Brief Answer:
needs x-ray chest & blood tests.

Detailed Answer:
Hi,

I have gone through your question and understand your concerns that you are having severe cough. I would like to ask you few more details.

Is you cough associated with productive sputum ?
Is there any breathlessness ?

Kindly get back to me with the details so that I am better able to help you.

Based on your clinical details, it appears to be infective or allergic cough.

In my opinion, 20 days old cough, should be evaluated with ENT consultation, X-ray chest, blood tests (complete blood picture-infection, absolute eosinophilic count and serum IgE -allergy), if necessary, sputum for culture sensitivity examination. Treatment can be started as per the findings.

Kindly go ahead.

Mean time, start over the counter anti allergic with decongestant tabs like tab. levocet-d (citrizine +phenylephrine) one tab at bed time, do steam inhalation.

Hope this answers your question, if you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.

Wishing you good health.

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Brief Answer:
Needs Monitored care and medications.

Detailed Answer:
Hello again,

Thanks for considering my answer and for your follow up.

Cough with breathlessness should be evaluated and monitored in hospital setting, as you may require injectable antibiotics, nebulizations and steroids.

Kindly go ahead for the ENT consultation and investigations, what I have already mentioned.

Hope, I have answered your query.

Take care.

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