Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

192 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Prescribed with z-pak, albuterol inhaler, benzonatate for acute bronchitis. What could be the reason for sore throat?

Answered by
Dr.
Dr. Lohit K

General & Family Physician

Practicing since :2007

Answered : 1649 Questions

default
Posted on Tue, 3 Dec 2013 in Lung and Chest disorders
Question: Good morning. I was diagnosed with acute (bacterial) bronchitis on 11/9 and given a z-pak, albuterol inhaler, Benzonatate and cough liquid w/ codine to take at bed time. My lungs and sinus are clear and I'm pretty sure this is a result from cleaning the basement and inhaling dust and dirt. I'm fairly certain this is the cause because I started coughing while doing the cleaning and it just got worse from there. Although feeling much better than I did, I'm probably about 75%. But my real concern is now I have a sore throat; not irritated from coughing, but an actual sore throat. Could something else be going on?
doctor
Answered by Dr. Lohit K 57 minutes later
Brief Answer: Salt water gargle,NSAID,Antibiotic Detailed Answer: Hi XXXXXXX Lamb, Thanks for using XXXXXXX I went through the query and understood your concern. The initial episode of cough due to inhaling dust and dirt suggests allergic bronchitis or pharyngitis. The treatment that was given are cough suppressants and broncho-dilator and no antibiotic. The inhaled dust may contain bacteria and can infect you. Bacterial infection usually presents with variation in breath sounds (If lung is infected), fever, throat pain or sore throat (pharyngitis) and lymph node enlargement in the neck may be present with sputum. Now since you have sore throat there may be inflammation in throat due to bacteria or allergen, I advice you to do concentrated salt warm water gargle three times a day (not after having food), have anti inflammatory drug like acetaminophen and if bacterial infection antibiotic is required. Avoid cold and oily food. These will help you. Hope this information helps you. Feel free to ask if any related query and I will be glad to answer them. If satisfied close the query and write a review as well. Wish you happy life. Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Lohit K 37 minutes later
Thanks much for your reply. I may have been unclear with some info I provided because I did get an antibiotic. I started with the cough on 10/28. I also had terrible body aches, headache, some sweating. I thought perhaps I was getting the flu although I had a flu shot several weeks prior. The symptoms continued to worsen and I went to a CVS Minute-Clinic on 11/2. That was when I got the inhaler. Throught the following week was kinda strange. I'd feel good one day then horrible the next. One night I'd sleep through and hardly cough. Another night I wouldn't get any sleep at all, having constant coughing fits and hardly being able to catch my breath. I had some mucus but I had experienced much more at previous times. On 11/9 I went to an Urgent Care clinic. They felt this might be bacterial because of the severity and the back and forth of feeling better and worse. They said to continue with the inhaler but they did also give an antibiotic- Azithromycin. 5 pills; 2 the first day and 1 for the next 4 days. My last pill was yesterday. That's why I was a bit concerned to get a sore throat while taking the antibiotic. Maybe it was just viral afterall?
doctor
Answered by Dr. Lohit K 35 minutes later
Brief Answer: allergic bronchitis or viral.Montelukast & NSAID, Detailed Answer: Hi, thanks for writing back. With the history, the problem you are suffering may be allergic bronchitis or viral infection(Since no history of asthma). Usually after an episode of viral infection, bacterial pharyngitis may overlap. Azithromycin is a good antibiotic for URTI. With these symptoms Tab. Montelukast and tab acetaminophen may help you along with concentrated salt warm water gargle. Continue inhaler only when required for breathlessness. If the symptoms does not relieve then get examined by your doctor once and you need to take another group of antibiotic like levofloxacin / amoxicillin. Selecting antibiotic by culture and sensitivity gives good result. But in empirical therapy we usually select drug with broad spectrum activity and based on local experience on treatment with the patients. Hope this helps you. Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,   ,   ,   ,   ,  
Drug/Medication ,   ,  

Recent questions on  Asthma

doctor1 MD

I have igg deficiency, asthma , and I have pain between my shoulders in my back. My stool has little white balls in it and I feel short of breath. I also have bouts of tachycardia and low grade fevers, I have had tons of medical exams. The only test I haven t had are Gallbladder exams. My colonoscopy found nodules in my ilium but they tested negative for Crohn s. Could this be a GB problem? My CT showed one elevated liver enzyme.

doctor1 MD

hi, i am due to have surgery (decompression on my elbow) in a weeks time. I am currently taking a short course of steroids and antihistimine for severe hayfever, i have a dry un productive cough which is still present i have mild asthma but this is worsened during the summer months. will they still perform the surgery?

doctor1 MD

Hi. Please help! My Dad has not been gentle to himself over the years having been a heavy smoker (ex - smoker now)and drinker. He is is on numerous meds including warfarin, inhalers for breathing, blood pressure, high colesteral, and also has lukemia of the bone which has not progressed since been diagnosed several yrs ago. He recently got a shock from the defrib for the first time while on holidays abroad. He was admitted to hospital for 48hrs for monitoring and on his return went to his regular hospital in home country to get a printout of the activity of the defrib. He has bveen advised that he may have a second shock (apparently nine times out of ten a patient will receive a second shock). This all occurred approx eight days ago and today he is complaining of pins and needles in his hands. Can someone pls advise if the pins and needles are associated with the activity of the defrib. From a very concerned family memeber

doctor1 MD

Hi, my 18months old son (12.8kg) was just prescribed Flucloxacillin oral solution 125mg, 2.5ml 4x daily. He s been having red rush on his face around his mouth. It started as 1or 2 single spots with white center about 10 days ago and it spreading into red areas with white spots, which are constantly wet as my son is dribbling a lot. He was prescribed Fucidin Cream last friday. We ve been applying this 3xdaily for last 3 days but it s not getting better. My son has asthma and is using Beclometasone inhaler 2x daily. My son also wasn t very well last weak some respiratory viral infection. My question is: How long does it take for the Fucidin cream to start working? And if my son starts taking the Flucloxacillin antibiotics, can he be exposed to the sun as we are going on a beach holiday in 5 days? Many thanks for your answer, S.

doctor1 MD

Hi Doctor, My wife seems to be have mumps , her right cheek is swolen and she has pain. She wanted to take Ibuprofen , however the medicine instructions states check with your doctor if you have asthma . do you have any other pain reliever or pain...

doctor1 MD

Good Morning, I am caregiver for my Father who is 95. He has asthma , COPD, just had a stent inserted in his right aortic valve and is due to have a valve replacemt next week. Last thursday he started feeling ill, cough , clight fever, took him to...

doctor1 MD

Hello Doctor, Need your expert advice here,request you to please guide me on this and let me know the further process Medical history 1. Bronchitis asthma 2. Thalassemia Minor 3. Severe Iron deficiency anemia 4. Shoulder pain , muscle pain in...