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Dr. Andrew Rynne
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Dr. Andrew Rynne

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Suggest treatment for constant cough with phlegm

Answered by
Dr.
Dr. Kaushal Bhavsar

Pulmonologist

Practicing since :2008

Answered : 14549 Questions

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Posted on Mon, 6 Jun 2016 in Lung and Chest disorders
Question: Hi Dr. I finished arriving to Mexico City where the weather has changed drastically from where I was living prior. I was living in Canada prior for the winter season where it was fairly chilly but nothing to cold, and as of a week now have been in Mexico where it is spring. I have had a constant cough with phlegm, I've been really hot because my apartment is humid and not well ventilated and with constant irritants in my environment such as pet dander, aersol sprays, and such. My energy levels are good but I do get kind of tired from the heat. I've noticed showering this morning though that their was some dry blood around my belly button and I'm noticing right now my stomach feels kind of uncomfortable and went to the bathroom to find more smelly bloody pus kind of forming inside. I was wondering if You could help. Thank You.

Symptoms:

1) One day of heaving and sweating.
2) Coughing non-stop with phlegm. Has gotten better.
3) Little appetite.
4) Water Stool, Diahrrea.
5) Belly Button Bleeding/Pus, Belly Button Discomfort and Slight Pain.
6) Fatigue.
doctor
Answered by Dr. Kaushal Bhavsar 53 minutes later
Brief Answer:
Possibility of intestinal infection is more.

Detailed Answer:
Thanks for your question on Healthcare Magic.
I can understand your concern.
Since you have changed your environment and started living in hot climate, possibility of intestinal infection is more.
Your symptoms like belly button discomfort, pain, watery diarrhea etc are more suggestive of intestinal infection.
The belly thing (pus, blood) is quite interesting.
I want more details about this for further suggestion.
So please let me know
1. Are these belly things appear for the first time or you had similar episode in the past?
2. Do you eat outside food these days?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar 12 minutes later
Yes, Thank You Doctor.
The belly button thing I just noticed this morning showering, although yesterday on my shirt I saw a brown smelly stain that I thought was just spilled spaghetti. This morning I noticed it but thought it might be dry skin. I hadn't had it before ever. This is a concern foresure. I eat a lot of outside food. I eat fried foods in the street, sea food at markets, and I drink a local bevarage called "pulque" that comes from an agave tree. Theirs quite a few things.
doctor
Answered by Dr. Kaushal Bhavsar 4 minutes later
Brief Answer:
Do you feel wet /pus /blood when you insert finger in umbilicus?

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
By your history and description, possibility of umbilical fistula is more.
I am not saying it is 100% there but by your symptoms, you might have this fistula.
Please let me know
1. Do you feel wet /pus /blood when you insert finger in umbilicus?
2. Have you ever undergone abdominal surgery in the past?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar 4 minutes later
I did just a couple of hours ago as I was trying to get to bed here and felt my abdomen hurting. As of yesterday, however, as I was getting in the shower it was already dried.
No, I have never undergone any abdominal surgery.
I haven't been vomitting or needing to vomit either. I started off with a cough that is still persisting, and I do break into sweat.
doctor
Answered by Dr. Kaushal Bhavsar 5 minutes later
Brief Answer:
Do you smoke?

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Can I ask you picture of your umbilicus, so that I can see if there is any serious thing or not. Sometimes, physical examination is must. Hope you won't mind. Please send me picture as attachment in this question.
Also let me know
1. Do you smoke? This information is necessary because you are having continuous cough and phlegm.
2. Are you taking any medicines for all these symptoms?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar 3 minutes later
I don't smoke.
This just started within my first week of arriving here into Mexico.
I'll send You a picture of my belly button. I hope it helps or gives some indication.
doctor
Answered by Dr. Kaushal Bhavsar 2 minutes later
Brief Answer:
I am not getting the picture.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
It's good that you don't smoke.
Sorry to say but I am not getting your picture.
You need to attach the picture as attachment in this question.
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar 1 minute later
I have a picture. How may I send it?
doctor
Answered by Dr. Kaushal Bhavsar 3 minutes later
Brief Answer:
You need to attach it in the attachment.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
See there is attachment option in your question. You can attach picture there and ask question. So I will get that picture.
Are you using XXXXXXX application for health care Magic or through laptop?
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar 1 minute later
I finished uploading a picture where it says upload report. I am using a laptop.

