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What Causes Persistent Coughing Up Of Phlegm?

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Posted on Sat, 23 Jul 2016
Question: I have been coughing up phlegm from my upper chest / throat for about 2 months. I have been prescribed several z-pacs and other anti-biotics, but the phlegm continues. Am starting to think it may be something more serious than an upper gi infection.
doctor
Answered by Dr. Drkaushal85 (18 minutes later)
Brief Answer:
Get done chest x ray.

Detailed Answer:
Thanks for your question on Healthcare Magic.
I can understand your concern.
You are having chronic cough with expectoration.
So we should definitely rule out lung infection in your case.
So get done chest x ray first.
You may need higher antibiotic and other supportive drugs.
Please let me know
1. Do you have breathlessness on exertion?
Please reply me answer of above asked question, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Drkaushal85 (6 minutes later)
Thank you Dr. Bhavsar. I do not have breathlessness on exertion. I probably cough up the phlegm 7 to 8 times per day. The phlegm seems pretty clear, not yellowish.
doctor
Answered by Dr. Drkaushal85 (3 minutes later)
Brief Answer:
Do you smoke?

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Please let me know
1. Do you smoke?
Please reply me answer of above asked question, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Drkaushal85 (10 hours later)
I have never smoked.
doctor
Answered by Dr. Drkaushal85 (34 minutes later)
Brief Answer:
Do you have chest pain on coughing?

Detailed Answer:
Thanks for your follow up questionup question on Healthcare Magic.
I can understand your concern.
It is good that you don't smoke.
But cough for more than 1 months needs detailed evaluation especially to rule out lung infection.
So please let me know
1. Do you have chest pain on coughing?
2. Do you have fever?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Drkaushal85 (2 hours later)
Good morning Dr. Bhavsar: No chest pain.

Here are my current meds:

1.     TAMSULOSIN (FLOMAX) HCL .4 MG CAPS

Enlarged Prostate
Since 2007, TAMSULOSIN SINCE 9/2015

2.      VALSARTAN (DIOVAN) 40 MG

Since 2007

3.      VITAMIN B-12 (500 units)

4.           VALACYCLOVIR 500 mg (Dr. Seifter)
     Since XXXXXXX 2014

5.      CLARITIN (LORATADINE) 24 HOUR (ONE EACH MORNING) (OTC)
For itching

6.      OMEPRAZOLE (PRILOSEC) (20 MG)
For acid reflux
doctor
Answered by Dr. Drkaushal85 (1 hour later)
Brief Answer:
Get done chest X ray to rule out lung infection.

Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.

In my opinion, you should definitely pulmonologist and get done
1. Chest X ray to rule out lung infection.
2. PFT (pulmonary function test) to rule out bronchitis.

You are taking antihistamine (Loratidine) and anti reflux drugs. And you are still not improving. So we should definitely rule out lung infection and bronchitis.
So please consult pulmonologist and discuss all these.
You may need inhaled bronchodilator and inhaled corticosteroids (ICS).

Hope I have solved your query. I will be happy to help you further.
Wish you good health.
Thanks.
Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
Answered by
Dr.
Dr. Drkaushal85

Pulmonologist

Practicing since :2008

Answered : 15005 Questions

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What Causes Persistent Coughing Up Of Phlegm?

Brief Answer: Get done chest x ray. Detailed Answer: Thanks for your question on Healthcare Magic. I can understand your concern. You are having chronic cough with expectoration. So we should definitely rule out lung infection in your case. So get done chest x ray first. You may need higher antibiotic and other supportive drugs. Please let me know 1. Do you have breathlessness on exertion? Please reply me answer of above asked question, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.