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Upper respiratory tact infection - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Lung and Chest disorders
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3507 Questions
Doctor :   Hi
Doctor :  
How can I help you?
User :   what happened
User :   i got dc and then tried to log in mny times, not successful
Doctor :  
No there was no display on this end
User :   strange
User :   am i speaking to the same doc?
Doctor :   Yes

User :   ok so what part you got when i was dc
Doctor :   It got the message the patient has move away
User :   i was hoping our last dc chat should re appear
Doctor :   Well, we shall discuss about your medical query
User :   yes but i dont want to repeat what i said earlier so which last line you got it?
Doctor :   I have not got any msg
Doctor :  
which you have typed
Doctor :  
So we need to start it afresh
User :   that means your not doc XXx, because i was comunicating and he was replying with ok
Doctor :   I am Dr.xxxxx
User :   anyway i will start all over again.
User :   I had a situation a week ago
User :   where i was having a runny nose- very severe
Doctor :   Ok
Doctor :  
That part I remember
Doctor :  
You can continue
User :   then i took for 2 days
Doctor :  
I can see that in your chat history
User :   aries antiallergic
User :   anyway 2 days passed situation remains same
Doctor :   XXXXXXXX I know all that
Doctor :  
you took Desloratidine
Doctor :  
and now clarinase
Doctor :  
and there we stopped
User :   well thats what i was expecting you to tell me, anyway, let me proceed
Doctor :  
the problem reduced with clarinase
User :   yes with clarinase and a nasal drop called naseonax
Doctor :   Ok
User :   after 2 days of usage, my runny nose stopped
Doctor :  
Thats fine
User :   but there is new issue, i felt that all the mucus is not congeted in my lungs
User :   i went to another doc, who said thats the ffect of clarinse, it dires up and unfortnately it clings to your lungs
Doctor :   Could you explain that?
Doctor :  
Ok
Doctor :  
It helps in reducing the secretions
User :   well its simple as i was taking clarinase, my runny nose become thick and thick as if i had to use so muchextra pressure to take out the secretion from nose and then i felt heavy chest and the same secrtion started to come from throar spitting
User :   anyway doc then gave me the following 2 days ago
Doctor :   The possibility I can explain
Doctor :  
Like Nasonex is a steroid
User :   1 . Riabroxol (ambroxol 30mg)
Doctor :   which helps in improving the symptoms
User :   2. Resyl cough syrup and expectrant
User :   now since last night i started to have fever now
Doctor :   Ok
User :   dry cough
User :   and fever
User :   and legs hurtung, whole body ache. i called the doc
Doctor :  
I will clarify you
User :   he said dont worry, may have viral flu or something and i should continue the two medicines, i told him doct i feel like cheat congetion, should i take an antibiotics like ugmentine, he said no
User :   just take panadol and the 2 medine
User :   thats it
Doctor :   Ok
User :   one more thing i feel like 96-97 fever where eyes burning, feet burning .
Doctor :   Ok
Doctor :  
Now I will explain you
Doctor :  
You had an upper respiratory tract infection previously
User :   pls
Doctor :  
which has now progressed to lower respiratory tract
User :   ok
Doctor :   So there is a bit aggravation of symptoms
User :   seems so
Doctor :  
Viral infection I feel has now been secondarily infected by bacteria
Doctor :  
So I would recommend you to start on antibiotics
Doctor :  
Along with paracetamol
User :   which antibiotics?
User :   agmentine is famous here
Doctor :  
It has to be taken on prescription only
Doctor :  
Ofloxacin, ciprofloxacin are quite helpful
User :   today is friday all clinics closed here
Doctor :   May I know your location?
User :   Riyadh Saudi
Doctor :  
Ok
Doctor :  
But hospitals will be open I hope
User :   yes only emergency
User :   you mean to say i should see a doctor?
Doctor :  
Yes you can meet the doc there
Doctor :  
and get yourself examined and a prescription for antibiotics
User :   ok
User :   i will do that
Doctor :   Yes that is good

Doctor :  
And if you have very much wheezing
User :   just another diff question pls. wont take much of ur time.
Doctor :  
then you might require some smooth muscle relaxants like Salbumatamol, Terbutaline like that
Doctor :   Are you having wheezing?
User :   well
User :   not really
Doctor :  
Thats fine
User :   i feel respi traCT IS all open
Doctor :  
then
User :   just little cough
User :   dry
Doctor :  
So I would suggest now
Doctor :  
Paracetamol
Doctor :  
Antibiotics
Doctor :  
and if there is wheezing then some medications to control that
User :   ok
Doctor :  
Other than that not much required
User :   i wonder why that doc asked me not to take antibiotics :(
Doctor :   He might have tried to avoid unnecessary antibiotics
Doctor :  
That is good
User :   only prob i feel troubling me is this feverish cond and the body ache.
Doctor :  
But becomes necessary in these cases
Doctor :   It will comedown with paracetamol
User :   doc one thing, that doc wll open his clinic tomorro, shall i wait tll tomorrow or go to emergency today?
