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Moderate growth of upper respiratory tract flora - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Infections
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3404 Questions
User :   i have sputum test and the results are as follows: "Small number of mixed bacterial forms" and "moderate growth of upper respiratory tract flora" what does this all mean?
Doctor :   Hi
Doctor :   User :   hi
Doctor :   The upper respiratory tract which includes, pharynx, laryx, trachea is inhabited by bacteria
Doctor :   DO you folow this concept?
User :   yes, i do
Doctor :   The bacteria is already there and it is normal
User :   i have been taking antibiotics and i have phlegm and coughing..
User :   is this normal..
Doctor :   When you spit, these organism will grwo
Doctor :   *grwo
Doctor :   *grow
Doctor :   Infection happen from 2 reasons
Doctor :   Either the own bactertia is grwing too much and causing ahrm
Doctor :   2. Non native/other bacteria may attack the respiratory tract and infect
Doctor :   . Sputum test is done to identify what bacteria it is
Doctor :   And for what antibitics it is sensitive
Doctor :   Next ...
Doctor :   How long you have cough and phlegm
User :   the sputum results from the pathology centre does not mention anything about a lower respiratory this normal?
User :   i had had it for 3 weeks but i am feeling better and not coughing as much..
Doctor :   Yea, they will not mention lower respiratory tract
User :   does this mean i dont have a lower respiratory infection?
User :   it seems i cough every 3 - 4 hours and i bring up white sputum...
Doctor :   Be patient
Doctor :   I will explain
User :   ok..sorry
Doctor :   if there is infection in lungs (alveoli )it shows in xary
Doctor :   There could be infectipon in bronchi
Doctor :   The brinchi do not have bacterai
Doctor :   Bacteriua is only upto trachea
Doctor :   And it will go dowwn abnd infect the brinchi
Doctor :   That is called bronchitis
Doctor :   It is purely clicnial; diagnosis
Doctor :   Cough with sputum prodcution with or without fever is bronchitis
Doctor :   So u might have brincghitis and stay on antibitics
User : long does it normally take to get over this...
User :   it started out with a sore throat and then runny noise and then coughing...
User :   i have been fortunate as i do not have a fever...
Doctor :   Ok
Doctor :   SO it could be sinusitis
Doctor :   It could be bronchotis
Doctor :   But the treatment /antibitics are the same,\
User :   its the coughing and sputum which is really bothersome...
Doctor :   Did I answer ur question
User :   thank you for answering my question...
User :   good night..
Doctor :   Yes
Doctor :   it is bopther some
Doctor :   U need to use cough medicine to get relief
Doctor :   Did u had x ray of chest
Doctor :   Do u smoke
Doctor :   Are you there?
User :   i dont smoke
Doctor :   OK
Doctor :   How long u have this ? How old are you?
User :   the dr did not recommend a x ray
User :   he only recommended a sputum test
Doctor :   He thought it is purely clicnial a
Doctor :   actually now a day very few doctor do sputun test
Doctor :   instead they d chest ray
User :   he claims this is going around a number of people have been this
Doctor :   so that we will know whether there is any infection down in lungs
User :   i must suggest a chest x ray
User :   exactly..i may have a lung infection
Doctor :   yea
User :   i assume i would still need to take antibiotics..
User :   i am 29yrs old..
User :   i am from melbourne..
User :   where are your from?
Doctor :   upper respiratory infections is purely clinical0-meaning doctor examinbes ur lungs and patien ts says the symptoms, in ur case cough and phlem
Doctor :   But lower respiratory tract infection needs test -x ray
Doctor :   so wait for 1 week and finish the antibitics
Doctor :   if not get better get x ary
User :   ok...
Doctor :   I am
User :   ok...
Doctor :   What antibiotics u using
User :   i have a friend of mine who has had this similar cough for about 6 weeks...
User :   amoxylin
Doctor :   Ok
Doctor :   How much dose
User :   and he was diagnosed with pneumonia
Doctor :   OK
Doctor :   But there is no xary
Doctor :   * X ray
User :   500mg
Doctor :   how many times
User :   he had an x ray and he was diagnosed with pneumonia
User :   1 time a day
Doctor :   OK
Doctor :   One time a day is wrong
Doctor :   u need to take min 2 times
User :   ok..will start that tomo..
Doctor :   Take it for 1 wk
User :   ok...
Doctor :   If not get better, u need to switch antibitics
User :   as i said i am feeling much better but its the coughing now that is annoying..
Doctor :   ok
Doctor :   Just use cough syrup for relief
User :   i will do so...
User :   my mum had similar issues and her cough lasted for 7 weeks but she is all good now..
User :   i hope my cough does not last this long...
Doctor :   No man
Doctor :   It will get better
Doctor :   max 2 weeks
User :   i am doing breathing exercises to hopefully help me with the cough...
Doctor :   It is common infecttion
User :   and my sputum colour has changed from yellow to white...
Doctor :   Very good
Doctor :   u r improving
User :   thank you for explaining everything to me and I hope 2011 is a healthy year for all of us..
User :   regards AAAAAAA
Doctor :   Thank you dude
Doctor :   Hope it willbe good year for you too
Doctor :   I wish a speedy recovery
Doctor :   Thank you for consulting
Doctor :   Bye
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