Brief Answer:

Need Investigations & expert advise

Detailed Answer:

Hi,
YOur son may have just a common cold ( may not be viral ). Still viruseso d attack imuno compromised people easily.


I feel you had viral infection to start with or independent allergy aggravation .. it progressed to sinus involvement & Eustachian tubal block.

This caused postnasal drip. Your sensitive airways allowed the symptoms to travel in bronchi/ lungs leading to cough.

Secondary infection by bacteria is a common thing to follow, making the condition long standing & trouble-sum.


You have not mentioned about any breathing difficulty (bronchitis/ asthma) which is a common symptom causing severe cough & disturbed sleep too.


You already had a course of antibiotic containing Clarithromycin, still having no obvious relief.

You already are having medicines for allergy control & cough( Muconex, antihistaminic pulmicort & flonase ).

Allergy causes lot of trouble when exposed to allergen & exposure to infection enhances the picture.

Involving all the respiratory passage including ear, nose, throat& ear & bronchial tree too.


In this scenario I would advise for a through check up & investigations for allergy screening & respiratory system, culture of sputum for pin pointing the causative organism & suitable antibiotic to control it, X ray chest if found needful.

* You need consultation of a allergy specialist / chest physician / ENT surgeon

-- Desensitization treatment to get rid of allergy, Histamine blocker drugs are few things which aid to maintain good health & normal life.

* Management- self care-
- Avoid the allergens found/ triggering agents observed/ Be aware of dusts, fumes or smoke.
- Have healthy & permissible food with vitamins( antioxidants), minerals & proteins / respiratory exercises & walking regularly,
-A stress less life, sound sleep
- Strictly following medical advise & taking medicines regularly..
-.Take the full advised course of antibiotics.

Hope I have answered your query. Let me know if I can assist you further.

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Brief Answer:

Control of infection, allergy , care of mucus membranes & body resistance

Detailed Answer:

Hi,

Post nasal drip is dribbling of excessive mucus secreted by throat, nose , sinuses, respiratory passage specially more in night due to lying down position.

So too control it four pronged management is needed (though I had tried to explain it in previous answer in detail... let me try to narrate it in a simpler way.)


1. - Control of infection- As you had already a 10 days long dose of antibiotic recently, you are already taking anti allergic medicine, nasal spray & inhalation for allergy control... it can be assumed that the infection may not be totally gone-

- That's why I had suggested for sputum culture & sensitivity test to confirm presence of lingering infection ( which could be due to bacterial resistance to the antibiotic taken ) & also the effective antibiotic to control the bacteria.

If you visit your doctor/ a chest physician, he will examine you & may advise for this... or you can casually inquire about the need of such test.

2. Allergy control- Mostly non sedative anti allergic like Loratadine is usually prefer ed for such complaints. ( again needs to be decided by the doctor who has examined you physically).


As I had mentioned earlier.. Tab. Histamin blocker medicine (like Montelukast ) would help in allergy control with fast effect & allergy testing with desensitization treatment would help in long run.


3. Dryness of mucus membrane along with allery & infection irritate secretion of excess mucus to combat this-

-Saline nasal sprays ( Nasivion drops )/ Saline irrigation of nasal passage using nasal pot- would moisten nasal passage, remove extra mucus bacteria & allergens or other irritating factors to relieve irritation & excessive secretion.

- You can put on humidifiers to increase humidity in the room.
- Inhalation of vapor would add in relieving inflammation of sinuses.
- saline gargles would help to relieve sore throat.

4. In addition along with the medication, prevention of exposure to infection & allergy & self care, building up resistance (as described earlier) helps in combating repeated attacks of cold.

This way a patient care & follow up to expert would definitely help you.

Hope I have answered your query. Let me know if I can assist you further.

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Brief Answer:

Wish you fast recovery & good health.

Detailed Answer:

Hi,

I am happy that you are in safe hands now, The treatment plan appears best & I wish you quick recovery & full of immunity to resolve all of your sufferings.

Hope I have answered your query.

Take care

Regards,
Dr. Vasudha Jayant Athavale, General & Family Physician

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