Right now I feel a little bit dehydrated, and some sharp navel pain accompanied by watery stool.
doctor
Answered by Dr. Kaushal Bhavsar 4 minutes later
Brief Answer:
I got the image. It looks normal.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I have gone through the image you have attached.
Your umbilicus is normal. No need to worry for size, shape or any deformity.
You are having central obesity.
Please let me know
1. How many times in a day, you are having watery diarrhea?
2. Have you taken any medicines for these symptoms?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar 3 minutes later
Heres another picture of what I wiped out with a kleenex.
Just starting now accompanied with pain, and after I eat liquidy things like soups.
I haven't taken any medications yet.
doctor
Answered by Dr. Kaushal Bhavsar 6 minutes later
Brief Answer:
Sorry to say but I am not able to see the picture.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I have received the attachment but I am not able yo see full picture. It is showing just top part of picture.
I think there might be some uploading (technical) error.
Can you please upload it again, so that I can see full picture.. Sorry for the inconvenience.
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar 1 minute later
how about now?
doctor
Answered by Dr. Kaushal Bhavsar 12 minutes later
Brief Answer:
Now I am able to see.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
Now I am able to see the image.
I don't think it is pus or blood.
Please let me know
1. The image you are showing is of right now (tissue)?
2. Do you have chest pain while coughing?
3. What is the color of phlegm?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar 3 minutes later
Yes, that's what was inside.
I don't have any chest pain coughing.
The phlegm is clear like saliva or yellowy.
Right now I just had diarrhea and vomiting of stomach acid. This is the first time. Last time it was just vomit of yellow phlegm and that was 2 days ago, accompanied with some sweating.
doctor
Answered by Dr. Kaushal Bhavsar 6 minutes later
Brief Answer:
You are mostly having intestinal infection.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
You are mostly having intestinal infection which is causing all these stuff. And infection is mostly due to outside food.
So better to do following things.
1. Avoid outside food.
2. Avoid oily, spicy food.
3. Drink plenty of fluids orally and keep your self hydrated.
4. Drink oral rehydration solution (ORS) 1-2 liters per day.
5. Start probiotic drug.
6. Start combination of ofloxacin and ornidazole.
Please let me know your weight, so that I can prescribe you exact doses of these drugs.
Also let me know if you get drugs over the counter or not.
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar 1 minute later
Ok, Thank You.

I am 5'11" and 220lbs.

Should I go to the Hospital?

I'm still coughing non stop. That might be because of allergens and irritants too though. Although, my stomach is hurting and I am tired. I need to sleep.
doctor
Answered by Dr. Kaushal Bhavsar 3 minutes later
Brief Answer:
You will mostly improve with the drugs I am prescribing.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
First let me know
1. Do you get medicines over the counter?
I am emphasize on this because if you don't them over the counter (with out prescription) then you should go to hospital.
So please let me know this.
I will give you doses if you get them without prescription (over the counter).
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar 4 minutes later
I don't know what the medical system is in Mexico. I know where the pharmacy is and can probably do a pick up, but if NOT I know where the Hospital is. I'll try the pharmacy first.

Quick question. Does any of this make sense as to why I would have an intestinal infection?
1) I live in an apartment with no ventilation and it's hot out.
2) It's spring and theirs outdoor changes.
3) I have a cat in my close proximity whose shedding and plays in her litter a lot.
4) I have the fan constantly going and I notice some dust bunnies caught on it.
5) We had some wind the other day and dust, powder and other things outside was blowing in my fast.
6) The air I have in my apartment is humid.
7) My pillows are fleece and haven't been washed.

Diet -

Sea food at the market... Oysters, shellfish, octopus, fish, shrimps, crab
Beverages... pulque from the maguey said to have "amoebas"
doctor
Answered by Dr. Kaushal Bhavsar 4 minutes later
Brief Answer:
Are you eating these stuff for the first time?

