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Suggest Treatment For Chronic Cough And Severe Neck Pain
Question: 64 yo white female, 5'9/312lbs, fatigue, increasing SOB with minimal ambulation x 8 mos, incidential dx of afib during routine MD visit 11/2015 now controlled with med, no other dx's. Currently pulmonary consult for SOB-CXR, labs, pul function test apt 1/12/17 for results. Also chronic cough, intermittent hoarseness, and L lateral neck pain with painful swallowing no difference/pain increase with food or saliva-pain x approx 3 mos. No swelling noted but able to palpate exact spot of pain L lat neck-no throat pain. No fever, ear pain-occ h/a. Heating pad doesn't decrease pain. This afternoon while drinking milk neck pain suddenly went from 4 to 10 and hoarseness increased. Have taken Tylenol 650mg with pain decrease from 10 to 7. Hoarseness has not changed. Does this sound concerning to you?
Brief Answer:
Get the blood counts checked.
Detailed Answer:
Thanks for asking on HealthcareMagic.
I have gone carefully through the details provided. It is possible that you are suffering from a respiratory tract infection. The lump in throat, the hoarseness, the pain during swallowing, all point to a sore throat, which could be due to either a viral or bacterial cause and irrespective of treatment it is likely to last 5-7 days. Gurgling with lukewarm water should provide relief. On the other hand, apart from the pulmonary function test and others, I would insist you to get a complete blood count done. It will help in identifying whether you could be having a bacterial infection. If the results indicate a bacterial infection, the situation could be concerning and would need to be treated with proper antibiotics.
Let me know if I could help further.
Regards
Get the blood counts checked.
Detailed Answer:
Thanks for asking on HealthcareMagic.
I have gone carefully through the details provided. It is possible that you are suffering from a respiratory tract infection. The lump in throat, the hoarseness, the pain during swallowing, all point to a sore throat, which could be due to either a viral or bacterial cause and irrespective of treatment it is likely to last 5-7 days. Gurgling with lukewarm water should provide relief. On the other hand, apart from the pulmonary function test and others, I would insist you to get a complete blood count done. It will help in identifying whether you could be having a bacterial infection. If the results indicate a bacterial infection, the situation could be concerning and would need to be treated with proper antibiotics.
Let me know if I could help further.
Regards
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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