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Suggest Treatment For Severe Persistent Cough Along With Sore Throat And Fever

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Posted on Mon, 29 Dec 2014
Question: Hello doctor,

5 days back I had sore throat and fever in the night. Next day morning i was coughing hard and having burning pain in the throat and it was very hard to spit the phelgm as it was too hard. I went to GP and he advised me to take clavam 625, montek LC, P650 and mucolite cough syrub for three days. After two days the fever and the pain in throat has come down but my phelgm was too hard and every day morning my nose would block. Then he suggested me to take mucinac 600 and mucolite capsule for 3 days . I was having a little bit pain and swelling in the left side of the neck below my jaw. He told it could be due to infection.

Presently the cough is very hard and a little pain is still prevailing. Also, my ears seems to be blocked some time and I need to blow my nose to open it, also when i open my jaw wide a little pain come on the left side of the head above the ear.

I am a smoker and chew tobacco too. I am worried if it is something else other that normal flu. Please suggest.


I had sinus surgery a year back and have cervical spondolytes in C6.
doctor
Answered by Dr. Abubakar Siddiqh (50 minutes later)
Brief Answer:
Seems EUSTACHIAN TUBE DYSFUNCTION

Detailed Answer:

Hi,


I had gone through your question and understand your concerns. The symptoms reported seem concerning and I will recommend that you see a doctor and get evaluated.


With such presentation, I would perform ENT examination, otoscopy (retracted ear drum), audiometry (Eustachian tube block- tube connecting middle ear and nose).
It is common in severe cold, flu and cough. You may require antihistamines, systemic decongestants and nasal decongestant drops. I will recommend you see a nearby ENT surgeon. He/she will know about the evaluation (investigations).


I also advise you to stop smoking, to do valsalva maneuver (watch you tube video), stop consuming freezer products (curd/ice cream).



Hope this answers your question, if you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.


Wishing you good health.

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
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Follow up: Dr. Abubakar Siddiqh (2 days later)
Hi ,

Sorry I forgot to tell you that I was operated for sinus (FESS) a year ago . I visited my ENT today I told that my nose is producing lot of hard phelgm.

Is there any possibility of getting the nasal polyps back after sinus surgery ? Why do I get cold when ever the season changes and it lasts for 10 days?
Do i have to go for surgery again ?
I am I allergic , what should I do ?
I did nasal irrigation and have pain in my left sinus and a bit in my ear ?


Need to know what the present medication is for

Present medication :
cepodem Xp 325 - 1-0-1 4 days
combiflam - 1-0-1 4 days
alerid - 0-0-1 2 days
duonase nasal spray

Thanks
XXXXXXX

doctor
Answered by Dr. Abubakar Siddiqh (1 hour later)
Brief Answer:
sinusitis- on right medications. Requires evaluation for polyp recurrence.

Detailed Answer:

Hello again,


Thanks for considering my answer and for your follow up.


Answers for queries.


1.Yes. It is possible to get nasal polyp (post surgery)- recurrence of polyposis is common in patients who will not take medical treatment.

2. In winter season, due to cold breeze, allergy is common in some.

3. Surgical interventions may require in some depending on size, extent of polyp.

4. you need (allergic rhinitis individuals) to take precautions like

a. Regular follow-up ( 3-6months), to prevent polyp recurrence
b. Avoid sneezes, dry cough -needs anti allergic medications.
c. avoid smoking, avoid consuming freezed food products (curd/ice cream).

5. Nasal irrigation helps in clearing clogged mucus.

6. Cepodem Xp 325 (cepodoxime + clavulanic acid) , combiflam (brufen + paracetamol), allerid and duonase nasal spray (anti allergic) combination, best works for sinusitis secondary to allergy.


Hope, I have answered your query.


Take care.
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
Answered by
Dr.
Dr. Abubakar Siddiqh

ENT Specialist

Practicing since :1994

Answered : 2038 Questions

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Suggest Treatment For Severe Persistent Cough Along With Sore Throat And Fever

Brief Answer: Seems EUSTACHIAN TUBE DYSFUNCTION Detailed Answer: Hi, I had gone through your question and understand your concerns. The symptoms reported seem concerning and I will recommend that you see a doctor and get evaluated. With such presentation, I would perform ENT examination, otoscopy (retracted ear drum), audiometry (Eustachian tube block- tube connecting middle ear and nose). It is common in severe cold, flu and cough. You may require antihistamines, systemic decongestants and nasal decongestant drops. I will recommend you see a nearby ENT surgeon. He/she will know about the evaluation (investigations). I also advise you to stop smoking, to do valsalva maneuver (watch you tube video), stop consuming freezer products (curd/ice cream). Hope this answers your question, if you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health.