistance. Really appreciate it!
Doctor:Thanks for consulting me.
Doctor:Bye for now.
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