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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Chronic Cough And Pneumonia

ok, this is a new one for me so here it goes...I have been ill for about 3 mo now...main symptom is a sevear chronic cough that leads to me dry heaving...I have been back and forth between my primary and urgent care with diagnosis of pnemonia, I am on my 3rd bout of meds (2 antibiotics and a steroid pack) I have two different inhalers and cough meds...I am still coughing...
Mon, 25 Apr 2016
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General & Family Physician 's  Response
Hi welcome to health care virtual clinic...

Noted you have chronic cough and diagnosed pneumonia..
Do have done your chest x ray???
Usually in pneumonia it shows consolidation...
Mostly it will be bacterial ...
But sometime it might be viral interstitial pneumonia or fungal cause.

If in x ray fungus ball seen then antifungal amphotericine like drug needed.
Antibiotic not effective in it...
so chest x ray needed..

If no pneumonia and brochoconstriction by bronchits or COPD or asthma like cause suspected (as you have given inhaler) then pulmonary function test useful...

If cough troublesome codein or dextromethorphan syrup given if cough dry.

If needed sputum culture done for choosing proper antibiotic...

You can discuss all these to your treating physician ...
I can give these suggestion but your examination is very vital as by doctor by auscultation...
You can contact us for further advise....

DR.PARTH
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Suggest Treatment For Chronic Cough And Pneumonia

Hi welcome to health care virtual clinic... Noted you have chronic cough and diagnosed pneumonia.. Do have done your chest x ray??? Usually in pneumonia it shows consolidation... Mostly it will be bacterial ... But sometime it might be viral interstitial pneumonia or fungal cause. If in x ray fungus ball seen then antifungal amphotericine like drug needed. Antibiotic not effective in it... so chest x ray needed.. If no pneumonia and brochoconstriction by bronchits or COPD or asthma like cause suspected (as you have given inhaler) then pulmonary function test useful... If cough troublesome codein or dextromethorphan syrup given if cough dry. If needed sputum culture done for choosing proper antibiotic... You can discuss all these to your treating physician ... I can give these suggestion but your examination is very vital as by doctor by auscultation... You can contact us for further advise.... DR.PARTH