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

139 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.

Suggest treatment for chest congestion and post nasal drip

Answered by
Dr.
Dr. Sudhir

Internal Medicine Specialist

Practicing since :2000

Answered : 1417 Questions

default
Posted on Tue, 26 Aug 2014 in Ear, Nose and Throat Problems
Question: A month ago i got flu symptoms..chest congestion without being able to spit anything yet seemed to swallow it. Took guafenisen and albuterol to try and get mucous out. Now have post nasal drip and always clearing ticklish throat but still no mucus comes up instead small amounts of watery liquid. Just started taking Allegra in morning and Benadryl at night for post nasal drip. Really tired of feeling sick. Any recomendations?
doctor
Answered by Dr. Sudhir 14 minutes later
Brief Answer:
Steam inhalation can work wonders.

Detailed Answer:
Hello,

Steam inhalation can work wonders.Treatment you are taking is fine.

Take steam for three times a day, after that you can plan a short walk or some exercise.This cause dilatation of bronchi and mucus comes out.You might get small cough bouts, it is attempt of body to throw out mucus.

Stop benadryl for time being.It is more of cough suppressant.

Hope this helps.Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Sudhir 18 minutes later
What is bothering me the most right now is the post nasal drip causing tickly throat. Pharmacist told me to take antihistmines to dry up the post nasal drip and guafenesin or albuterol inhaler to help break stuff up. Without the benadryl at night it's hard to sleep because of post nasal drip. I appreciate the advice of the steam but what do you reccomend for post nasal drip. Thank you kindly.
doctor
Answered by Dr. Sudhir 13 minutes later
Brief Answer:
Its a double edged thing.

Detailed Answer:
Benadryl will dry up postnasal drip and also reduced mucus production.But it will reduce your cough.Coughs are of two types a dry one and wet one.In dry cough one needs to suppress it with antihistaminics.But in wet cough one need to dilate airway to get mucus out whenever you cough.In wet cough, body ia actually try to get the mucus out by coughing.So the cough is good to get mucus out.And in such cases treatment is directed towards getting mucus out by dilating airways and making mucus thin.

So benadryl infact is acting towards getting mucus collected.

You can take benadryl in the night and then steam and cough expectorants during day.Try this for three days, most of your symptoms will resolve.


Take good steam for 15 minutes, then make attempts to get the mucus out.By second day even postnasal drip will also improve.

Also there is option of chest physiotherapy, but I guess you wont need it at the moment.

Hope this helps.Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Sudhir 26 minutes later
Since no mucus comes up I assume that I have a dry cough so benadryl is good at night. I was told to take the Allegra Antihistimine in day time to keep post nasal drip under control and to also take the guafinesen expectorant and albuterol inhaler. Does this seem correct? I will add the steaming and hopefully the antihistimines will help collect mucus that could be expectorated. I have not seen any mucus plegm so does that mean maybe I only have thin watery post nasal drip that is causing this tickling in my throat and chest? Thank you kindly.
doctor
Answered by Dr. Sudhir 12 minutes later
Brief Answer:
Yes, postnasal drip can cause tickling.

Detailed Answer:
I feel you are taking too many medications for this.Do stop them as soon as you can.

Combinedly they will make you feel sleepy most of the time.Do not drive or do work that needs concentration.

I personally would have suggested steam inhalation, guafinesen expectorant and albuterol inhaler. And if at all needed benadryl in night.

Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Sudhir 43 minutes later
The only medication that caused drowsiness was benadryl and I take that at night. Sounds like you approve of everything I'm taking except the Allegra daytime antihistimine that doesn't cause drowsiness.I've only taken one dose so far of that and didn't notice much change. Someone else just suggested taking a decongestent called Sudafed but sounds like you feel I am already taking too many medications. Guess I've been feeling pretty desperate because I'm a singer by profession and have important gigs coming up. Curious though about the chest physiotherapy that you mentioned. Anything at all that you think might help I appreciate knowing about. Also a friend was telling me I should order a nebulizer that is used with some natural medicines..Serrapeptide and reduced-L-glutathione instead of the Albuterol inhaler. Have you heard of this and approve of it? I am certainly appreciating your input!
doctor
Answered by Dr. Sudhir 10 hours later
Brief Answer:
Medicines are fine.

Detailed Answer:
Though I might sound conservative , but I would not suggest anything more.

Chest physiotherapy is recommended only if there is to much chest congestion and you are unable to get mucus out.

Yes, I do approve most thing you are taking.

Natural remedy nebuliser, I wont support it to great extent, content being less known.

Try steam inhalation with exercises after that.Exercise increase your breath and clear it off secretions.This will just play the trick.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Sudhir 23 hours later
I am doing the steam as you suggested. Still have problem but feeling a little better each day. Still can't sing. Freinds keep bugging me to go to Doctor and get antibiotics but since I've had this lingering for so long..like a month.. but I'm not so sick like I was so my intuition is not to go to dr. cause I really dislike antibiotics. Don't you feel I can cure this even if it was some sort of bacterial infection without going to Dr and getting antibiotics?Also I've still never seen any thick mucus plemgh..but can tell there is still liquid deep in my lungs or bronchial tubes. lDon't have much of a cough but have to clear my ticklish throat a lot and very small amount of thin mucus comes up that goes straight to my stomach. This should clear up without antibiotics...don't you think.

