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Cough, gets worse at night, breathlessness, viral infection suspected. Suggestions? - Online Doctor Chats

Date : 28-May-2013
User rating for this question
Very Good Posted in: Lung and Chest disorders
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor:How can I help you?
User:I am having cough since last 7 days. Local physcian in my locality says its a viral infection.
User:However in night the cough conditions worsens. in fact i m coughing contin for 5-10 min so..also feel breathless and that ok
User:whn i cough it seems it is coming from very down in my body and my entire strenghth is being taken away
Doctor:Severe coughing spells may sometimes lead to breathlessness and dizziness.
Doctor:Lying in an inclined position might reduce these symptoms.
User:i just wonder if i continue coughing i may not be able to get back my breath little worried u suggest i use a pillow or no..will tht make a diff
Doctor:By inclined position, I mean lying in a reclined posture -
Doctor:This positions relieves pressure on the lungs and reduced breathing difficulties.
User:ok..also advise how long will this cough last and whn shd i get worried or go for some tests etc, if so required..its already 7 days
Doctor:Is your cough dry or do you produce sputum while you cough.
Doctor:Viral and allergic cough are usually characterized by dry cough.
User:sputum..which is whitish and has air in it sometimes...sometimes little yellow
Doctor:Presence of severe sputum which is foul smelling and green/yellow color is more suggestive of bacterial contamination
Doctor:and this needs a course of antibiotics.
Doctor:If you have severe yellowish sputum with the cough, you can report back to your doctor for prescription of antibiotic.
Doctor:In addition deep steam inhalation will also help you in reducing your symptom.
User:also can i take lozenges
User:like strepsils or koflet
Doctor:Usually viral / allergic coughs may last for 2-3 weeks.
Doctor:Yes, the lozenges will help.
User:ok it can last tht long
Doctor:So are warm ginger tea.
Doctor:It is concerning if the symptoms last for months,
Doctor:is associated with other symptoms such as significant sputum (as explained earlier),
Doctor:fever, wheezing and breathing difficulties throughout the day.
Doctor:If such symptoms are present you need to be investigated.
Doctor:Have you followed what I suggested?
Doctor:Do you have any other query?
User:yes one last question
User:is thr a chance that i may faint if its gets too dizzy since i live alone
Doctor:Chances of fainting are high if you are in a standing position. wht shd i do whn i encounter such dizzyness
Doctor:Dizziness is mostly secondary to vasovagal reflux
Doctor:that is associated with severe bout of coughing.
Doctor:hence i suggest you to be flat or in the reclined posture
Doctor:to reduce the chances of fainting.
User:ok ...thx a lot
Doctor:Often the dizziness would disappear in this position, as the cough reduces.
Doctor:however if you continue to have dizziness even after the cough has vanished,
Doctor:then we need to look into your ears to see if you have any other cause there.
Doctor:Have you followed?
User:yes doc
Doctor:Do you have any other query?
User:no thank you
Doctor:Thanks for consulting me.
Doctor:I wish you to recover soon.
Doctor:Bye for now.
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