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Terrible periods of coughing with wheezing - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Lung and Chest disorders
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
User :   i have been coughing for almost 3 months now. My Dr. said it bronchitis, he tested the speutm and it was negative, he said it was viral. The coughing continues, there are terrible fits of coughing for long periods of time. I am producing small, hard, almost plastic like pieces of mucus, sometimes yellow, sometimes dark brown and specked. I am wondering if this is a fungal infection. Can you help?
Doctor :   Hi
Doctor :   DrXXX here
User :   hi
Doctor :   let me read your query
Doctor :   Ok
Doctor :   Let be breif you
Doctor :   It not necessary for bronchitis to hav einfection persisting
User :   all blood tests and chest xray were normal
Doctor :   Because from your symptoms the most probable cause is bronchitis
User :   I am wondering if it might be an allergy.
Doctor :   The inflamtion of bronchiles which is caused by an infection and which is now not prevailing
Doctor :   In case of allergy it will not remain so long
User :   I had surgery in early June, after that I had taken antibiotics for about 7 weeks due to the incision having an infection.
User :   I also have an autoimmune disease, sarcoidosis
Doctor :   And by the history suggested should have very frequent episodes os respiratory distress
Doctor :   Ok
Doctor :   Do you have wheezing associated
User :   never had respiratory distress. neurosarcoid is what I have
User :   yes I have wheezing
Doctor :   Ok
Doctor :   Did you get an Tuberculin test done?
User :   not in the past 5 years.
User :   I live in a very old house, am wondering if I am allergic to it. am I overreacting?
Doctor :   I would suggest one
User :   could this be aspergillus
Doctor :   In case of allergy will have attacks fo sudden breathlessness
Doctor :   Do you have any?
User :   saw an infectiou disease doctor, she suggested seeing a pulmonary dr. Am going to try to schedule tomorrow.
User :   Yes I have breathlessness, whenver I have the coughing fits. It's terrible.
Doctor :   Because hyperesponsiveness will lead to sudden constriction of bronchioles
Doctor :   That will be an better option
User :   i have an inhaler that is no longer doing it's job. The Dr. gave me Tessler Pearls for sleeping and they don't work.
Doctor :   Such long duration suggests of some infection which is prone to be chronic than allergy
Doctor :   Possibly TB
User :   I have a prescription for cheratussin, to take every 4 - 6 hours, it wears off after 3
Doctor :   Is it a Syrup?
User :   is a lung dr the person to see for TB test?
User :   yes it is a syrup
Doctor :   Yes
Doctor :   Its an antitussive
Doctor :   Which suppresses cough
Doctor :   Will help you but not remedy for cure
Doctor :   Will require detail examination and tests
User :   well, when I first started taking it on Thursday, it worked. Not so much now.
Doctor :   Was an X ray taken?
User :   ok
User :   will schedule an appointment for tomorrow. The coughing gets worse, of course, when I lay down
User :   so I'm exhausted and in pain from coughing, my ribs, back and neck.
Doctor :   Ok start with steam inhalation avoid outdoors
User :   taking tylenol
Doctor :   Quit smoking if so
Doctor :   And also consume only hot foods
User :   ok, the shower helps.
User :   xray wsas taken, negative, clear. I DO NOT SMOKE.
Doctor :   Tylenol is a painkiller
User :   nor am I around smokes.
User :   the painkiller is for the pain I just described, from all the coughing.
Doctor :   Thats great
Doctor :   I understand repeated coughing has so much of pain and starin
Doctor :   *strain
User :   ok
User :   well I guess I will see a dr. tomorrow and try to get the TB test done.
User :   how difficult is that to cure?
Doctor :   Get an Xray doen and reported too. along with sputum test ( repeat)
Doctor :   Its not difficult all nedded is a courese of meds for 6 months to 1 year depending on sverity of infection
User :   ok I've had 3 xrays over the past 2 months. not sure if the doctor will order another.
Doctor :   Was the xrays reported by radiologist?
User :   oh, am also on a zpack, just in case there is something there. Tomorrow is day five.
User :   yesit was reported. The radiologist claims that all is clear and normal
Doctor :   The will require no xray
Doctor :   Zpax is an azithromycin
User :   yes
Doctor :   Will help control infection
Doctor :   But get examined by an pulmonologist will sure help
Doctor :   Will some times even require more invausve investigations
User :   it was a last ditch effort since I wasn't getting better. The ID dr. thought it would not hurt.
User :   will do.
User :   thank you.
Doctor :   Wishing you a speedy recovery
Doctor :   Thanks for consulting me
Doctor :   Bye for now
Doctor :   Take care
User :   Thanks again. bye
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