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Suffering from Productive cough. Suggest some medicine to loosen up the phlegm? - Online Doctor Chats

Date : 08-Jun-2013
User rating for this question
Very Good Posted in: Infections
Answered by

General & Family Physician
Practicing since : 2002
Answered : 106 Questions
Doctor:How are you?
User:i m good
User:how are you doctor
User:I am suffering from Productive cough. It's been more than 2 month. Phlegm color is whitish transparent. There is no reduction of body weight, i am 73 KG & 5ft 11in height. Last night i had fever with little strain in body muscles but i am fine now. Please suggest some medicine to loosen up the phlegm. Request your suggestion to avoid same kind of issue in future.
Doctor:Did you have fever before this?
User:no never
User:Yesterday i got sudden fever
User:so i m worried now
Doctor:for loosening up the phlegm XXXXXXX
User:bt i m completely ok now
Doctor:you need to take steam inhalation twice a day and drink lots of water
Doctor:this will help humidify the phlegm and help it come out
Doctor:do you smoke? Any allergies?
User:i dont smoke
User:i dont have allergies
Doctor:but XXXXXXX to be on the safer side I would like 2 tests to be done
Doctor:first is sputum for acid fast bacilli and secondly Chest Xray
Doctor:we dont want to miss tuberculosis
Doctor:even though its unlikely
Doctor:its better to rule it out
User:steam inhalaion i cant do bcz i speand most of the time in office
Doctor:do it in the morning
Doctor:and at night
User:i will do it
User:yes i need to do xray test
Doctor:there is no other way we can get the moisture into the lungs
Doctor:more importantly Sputum for AFB
User:symptoms is not of TB.
Doctor:could be
User:bt we never know
User:we cant rule it out
Doctor:so get these tests done and send the reports across
Doctor:we can take it further from there
User:ok doctor.
User:also i have a bad habbit
Doctor:you can email them at YYYY@YYYY
Doctor:in the subject line, write Attention to Dr XXXXXXX
Doctor:yes what else
User:of not wearing a tshirt while sleeping at night
User:do you think this is also a reason for that?
Doctor:as long as you're warm
Doctor:you should keep yourself warm XXXXXXX
Doctor:without doubt
Doctor:if its not TB and you're cold, the cough will worsen
Doctor:if its TB, its not related
Doctor:since its unlikely that its TB
Doctor:keep yourself warm and take steam
Doctor:they should help considerably
User:ok doctor i will do it
User:one more question
User:what does acid fast bacilli means?
Doctor:actually there is a stain called the ZN stain which is used to stain TB bacteria
Doctor:after we stain , we wash with acid
Doctor:if the bacteria retains the stain, it means its acid fast
Doctor:TB bacteria retain the stain
Doctor:do you follow?
User:If its TB than its easily querable?
Doctor:yes absolutely
Doctor:just you need to take the treatment regularly
Doctor:for 6 months
User:Also the X XXXXXXX test etc can be done without doctor recommendation?
User:i will do it then
Doctor:the sputum exam is more important XXXXXXX
User:i will do that as well
Doctor:Is there anything else I can help you with?
User:nothing doctor
User:i was great talking to you.
Doctor:I am glad I could help
Doctor:Thanks for consulting me
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