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What medicine can I take for cough with sputum and chest congestion while taking ascoril mucolytic bronchodilator for severe cough?

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Internal Medicine Specialist
Practicing since : 1980
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i m 27yrs old. for the past 3 days I m having severe cough. yesterday morning onwards I started ascoril mucolytic bronchodilator 3 times a day 5ml each time. but mi cough has increased and sputum is being ejected. its not yellow in color. but since yesterday night I am feeling very uncomfortable in mi chest. my chest seems to be very heavy and full of congestion. I m finding it difficult to breathe and do even small house hold errands. I don't know if its because of the medicine or because of the cough. pls suggest me what medicine I should take and how much? I m around 85kg weight. I also have a blocked nose today.
Posted Sun, 12 Jan 2014 in Lung and Chest disorders
 
 
Answered by Dr. Rakesh Karanwal 33 minutes later
Brief Answer: You have Flu + viral Bronchitis/Pneumonia Detailed Answer: Hi there, Thanks for your query. A blocked nose suggests that your cough + sputum was preceded by an attack of "Flu" (sneezing, nasal stuffiness and discharge, sore throat and perhaps, feverish sensation with generalized weakness). If that is true, then it signifies a viral infection of sinuses with post-nasal drip (which is causing severe cough) and which has trickled down into the lungs to cause viral bronchitis or even, Viral Pneumonia (as suggested by congested lungs, breathing difficulty and inability to perform even minor household chores). Possibility of an added bacterial infection is ruled out, since the sputum is still not yellow. You therefore need to undergo an urgent Chest X-ray (to rule out/diagnose Viral Pneumonia/Viral Bronchitis); with treatment consisting of an anti-histaminic, paracetamol, nasal decongestant drops, oral/inhaled bronchodilators, steam inhalation. Consult your doctor immediately and apprise him of my opinion. I am certain that he will agree with my opinion; order required tests, and- based on the reports- will arrive at a certain diagnosis and prescribe suitable treatment as advised. Hope I have addressed to your concerns to your complete satisfaction and you find my response helpful and informative. I will be happy to answer further queries, if any. Take care, Col (Dr.) Rakesh Karanwal
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Follow-up: What medicine can I take for cough with sputum and chest congestion while taking ascoril mucolytic bronchodilator for severe cough? 28 minutes later
I did not have a blocked nose nor sneezing before my cough. I didnt feel feverish either. but I did have difficulty in my throat. can't say throat pain exactly. it was like a tiny lump or pimple like thing down mi throat. but that was only for 2 days. now I don't have throat pain. mi problem is the heaviness and congestion of the chest. and the cough with sputum making me always want to spit. can't talk in mi normal tone. coughing starts if I speak more than 2-3 sentences. finding it difficult to sleep also with the congestion. I do have allergy to fog/ mist. but I m not on any medications as I take full effort to cover my head, nose, ears, throat and do use a sweater.
 
 
Answered by Dr. Rakesh Karanwal 29 minutes later
Brief Answer: It is Allergic inflammation of respiratory tract Detailed Answer: Hi there, Fresh revelation of your allergic history, changes the diagnosis to Allergic inflammation of throat, vocal cords (voice box), wind pipe and lungs. You will improve with a combination of oral anti-allergics; steroid+bronchodilator inhaler, an anti-inflammatory drug, saline gargles and mucolytic syrup. Consult your doctor who will prescribe specific and most effective drugs. Lastly, a regular, preventive anti-allergic treatment during foggy/misty season, will keep you free from further attacks of allergy. Take care, Col (Dr.) Rakesh Karanwal
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