I have not heard back from the Doctor about my last two questions. If I indeed actually had a bacterial infection..could I cure it without antibiotics? How could one tell if it was Bacterial? I've heard golden seal was natural antibiotic. Should I be taking this in case its bacterial infection.
Thank you kindly,
doctor
Answered by Dr. Sudhir 11 hours later
Brief Answer:
Getting tested is only definite way to know.

Detailed Answer:
Hello,

I was XXXXXXX Getting tested is only definite way to know whether its bacterial infection.

Bacterial infection may get cured without antibiotics as they did when there were no antibiotics but this will take long time and there is fear of chronic long term infection.

Goldenseal is used in cases like yours but there is no sufficient medical evidence to prove its helpfulness.

What you can do is go to doctor, get investigations done, after that depending on test results you can decide whether to opt for treatment or not.

So it won't be blind empirical treatment.Hope this helps.Please ask if there are doubts.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 ,   ,  
Treatment/Therapy
Medical Topics

Recent questions on  Dry cough

doctor1 MD

for the last five days I have had a dry cough which has caused a lot of strain on my stomach I still have the cough but the pain (strain) is in both my left and right sides it some times takes my breath but not to the extent that it worrys me, a Dr at local centre has given me 7day course of Amoxicillin capsules which I started taking today, As the pain in my sides is aggrevated by the cough and it really is painful when I cough I thought the Dr would have given some cough mixture to ease it but he told me the cough will clear its self, which do s not help me when I am in so much pain when the coughing starts. I am type2 diabetic and it is not easy to buy over the counter any cough mixture which would be safe to take. what can I do to ease this pain

doctor1 MD

Hello, my father is 74 years old and receives dialyisis three hours a day two days a week...he been receiving this treatment for aprox. 9 months. lately he has been suffering from a cronic cough he coughs alot mostly a dry cough can you help my family we are wondering if this may have something to do with his dialysis, we have tried all diffenent types of cough meds and nonthing helps. pls help my family if you can.

doctor1 MD

I had acase of swine flu pregnant iher 2nd trimester admitted to the hospital for fever ,dry cough ,&premature uterine contraction .do you think that her complete blood count showing always normal WBC count but with severe decline of lymphocyte suggestive of viral disease??

doctor1 MD

Hello, i had cough and cold (heavy mucus) and chest cough for 1 and half month. Initially Doc treated with antallergic tablets like navision, alaspan. After some days I noticed blood during coughing. Informed doc and he aksed to go for blood test. It is normal except .5K less RBC and Lymphocytes increased by 1. Blood was only for 2-3 days (Noticed 4-5 times). Doc (ENT) said its may be because of some injury because of violent coughing. I took Pulmonary test too which shows everything normal. His diagnosis was that i have bronchitis and because of that I have cough. After one month he prescribed the tablet for bronchial asthama and specific medicine for cough ie rotacaps- Levolin for one week followed by another rotacap seroflow (250MG) . I was filling better except nose used to get blocked in between. Then all of a sudden, i again started sneezing (End of 5th week) and nose secretion begin again (Its was think and sticky). Again visited the doctor. he doubted some infection in the sinuses. Asked to go for a CT scan of PNS for Allergic Fungul Sinusitis. Scan shows that Maxillary Sinuses are filled with fluid. Scan shows that its quite significant. Doc mentioned that we haven t addressed Sinuses problem so far and because of that it kept growing in the sinus (told in simple language-- may be some other reason in medical terms). After knowing this now I am prescribed with Roxid-M tablet (1---0---1) for 7 days and Syscan 150mg weekly once for 3 week. Also I was using nasal spray Metaspray all these days. Now the enw spray is prescribed - Nasonex.. 2 puffs every night. In addition to this... Nasoclear Saline 3-3 drops twice a day for 2 months. I am in countinuous touch of the doc and he is well known ENT specialist and I am seeing him for quite a long time (More than 3 years). Every time i get cold, my cough sometimes last for more than 1 month and many times it turns into dry cough. But this time I had wet cough i.e. it was never dry. Just wanted to know if this is a normal problem or I need to do any further tests. As per teh doc, In my maxillary sinuses the air flow is too minimum as shown in the scan. and thats why its significantly contributing to the trouble. He also advised to start breathing exercises (Jal neti etc) for better results. Observation in CT Scan: Frontal sinuses- Clear Ethmoidal Sinuses: Soft tissues seen in the anterios, middle and posterios ethmoid sinuses Maxillary Sinuses: Polypoidal Soft tissues seen billaterally Spenoidal Sinuses: clear Osteomeatal Complexes: involved bilaterally Nasal turbinates: Noral Nasal Septum: DNS towards right with Bony Septal Spur Nasopharynx: normal Orbits: normal Impression: 1. Bilateral ethmoidal and maxillary sinusistis changes with involvement of the OM complexes 2. DNS seen towards the right with Bony septal spur Observations in Scan- My Septum is deviated right with bony spur. Please advise.

doctor1 MD

I've had a cold from runny nose since Thanksgiving in the U.S. to now a cough the past four days. I lost my voice and its been about three days. It's a dry cough and kept me up all night yesterday. I think I am getting better if I rest my voice. I...

doctor1 MD

I had a dental crown done 3 weeks ago. The day after I had a white tongue and congestion in my throat and chest. I also have had a dry cough over a couple months. No fever 97.7, minor sore throat and no mucus has been coughed up. Lymoph nodes on...

doctor1 MD

Dear doctor thanks for your valuable reply however my further query is for last two weeks I have a mild rash under my eye which is persistent and is not going away...I had read somewhere in the webmd website that facial rashes are the first sign...