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Suggest treatment for upper respiratory infection - Online Doctor Chats

Date : 18-Apr-2014
User rating for this question
Very Good Posted in: Lung and Chest disorders
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
About 3-4 weeks ago, I got an upper respiratory infection ? where I had a lot of wheezing and coughing. I believe this is due to allergies and/or sinuses. A day or two later my adult brother, XXXXXXX got something similar. He has mental retardation as a result of chicken pox as an infant. I am his caregiver and guardian. He was given a Z-pack 5 day antibiotic, but his cough never went away. At least 3 people listened to him and said that he sounded clear. The doctor said to give him plain Mucinex. I was but nothing seemed to help. I took him back again and she ordered a chest ex-ray, which came back negative, and another antibiotic. It was Levofloxin and finished yesterday. His nose has been runny a lot and he still has that nagging, persistent, short cough. He doesn't sound as nasally as he did. Last night I gave him benedryl instead of the Mucinex. His nose sounded full but not clogged in the night. I also got him a nose spray and used it once, before bed. I'm not sure what to give him. I don't think the Mucinex is beneficial, even though she said continue to give it to him if he's coughing when the antibiotic is finished. Do you agree?
Doctor:Let me read your query for few minutes to be able to have a good discussion here.
User:o.k. Thank you.
Doctor:If his lungs were clear, then giving mucinex may not be that helpful
User:That's what I thought. The plain is to break up mucus from there.
Doctor:By your description it seems to be a viral infection
User:But sometimes he's quieter than at others. I'm thinking it's allergies to something.
Doctor:You can give him benadryl twice a day
Doctor:that should take care of the cough
User:In the a.m. and bedtime?
Doctor:if he has cough in the morning, you can give him in the morning, otherwise you can skip it
Doctor:If you feel that he has wheezing, then you may give mucinex
User:The coughing is there during all times, but not constant. I asked him if anything feels like tickling in his throat scratchy, but he says no.
Doctor:Otherwise it is not necessary
Doctor:Then benadryl as and when required would suffice
Doctor:If he is comfortable then you don't need to give him anything
User:I had been giving him cough medicine, but that didn't seem to work either, and also a spoon of honey at times, and in tea at times. I would say the honey helped a little.
Doctor:Steam inhalation once or twice a day would do
Doctor:In my opinion he has had enough medicines for this cough
User:I did get him to steam up the shower. I will get a vaporizer with Vicks if necessary. My sister said to put Vicks on bottom of feet and wear socks.
Doctor:Give steam inhalation
Doctor:Yes steam with vicks does give much better relief
Doctor:applying vicks on the feet will not
User:Several people told me that it works on the feet. My niece said she used to do that with her children also.
User:Not the liquid Vicks for feet, but the kind in jar.
Doctor:I know
Doctor:It only helps by diverting the attention to feet
User:O.K. I think I will go to the Pharmacy and get Vicks liquid for Vaporizer.
User:Thank you.
Doctor:is there anything else I can help you with?
Doctor:Thanks for consulting me here
Doctor:have a good day ahead
User:I guess there's no way to tell if it's allergies without tests; is that correct?
Doctor:there is no way to tell without doing the relevant tests
User:O.K. That will be all. Thank you.
Doctor:Thanks for using the service
Doctor:have a great day ahead
Doctor:take care
User:And you, as well. Good bye.
Doctor:Good bye
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