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Regular cough, black phlegm - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Ear, Nose and Throat Problems
Answered by

General & Family Physician
Practicing since : 2009
Answered : 638 Questions
User :   sir, I am 27 years-old have regular cough now a days with little black flame pls advise what is the problem
Doctor :   Ok
Doctor :  
Let me help you in this
Doctor :  
May I ask you few relevant questions?
User :   ok
Doctor :  
What is your age, occupation, location?
User :   27,qc in garments,ncr
Doctor :  
Since how long you have this problem?
User :   last three months
Doctor :  
ok
Doctor :  
Do you smoke?
User :   I stoped from last year (not a regular smocker before but now completly stopped
Doctor :  
Good
Doctor :  
What is the first problem that started?
User :   normal dry cough
pls advise i need any test ?
Doctor :  
First you said black phlegm and now you said dry cough
Doctor :  
I am not clear
Doctor :   Let me make you clear what I wanted to ask
Doctor :  
First I shall try to evaluate you if the cough is something worrisom
Doctor :  
I shall try to find out the cause of it
User :   sir at starting time is normal now only it comes with black
Doctor :  
then I shall advice you on the tests
Doctor :  
Finally the treatment options
Doctor :  
So the chat goes in such a way
Doctor :  
So please be prepared to answer my questions as correct as possible
Doctor :  
Ok?
Doctor :  
Did you follow?
User :   ok
Doctor :  
Let us continue now
Doctor :  
What problem started first
Doctor :  
Is it cough?
User :   yes
Doctor :  
or cold / sorethroat / fever / stomach pain etc
User :   yes
Doctor :  
Do you have all these above?
User :   exept stomach pain
Doctor :  
Do you have them now?
User :   no only cough
Doctor :  
Ok
Doctor :   Did you see the doctor for this earlier?
User :   no
Doctor :  
What made you to consult the doctor now? Is it the cough got severe and there is black sputum?
Doctor :  
Hello are you with me?
User :   yes
Doctor :  
How much sputum do you come up with each time you cough?
User :   little bit
Doctor :  
one spoon or cup etc?
Doctor :  
Is it completely black or streaky black?
User :   lower than one spoon
Doctor :  
Is it completely black or streaky black?
User :   not completly black little portion
Doctor :   Is it occasionally white or and yellow too?
User :   white and little black
Doctor :  
Are you exposed to smoke at your work place?
User :   some times
Doctor :  
Did you gain or lose weight more than 3 kg in the recent time?
User :   yes
User :   lose
Doctor :  
How much and in how much time?
User :   3 kgs with in three months
Doctor :  
Ok
Doctor :  
HOw is your appetite?
User :   los some times
Doctor :  
Do you have shortness of breath?
User :   yes
Doctor :  
Do you notice that you have cough very frequently?
User :   yes
Doctor :  
Ok
Doctor :   I could understand few things here in your case

Doctor :  
1) The cough that you have may not be worrisome but it should be correctly evaluated
Doctor :  
2) Thiis is because the cough is more than 3 months and now it is taking a chronic course
Doctor :  
3) You are losing weight too
Doctor :  
So one should think of Tuberculosis and Chronic bronchitis as the reason for this
Doctor :  
But it needs to be confirmed by few tests too
Doctor :  
So I advice you to get the following tests done
Doctor :  
Are you following?
User :   yes
Doctor :   So the tests that you need are

Doctor :  
1) Early morning first Sputum Microscopy
Doctor :   2) Sputum for AFB
Doctor :  
3) Blood for Hb%, TC, DC, ESR
Doctor :  
get these tests done
Doctor :  
4) You importantly need a chest examination by a doctor
User :   ok
Doctor :  
He can listen to the breath sounds and can make out
Doctor :  
the reason
Doctor :  
So please get these things done in first place
Doctor :  
Most likely you may need a long antibiotic course
Doctor :   So please visit a Chest specialist / Physician near your area
Doctor :  
for an examination and tests
User :   ok thank u
Doctor :  
WWW.WWWW.WW Doctor :   This is the list of the Pulmonologists in Delhi / NCR
Doctor :  
You can see which one is near your area
Doctor :   You may also visit the General Physician

Doctor :   WWW.WWWW.WW Doctor :   here is the list
Doctor :  
Is there anything else I can help you with?
User :   thank u so much
Doctor :  
Please follow up with me after you
Doctor :  
tests and visit to the Doctor
Doctor :  
I would like to help yu as much as possible with other home remedies available
Doctor :   Have you filled the feedback form?

Doctor :  
Thanks for consulting us.
Doctor :  
Bye for now.
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