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Stuffy nose, cough with yellow phlegm, On medication. Cure? - Online Doctor Chats

Date : 04-Oct-2013
User rating for this question
Very Good Posted in: Ear, Nose and Throat Problems
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User:hi Dr.
User:good morning
Doctor:How can I help you?
User:i gues two days back we had a chat
User:can u please look into the chat history?
Doctor:Yes; I do remember our last conversation.
Doctor:How may I help you today?
User:still cold has not changed
User:stuffy nose
User:nose block
User:phlegm is yellow in colour
User:and intermittant cough
User:feeling stuffy in fore head
Doctor:Have you developed fever?
User:continuously took steam bath for past three days
User:no fever
User:but feeling tired
Doctor:Have you seen a doctor or tried medication?
User:havent gone to doctor
User:u said steam bath and cough syrup should be ok
User:should i start any medication?
Doctor:As I remember, you been with this symptom for the last 2 -3 days without fever.
Doctor:As I mentioned to you in my last chat, that this seems like a viral infection.
User:so what should i do now?
Doctor:And viral infection are known to persist for few days - generally 3-5 days in average individual.
Doctor:Since steam inhalation have not produced significant improvement,
User:finding very difficult to breathe
Doctor:I put on nasal decongestents and oral antihistamines for additional benefits.
User:i am using otrivin in the night
User:should i get into cetrizine?
Doctor:Since how long have you been using otrivin?
User:past 2 nights
Doctor:Otrivin is known to cause rebound effects; in the sense symptoms can be slightly more in the morning after late night use of it.
Doctor:Therefore you may need to use it twice a day for not more than 7 days.
Doctor:You can also use cetrizine at night for additional benefits.
Doctor:With these measures continue steam inhalation to clear sinus collections.
User:no other tablet/medication needed at this point?
Doctor:If you do not feel better in the next couple of days or if you develop fever additionally, I would urge you to visit a doctor for antibiotics.
User:ok doctor
User:thanks for your time
Doctor:You might need a course of antibiotic like oflaxin or azithromycin or cefixime.
User:one course means?
Doctor:Do you have any other questions?
User:like three times a day for 5 days?
Doctor:A course of 3-5 days would be ideal if symptoms do not improve in the next couple of days.
Doctor:The frequency and duration will depend on the antibiotic prescribed.
User:thanks doctor
User:will get back to you...
Doctor:It may vary from once a day to three times a day.
Doctor:Sure, you can get back to me in the next couple of days.
Doctor:Thanks for consulting me.
Doctor:Bye for now.
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