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Suggest Treatment For Severe Cough

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Posted on Fri, 5 May 2017
Question: yes I've been coughing and hacking over a week now. In the early morning I wheeze and cough so much I cough up white creamy colored phlegm. could you tell me what this could be?
doctor
Answered by Dr. Drkaushal85 (24 minutes later)
Brief Answer:
Possibility of bronchitis is more.

Detailed Answer:
Thanks for your question on Healthcare Magic.
I can understand your concern.
By your history and description, possibility of bronchitis is more.
Bronchitis is inflammation of airways.
So all your symptoms like cough, wheezing, mucus expectoration etc are classical symptoms of bronchitis.
So consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).
PFT will not only diagnose bronchitis but it will also tell you about severity of the disease.
And treatment is based on severity only.
You will mostly need inhaled bronchodilators (formoterol or salmeterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).
Don't worry, you will be alright.
Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Drkaushal85 (10 minutes later)
I've been diagnosed with simple chronic bronchitis. could this be a flare up of that?
doctor
Answered by Dr. Drkaushal85 (3 hours later)
Brief Answer:
Yes, this could be flare up of on going bronchitis.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Yes, this could be flare up of on going bronchitis.
May I know drugs you are taking 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. Vaishalee Punj
doctor
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Follow up: Dr. Drkaushal85 (13 minutes later)
I'm on amlodipine, motoprol, effexor, ratadine, xanax, losartan
doctor
Answered by Dr. Drkaushal85 (14 hours later)
Brief Answer:
This is strange that you are not taking any inhaler.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Sorry for late reply as I was busy.
I can have gone through the drug list.
This is strange that you are not taking any inhaler.
Best treatment for chronic bronchitis is inhaled bronchodilators (formoterol or salmeterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).
So please let me know
1. Don't you prescribed any inhaler?
2. I forgot to ask about smoking history. Do you smoke?
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. Remy Koshy
doctor
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Follow up: Dr. Drkaushal85 (6 hours later)
I'm on an albuterol inhaler and the doctor put me on prednisone 20mg for 5 days. She said it was a viral upper respiratory infection. I've also lost my appetite. which she said the prednisone should help with. I smoke about a pack a day. I'm seeing a therapist Thursday for the health anxiety.
doctor
Answered by Dr. Drkaushal85 (2 hours later)
Brief Answer:
Yes, viral infection can be the cause.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Yes, viral infection is the most common cause for acute worsening of underlying bronchitis.
And why you are still smoking?
You need to stop smoking immediately.
With continued smoking, recovery is almost impossible.
So please quit smoking immediately.
Albuterol is short acting beta 2 agonist (SABA). It's effect last for 4 hours only. It is better to take long acting beta 2 agonist (LABA) like formoterol or salmeterol and long acting antimuscarinic (LAMA) like tiotropium. Effect of these drugs last for 12 hours. So better symptomatic control can be achieved.
Oral N acetyl cystine (NAC) is also useful in your case.
Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Drkaushal85 (49 minutes later)
thanks for your help.
doctor
Answered by Dr. Drkaushal85 (1 hour later)
Brief Answer:
I am glad that my advice is helping you.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I am glad that my advice is helping you.
It's always encouraging for doctors to hear positive feedback from patients.
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. Prasad
doctor
Answered by
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Dr. Drkaushal85

Pulmonologist

Practicing since :2008

Answered : 15005 Questions

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Suggest Treatment For Severe Cough

Brief Answer: Possibility of bronchitis is more. Detailed Answer: Thanks for your question on Healthcare Magic. I can understand your concern. By your history and description, possibility of bronchitis is more. Bronchitis is inflammation of airways. So all your symptoms like cough, wheezing, mucus expectoration etc are classical symptoms of bronchitis. So consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT will not only diagnose bronchitis but it will also tell you about severity of the disease. And treatment is based on severity only. You will mostly need inhaled bronchodilators (formoterol or salmeterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone). Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.