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What Causes Coughing Up Green Mucus, Lightheadedness And Headache?

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Posted on Wed, 14 Jan 2015
Question: I'm just wondering what you think I have and how I should treat this. I think it's a chest infection but what I have is coughing, lightheaded XXXXXXX no energy, occasional headaches, lungs tickes, coughed up a little bit of green mucus. This has been going on since Christmas eve. There is also a red spotty rash on my chest, which I only noticed today.
doctor
Answered by Dr. Prakash H Muddegowda (23 minutes later)
Brief Answer:
Mild viral infection of throat.

Detailed Answer:
Hi,
Thanks for asking.
I am Dr. Prakash HM and I will be answering your query.
Based on your query, my opinion is as follows:
1. Chest infection would present in high grade fever, body ache and cough with sputum. It is also associated with severe breathlessness, which would require admission into a hospital.
2. It appears you have a possible sore throat, possibly secondary to viral infection. This pharyngitis/sore throat has caused coughing without sputum production. Excessive coughing has contributed to lightheaded feeling and weakness. Green mucus, light quantity could be due to sloughing of infection in pharynx. Rashes are a sign of viral infection, it could be related to it. All symptoms appear to be viral infection. Possibly a mild virus.
3. If i were your doctor, I would advise you to
a. Do salt water gargling, atleast 3-4 times a day.
b. Take lozenges to reduce throat irritation
c. Paracetamol for pain.
d. Take plenty of fluids with regular diet. Hydration and good diet necessary to avoid light headedness and low energy.
e. Mild to moderate activity necessary. Moving around improves immune system and gives positive energy feeling.
f. If there is no sputum production and excessive coughing is present, you can take codeine sulphate to suppress further cough production.
g. Any associated cold, will require steam inhalation twice a day along with antihistamines.

4. If fever starts, antibiotics like amoxycillin or cloxacillin with clavulonic acid maybe necessary. If you have any breathlessness, chest X-ray will be necessary. Also get a complete hemogram to look for anemia and ESR levels.
You need to get prescription from your doctor.

Hope it helps.
Any further queries, happy to help again.

Dr. Prakash HM
Above answer was peer-reviewed by : Dr. Ashwin Bhandari
doctor
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Follow up: Dr. Prakash H Muddegowda (20 minutes later)
Thank you for your response. I dont have any throat issues though, it is not sore. If that is the case would you reccomend the same. The tickle starts in my lower eosaphagus near my clavical bone then goes to my mid chest.. Do you reccomend anything different.
doctor
Answered by Dr. Prakash H Muddegowda (10 minutes later)
Brief Answer:
An additional anti-reflux therapy necessary.

Detailed Answer:
Hi,
Thanks for asking again.

If the symptoms are towards lower esophagus and mid chest, then I would think of possible gastritis with esophageal reflux.
Reflux of acid can cause gagging and coughing. Light headedness can be commonly seen in gastroesophageal reflux disease.
I would like to modify it from sorethroat to gastroesophageal reflux.
Continue the same treatment, along with pantoprazole and domperidone. It should relieve symptoms. Take atleast for 15 days. Antacids should help in short term. Hydration and regular food intake is necessary. Protein rich diet will be helpful.

Check hemogram to rule out anemia. Its more important. Check stool, if it darker in colour (if dark, possible internal bleeding). If not, not to worry. Hope you do not have any chronic diseases. Definitely, not chest infection, as there is no breathlessness or high grade fever.

Possibly low grade viral infection with gastroesophageal reflux disease. Reflux could have caused greenish mucus production and also a sour taste.

Hope it helps.
Any further queries, happy to help again.

Dr. Prakash HM
Above answer was peer-reviewed by : Dr. Ashwin Bhandari
doctor
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Follow up: Dr. Prakash H Muddegowda (37 minutes later)
Thanks so much. There is a bit of breathing difficulty and fatigue, but no fever.

Do you need a prescription in australia for panttoprazole and domperidone?
doctor
Answered by Dr. Prakash H Muddegowda (5 minutes later)
Brief Answer:
No prescription necessary

Detailed Answer:
Hi,
Thanks for asking again.

Breathlessness, mild can present with gastritis. No fever is good.
For pantoprazole and domperidone, both are over the counter medications. No prescription necessary. Go for combination medication.
Have a regular diet. Avoid spicy food.

Get hemoglobin checked and take good amount of water.

Hope it helps.
If you do not have any further queries, you can close the discussion and rate the answer.

Dr. Prakash HM
Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
Answered by
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Dr. Prakash H Muddegowda

Geriatrics Specialist

Practicing since :2004

Answered : 2138 Questions

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What Causes Coughing Up Green Mucus, Lightheadedness And Headache?

Brief Answer: Mild viral infection of throat. Detailed Answer: Hi, Thanks for asking. I am Dr. Prakash HM and I will be answering your query. Based on your query, my opinion is as follows: 1. Chest infection would present in high grade fever, body ache and cough with sputum. It is also associated with severe breathlessness, which would require admission into a hospital. 2. It appears you have a possible sore throat, possibly secondary to viral infection. This pharyngitis/sore throat has caused coughing without sputum production. Excessive coughing has contributed to lightheaded feeling and weakness. Green mucus, light quantity could be due to sloughing of infection in pharynx. Rashes are a sign of viral infection, it could be related to it. All symptoms appear to be viral infection. Possibly a mild virus. 3. If i were your doctor, I would advise you to a. Do salt water gargling, atleast 3-4 times a day. b. Take lozenges to reduce throat irritation c. Paracetamol for pain. d. Take plenty of fluids with regular diet. Hydration and good diet necessary to avoid light headedness and low energy. e. Mild to moderate activity necessary. Moving around improves immune system and gives positive energy feeling. f. If there is no sputum production and excessive coughing is present, you can take codeine sulphate to suppress further cough production. g. Any associated cold, will require steam inhalation twice a day along with antihistamines. 4. If fever starts, antibiotics like amoxycillin or cloxacillin with clavulonic acid maybe necessary. If you have any breathlessness, chest X-ray will be necessary. Also get a complete hemogram to look for anemia and ESR levels. You need to get prescription from your doctor. Hope it helps. Any further queries, happy to help again. Dr. Prakash HM