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Suggest Remedy For Persistent Cough, Fatigue And Headache

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Posted on Wed, 18 Nov 2015
Question: i am very tired,have a runny nose and cough. A bad headache that feels like electrical charges and pains in my back, accompanied by asthma. Whats wrong with me. 63 yr old female
doctor
Answered by Dr. Saddiq Ulabidin (1 hour later)
Brief Answer:
Seems like infective exacerbation of asthma

Detailed Answer:
Hi! Welcome to health care magic!

Based on the history you have shared, it seems as if you have suffered from acute exacerbation of asthma due to respiratory tract infection. Airways are already compromised with asthma and any foreign infection whether upper or lower, leads to further worsening of the symptoms.

You need to have an Xray done to rule out pneumonia or signs of lower respiratory tract infections. Also get blood levels done for white blood count and hemoglobin levels to look for infective or anemic causes. Chest evaluation with auscultation and blood saturation review may be needed if breathlessness or difficulties in breathing are worsened. Xray Paranasal sinuses for headaches and nasal congestion may also be needed to look for sinusitis.

Meanwhile keep using inhalers like salbutamol alongwith inhalatory steroids like fluticortisone. You may also need course of antibiotics like augmentin or azithromycin. Anti histamines like cetrizine or loratidine may be of some help bit neubilisations and steroid pulses may be required with antibiotic cover to overcome this episode and then re titrate the treatment by gradual step down therapy to come to an optimal control of your asthma.

Hoping you a speedy recovery. If you have any more questions, feel free to ask else kindly close the discussion. You can also reach me directly through my profile in future, in case of any more queries. Regards.
Above answer was peer-reviewed by : Dr. Yogesh D
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Follow up: Dr. Saddiq Ulabidin (15 hours later)
this says nothing about my headache. Is there a connection. I am not prone to get headaches. If I do they are mild. My headache has lasted for days and is only slightly better with asprin. And the electrical shock feeling is a bit scary I visibly twitch.
doctor
Answered by Dr. Saddiq Ulabidin (1 hour later)
Brief Answer:
It is connected and seem like sinusitis headaches

Detailed Answer:
Hi! Thanks for sharing your concerns. If you review the last thread again I had mentioned sinusitis as possible cause of headaches in your case and had suggested that you may need to have Xray Paranasal sinuses. Using analgesics like acetaminophen alongwith anti histamines like cetrizine will help as well as need for decongestants may ne required. Use hot beverages and steam inhalations and keep head warm.

Hope this has answered your query, if you have any more questions, feel free to ask else kindly close the discussion. Regards.
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Answered by
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Dr. Saddiq Ulabidin

General & Family Physician

Practicing since :2011

Answered : 3941 Questions

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Suggest Remedy For Persistent Cough, Fatigue And Headache

Brief Answer: Seems like infective exacerbation of asthma Detailed Answer: Hi! Welcome to health care magic! Based on the history you have shared, it seems as if you have suffered from acute exacerbation of asthma due to respiratory tract infection. Airways are already compromised with asthma and any foreign infection whether upper or lower, leads to further worsening of the symptoms. You need to have an Xray done to rule out pneumonia or signs of lower respiratory tract infections. Also get blood levels done for white blood count and hemoglobin levels to look for infective or anemic causes. Chest evaluation with auscultation and blood saturation review may be needed if breathlessness or difficulties in breathing are worsened. Xray Paranasal sinuses for headaches and nasal congestion may also be needed to look for sinusitis. Meanwhile keep using inhalers like salbutamol alongwith inhalatory steroids like fluticortisone. You may also need course of antibiotics like augmentin or azithromycin. Anti histamines like cetrizine or loratidine may be of some help bit neubilisations and steroid pulses may be required with antibiotic cover to overcome this episode and then re titrate the treatment by gradual step down therapy to come to an optimal control of your asthma. Hoping you a speedy recovery. If you have any more questions, feel free to ask else kindly close the discussion. You can also reach me directly through my profile in future, in case of any more queries. Regards.