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
Yes, sea food can cause intestinal infection.
Please let me know
1. Are you eating sea food for the first time?
2. Did you done over eating?
3. Do you take alcohol with sea food? Alcohol and sea food can cause intestinal infection.
So please let me know these answers, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar 2 minutes later
Not the first time, but the first time in a long time. Over a 3-month period upon returning.
I ingest sea food and alcohol but on SEPERATE occassions. Not together.
doctor
Answered by Dr. Kaushal Bhavsar 5 minutes later
Brief Answer:
Outside Sea food is the culprit fir your intestinal infection.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Now I am getting clearer picture of your disease.
Your intestinal infection is mostly due to outside sea food.
Your coughing and phlegm is more likely due to allergy to animals and surrounding environment.
Please let me know
1. Do you have breathlessness on exertion?
2. Did you get similar kind of allergy in the past?
(same symptoms when you change your environment)
3. Did you have coughing and phlegm ever in Canada?
Please reply me answers of above asked questions, so that I can guide you better.
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar 3 minutes later
As we speak Doctor, I'm starting to vomit black bile and chunks right down to saliva.
Interestingly enough I DON'T FEEL breathless at all. It all started upon arriving here in Mexico. To tell You the truth, it might be more than just the seafood place. Having consumed fried foods in less developed areas, maybe where theirs rats I've been around. Also, a drink called pulque which is said to have amoebas.
Right now, my throat kind of hurts from such violent vomitting.
doctor
Answered by Dr. Kaushal Bhavsar 8 minutes later
Brief Answer:
Take these drugs.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
You are having allergic reaction to the new environment which gives you cough and phlegm.
Sea food of poor quality from less developed area caused you intestinal infection.
Here are your drugs.
1. Combination of ofloxacin (200mg) + ornidazole (500mg) twice daily after some food. (antibiotic for intestinal infection)
2. Combination of pantoprazole (40 mg) and domperidone (20mg) twice daily on empty stomach. For acidity and vomiting.
3. Combination of levocetrizine (5mg)and montelukast (10mg) once daily. For allergic cough.
4. Drink plenty of fluids orally and keep your self hydrated. Take oral rehydration solution (ORS) 1iter per day.
5. Avoid outside food. Avoid stale food. Avoid oily and spicy food.
You will mostly improve with all these in 2-3 days.
But if you still have diarrhea and vomiting even after 24 hours of these drugs then go to hospital.
Hope I have solved your query.
If you are not having further queries, then please close the conversation and rate my answer.
You can ask me directly on bit.ly/askdrkaushalbhavsar.
Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar 2 minutes later
As of right now, having vomitted so violently the black vile I feel a little bit better Doctor. My stomach is less crampy right now. I'd like to get some sleep in the mean time and wake up to do this. Is it possible I might be able to sleep a few good hours without any pain or having to get up now that I feel better having vomitted right now? Thank You so much for the prescription too! I will get on that.
doctor
Answered by Dr. Kaushal Bhavsar 3 minutes later
Brief Answer:
This black thing is mostly stomach acid.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
Thanks for your kind words. I am always ready to help my patients.
In my opinion, you just vomited stomach acid.
You must have not eat anything since few hours.
Is it right?
Before how many hours you eat anything?
Which thing you eat last?
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar 3 minutes later
Today I only had some soup... and to tell You the truth, their probably was some undercooked chicken in it. It did taste a little cold. Living in a really dirty city Doctor... it's like finding a needle in the haystick what the real culprit was. I drink a lot of bottled water too... having been able to just get water from the tap back home in Canada and having to get it from a fridge at a store here, it's like even the water tastes different too. It's bloating and such. The last thing I ate was about 10 hours ago. My appetite has been really low these days.
doctor
Answered by Dr. Kaushal Bhavsar 6 minutes later
Brief Answer:
You have vomited because you were empty by stomach.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
The last vomit is mostly having stomach acid.
You have not eat anything since 10 hours. In our stomach, acid produced regularly. When you don't eat anything, it starts accumulating and cause vomiting.
So better to eat something like biscuit or any light stuff.
Please let me know
1. Exactly where you have pain in abdomen?
2. Is it continuous pain?
3. Do you hear gurgling sound from abdomen?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar 3 minutes later
the pain is in the navel, but only if I lay with my laptop on it and on my back. On my side I feel normal.

Pain was sharp for a while and at first but seemed to die down after vomitting. It comes and goes in little discomforts.

