HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Suggest Treatment For Chronic Cough And Vomiting Up Of Green Sputum

default
Posted on Sat, 18 Feb 2017
Question: I have had a chronic deep cough and pain for over 4months had numerous antibiotics twice had steroids. I am today chocking up on horrible green sputum with a horrible taste. Can you help
doctor
Answered by Dr. Saddiq Ulabidin (2 hours later)
Brief Answer:
Need cultures and antibiotics choice should be made accordingly

Detailed Answer:
Hi! Thanks for sharing your concerns with us. We will try to help you in best way possible. First of all, it is sad to know what you had gone through.

Based on the history you have shared, it seems as if you are suffering from acute respiratory tract infection which may have been due to some resistant bug or it may be severe enough that it may need indoor admission and injectable antibiotics for better results.

A detailed work up with chest Xrays repeatedly to see any signs of pneumonia and sputum cultures and sensitivity needs to be done to look for exact causative organism and which antibiotic is it sensitive to.

A decision to have chest CT scan repetition will be helpful and blood work up including blood counts and CRP as well as ESR are mandatory to look for extent and severity of infection.

If it's very severe based on these labs and clinical examination it may need pulmonologist review and indoor admission for injectable antibiotics for better efficacy along with chest physio and N acetyl cystine XXXXXXX to break sputum plugs and expectorant cough syrups alongwith anti histamines like cetrizine or loratidine and decongestants. Steam inhalations and hot beverages may also be helpful.

Wishing you a speedy recovery. If you have any more questions, feel free to ask.

Regards
Above answer was peer-reviewed by : Dr. Prasad
doctor
default
Follow up: Dr. Saddiq Ulabidin (4 hours later)
Hello thank you for your reply I forgot to say that I was in hospital last November and the consultant said I had chest sepsis. What does that mean .? I am feeling so bad would it be awful to speak to the dr again or wait until the results are back for my sputum which was vivid green and tasted awful.
doctor
Answered by Dr. Saddiq Ulabidin (34 hours later)
Brief Answer:
It means chest infection and that's why we need antibiotics and cultures

Detailed Answer:
Hi! Thanks for sharing the details. Yes that means chest infection as sepsis is infection with a source like in your case it's chest, and with its implications on general body. So culture reports and all the work up like repeat Chest Xrays and CT will suggest an appropriate course of action and so will cultures of the greenish sputum, which can guide the exact causative organisms and to which antibiotics will they respond to. You can discuss with the same doctor or you can get a review with a pulmonoligst. Whatever is convenient for you but you need to treat it as soon as possible. Regards.
Above answer was peer-reviewed by : Dr. Kampana
doctor
Answered by
Dr.
Dr. Saddiq Ulabidin

General & Family Physician

Practicing since :2011

Answered : 3941 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Suggest Treatment For Chronic Cough And Vomiting Up Of Green Sputum

Brief Answer: Need cultures and antibiotics choice should be made accordingly Detailed Answer: Hi! Thanks for sharing your concerns with us. We will try to help you in best way possible. First of all, it is sad to know what you had gone through. Based on the history you have shared, it seems as if you are suffering from acute respiratory tract infection which may have been due to some resistant bug or it may be severe enough that it may need indoor admission and injectable antibiotics for better results. A detailed work up with chest Xrays repeatedly to see any signs of pneumonia and sputum cultures and sensitivity needs to be done to look for exact causative organism and which antibiotic is it sensitive to. A decision to have chest CT scan repetition will be helpful and blood work up including blood counts and CRP as well as ESR are mandatory to look for extent and severity of infection. If it's very severe based on these labs and clinical examination it may need pulmonologist review and indoor admission for injectable antibiotics for better efficacy along with chest physio and N acetyl cystine XXXXXXX to break sputum plugs and expectorant cough syrups alongwith anti histamines like cetrizine or loratidine and decongestants. Steam inhalations and hot beverages may also be helpful. Wishing you a speedy recovery. If you have any more questions, feel free to ask. Regards