question-icon

Suggest treatment for respiratory tract infection and wheezing

default
Posted on Mon, 21 Jul 2014
Question: Hi, can I answer your health question? Please type your question here...I have a cough, mildly productive white phlegm, raspy voice, no fever, mild wheezing on hard expiration started 4 days ago..I have azithromycin 500 mg/3 day pack available to me..should I take it?
doctor
Answered by Dr. Prasad (7 hours later)
Brief Answer:
No absolute indication yet...

Detailed Answer:
Hi,

Based on your symptoms, I don't see azithromycin or any other antibiotic as the need of the hour now. You need some drugs that will relax your airways and help you breathe better. It looks like they are strained now either due to some infection or allergy. Rest your voice, start deep steam inhalation and antiulcer drugs (antacid + prilosec otc) for the next few days. As you start these measures, monitor the progress of symptoms. If it gets more worse, visit your physician for detailed physical examination. He/she might start you on bronchodilator + steroid + antibiotic coverage.

Therefore you can withhold this azithromycin package use for another 2-3 days more.

Hope I am clear. Let me know if you need clarifications.

Reards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Prasad (9 hours later)
What is the purpose of the antacids/Prilosec?
doctor
Answered by Dr. Prasad (13 hours later)
Brief Answer:
To treat laryngopharnygeal reflux

Detailed Answer:
Hi,

A group of patient have silent acid reflux where the contents of stomach - the undigested and acid contents regurgitate back into the food pipe. This regurgitation sometimes comes up to the throat level (Laryngopharyngeal reflux - LPR). They have classical symptoms much like yours. Until you get to see a doctor, I cannot exclude LPR, hence my suggestions to use antacids/prilosec. It keeps the acid contents down.

Hope I am clear. Feel free to ask for clarifications.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Prasad

General & Family Physician

Practicing since :2005

Answered : 3566 Questions

premium_optimized

The User accepted the expert's answer

Share on
Suggest treatment for respiratory tract infection and wheezing

Brief Answer: No absolute indication yet... Detailed Answer: Hi, Based on your symptoms, I don't see azithromycin or any other antibiotic as the need of the hour now. You need some drugs that will relax your airways and help you breathe better. It looks like they are strained now either due to some infection or allergy. Rest your voice, start deep steam inhalation and antiulcer drugs (antacid + prilosec otc) for the next few days. As you start these measures, monitor the progress of symptoms. If it gets more worse, visit your physician for detailed physical examination. He/she might start you on bronchodilator + steroid + antibiotic coverage. Therefore you can withhold this azithromycin package use for another 2-3 days more. Hope I am clear. Let me know if you need clarifications. Reards