Yes! With the pain a couple hours back I did hear some swimmy gurgly sounds too.
doctor
Answered by Dr. Kaushal Bhavsar 4 minutes later
Brief Answer:
Take all the drugs prescribed by me and you will be alright.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
So all your abdominal symptoms are due to intestinal infection.
Your cough and phlegm are due to allergy.
So take drugs prescribed by me in our conversation and you will mostly improve.
I have given drugs for both intestinal infection as well as allergy.
You will mostly improve in 2-3 days.
If not improving then go to hospital.
Hope I have solved your query.
If you are not having further queries, then please close the conversation and rate my answer.
You can ask me directly on bit.ly/askdrkaushalbhavsar.
Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar 2 minutes later
excellent Thank You Doctor. Right now I'm so sleepy, I'm gonna try to get some shut eye. You really helped me. I Googled intestinal infection and it fits what I feel to the T. One question Doctor. If for whatever reason it doesn't get better in 2-3 days, is it something fatal?
doctor
Answered by Dr. Kaushal Bhavsar 4 minutes later
Brief Answer:
No, it is not fatal.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
Thanks for your kind words.
No, this does not mean that it is fatal.
If you don't improve then it means you need more vigorous treatment in the form of injections and intravenous fluid.
Don't think negatively.
Why you are thinking negatively?


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar 2 minutes later
To tell You the truth. I've been dealing with some bereavement in the last couple of months with 2 Grandparents and I come from a really negative family and somewhat of a toxic environment. I'm actually a positive person by nature, lately though I've been under so much stress and travel that my defenses are probably low... I don't know. Is their a subconscious correlation? My Grandma who was grieving over my Grandpa just got a kidney infection following. I wonder.
doctor
Answered by Dr. Kaushal Bhavsar 6 minutes later
Brief Answer:
This is sad.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
I am sorry to hear all these.
Honestly speaking, I got feeling of this from your first reply.
Your replies told and suggested that you are anxious, worrisome and stressed.
And I am right now.
You should definitely avoid all the stress and anxiety.
Leave all the things behind. Think positive.
Apart from family issue, do you have work related stress?
Where do you work? I mean what things you do in work?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar 4 minutes later
THANK YOU DOCTOR!!!! well I'm thinking of opening up a business here in Mexico. My website is... http://www.cibertecmexico.weebly.com. I do tend to worry. When I get down though I just refer to an anxiety expert named Chalres Linden on YouTube and it helps. Right now though with having to go back to Canada in a month having just arrived in Mexico and having faced some severe violence during my life here, dangerous working conditions, and abusive teacher student relationships as an English and Science teacher in Elementary... I always knew I could count on my Grandfather and his words of wisdom to lift me up. Having buried him though, and coming from a household of passive-aggressiveness, a hostile and jealous mother and father with serious issues and negative talk all the time... I guess when the going gets tough my mind kind of refers to that rather than the good. THAT NEEDS TO CHANGE!!!
doctor
Answered by Dr. Kaushal Bhavsar 5 minutes later
Brief Answer:
Forget all the negative things and concentrate on your new venture.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
My well wishes are with you.
All the best for your new venture.
You will do well, don't worry.
You just forget your past and all negative things.
Be positive and concentrate on your business.
You are a good person by heart. I can feel this.. Don't worry, you will be alright.
Start The drugs advised by me.
Now, go to sound sleep and forget your worries.
If you need any help I am just a question away.
You can ask me directly on bit.ly/askdrkaushalbhavsar.
Hope I have solved your query. If you are not having further queries, then please close the conversation and rate my.
Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar 3 minutes later
Doctor THANK YOU!!! Doctor. If You ever get a chance to visit me in Mexico. WRITE THIS ADDRESS DOWN.

99 Petroleo
Col. Plenitud
Delegacion Azcapotzalco
Mexico City

My name is XXXXXXX Doctor and I just want to say Thank You for Your care and Your help. What a miraculous tool the internet. I found a 24-hour clinic through You Doctor. No Hospital wait, someone to guide me through leaving no "mind space" to create worry or anticipation. Thank You Doctor. God Bless You and if anything comes to mind I will let You know. My e-mail is YYYY@YYYY . I will give You the regular 2-3 day follow up. :)

Regards, XXXXXXX
doctor
Answered by Dr. Kaushal Bhavsar 4 minutes later
Brief Answer:
If you are not having further queries, then please close the conversation.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Yes, Internet is definitely a great tool.
I am glad that my answers are helping you.
I will be surely love you help you in future also.
You can ask me directly on bit.ly/askdrkaushalbhavsar.
You can ask me at any time by clicking this link.
For now, if you don't have further queries, then please close the conversation and rate my answer.
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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