Doctor :  
and antibiotics will shorten its duration
Doctor :  
So that by 2-3 days you could become symptom-free
User :   ok
Doctor :  
Now you may proceed with your second query
User :   wife is preg and entering into 6th month from 3 days from now.
Doctor :  
Ok
User :   1. she says some times she feels motion, others not, is it a concern?
Doctor :  
No
User :   2. i asked her to change her diet, like dont take oily or spicy food etc, byut she is not listening
Doctor :  
It will depend on how actively she is observing that
Doctor :   Do not restrict much on her diet
Doctor :  
Let her take it as per her wish
User :   3. she is having a sever constipation for about a month now, and doc gave her diff type of fibre, but nothing work.
Doctor :  
It should be hygienic enough
User :   riyadh is a very dry place like humidity is 20-30%
Doctor :   Ok
Doctor :  
Now coming to constipation part
User :   bec of the pressure during stole she feels pain now
Doctor :  
fiber supplements are the only choice
Doctor :   other medications are not given because it can affect the baby
User :   and she is using gel of procto-glyvenol
Doctor :   Yes that helps in relieving pain
User :   exactly my point is to take vegetables, fruits, and less oily
User :   so relive ocnsipation
User :   what to do?
Doctor :   Yes
Doctor :  
Let her take foods as per her wish
Doctor :  
But more important is let her take fruits and vegeatables
Doctor :  
All fruits and vegeatables, no restriction
User :   trying my best
Doctor :   I think you can motivate here
Doctor :  
'her
User :   4. any extra precaution in coming months?
Doctor :  
Also tell her that you consulted a doctor from India
Doctor :  
and he has advised her to take fruits and vegeatables in plenty
Doctor :  
Green leafy vegeatables are most preferred
User :   ok
User :   i will do that
Doctor :  
Wrt to precautions
Doctor :  
she should go for follow up regularly
User :   she is going
Doctor :  
Continue to have iron, calcium and folic acid tablets
User :   she conceived after 9 years of gap from first child
Doctor :  
Ok
User :   she has migrane and she is thyroid patient
Doctor :  
Ok
User :   she is taking that
Doctor :  
Well you doctor will monitor it
Doctor :  
No need to worry about it
User :   she is taking eltoxine 125 every day
User :   lets hope all will be ok
Doctor :  
Yes that is quite essential
User :   doc one more thing, i am sorry for taking ur time,
User :   is it possible to know sex of the baby at this stage
Doctor :  
No problem
Doctor :   Yes, but it is against law in India
Doctor :  
I donno about Riyadh
User :   its allowed here
User :   but we are relucatnat to ask
Doctor :   Ok
Doctor :  
If it is not a crime there
Doctor :  
then you can ask your doctor
User :   my wife says what ever god gives should be without any defects and she does not want to know the gender
Doctor :  
Well I praise her for that
Doctor :  
and she is On The Right Path
User :   ok thanks doc for ur advise and listen pls, i donthave paracetmal but panadol only in house
Doctor :   It is paracetamol
Doctor :   So you can take it
Doctor :  
Do not wait for one more day to start antibiotic
Doctor :  
You can start today
Doctor :  
Feel better early
Doctor :  
Why to prolong it further?
User :   great. to be honest more and more docs like you should be here, i can not tell you the horrible stories i heard from people going to emergency in hospital. last time o went for some stomach pain, the hospital did all test like ecg etc to make money from insurance
Doctor :   Yes such things are there here and there
User :   i just called the clinic of same doc, they say he is coming to sit for 4 hrs today after 7 pm. its 4 pm now, so i think i should wait another 3 hrs
Doctor :  
But getting ECG done is beneficial
Doctor :  
Yes you can go later
User :   doc it was gastic pain only .
Doctor :  
And start the medication tonight after dinner
Doctor :  
Let me explain you
Doctor :   If it is gastric then loosing some amount is better
User :   ok
Doctor :  
than loosing a life for not doing ECG
User :   yes ur right
Doctor :   I am not against ECG
Doctor :  
and it is very cheap also
Doctor :  
Not some high end investigations like CT, MRI
Doctor :  
when not necessary
User :   you are right..... doc one last question pls
Doctor :  
Yes
Doctor :  
you can proceed
Doctor :  
Are you there?
User :   doc these days i am hearing strage news from people in our friends circle ,relatives now and then
User :   for example one distant friend was diagnosed with hepatitis c, another relative with some other deadly deseSE
User :   now no one is perfect
User :   some says desease come out after 10 yrs etc
Doctor :  
Yes sometimes it happens in succession
User :   how will i make sure am healty?
User :   and dont have such viruses?
Doctor :  
You can get blood test done
Doctor :  
like Hepatitis B,C
Doctor :  
You can speak to your doc about your worry
Doctor :  
and get an Investigation order from him
Doctor :  
and get the tests done
User :   well here if you have any near dangrous disease they will deport you. i know i hope am ok, but just a thought cam
Doctor :   Ok
Doctor :  
All of us need to have a positive frame of mind
Doctor :  
and hope for the best
User :   anyway i want to thank you for your time. and i wish you all the best sir.
User :   take care
Doctor :   Is there any thing else I can help you with?
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