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Suggest Treatment For Upper Respiratory Infection

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Posted on Mon, 26 Sep 2016
Question: Hello,
My husband, XXXXXXX has had an upper respiratory infection going on 6 weeks. It started with cold like symptoms and a sore throat. We went to a med stop when the sore throat lasted more than a week. At that time no medication was given but he continued to rest. Then , his ear became plugged and he still was coughing and had cold symptoms. He went to a ear nose and throat specialist who said he's lost hearing in one of his ears due to nerve damage. The doctor started XXXXXXX on high dose of prednisone and he has an appointment this Tuesday. In the meantime, he has a persistent cough and his lungs are very tight. XXXXXXX is a heathy athletic sixty-two year old who normally is blessed with excellent health. He did have a successful knee replacement surgery five months ago and is doing well with that. My question are many as this is new terrain to us. Should he have an x-ray for walking pneumonia and or is it possible he has valley fever and should be tested for that? What should we do next? At this point, we are both quite concerned that he is not better, and in reality seems to be getting worse. Sorry for the long email and we are open to your thoughts.
Thank you, XXXXXXX
doctor
Answered by Dr. Kathy Robinson (3 hours later)
Brief Answer:
many possible causes

Detailed Answer:
Hello,
If he has a fever then pneumonia or valley fever are possibilities. If he does not have a fever then they are less likely. However he definitely needs a chest xray. He may need pulmonary function testing also. It is unlikely that he would develop asthma at his age or COPD if he does not smoke but since it has been going on so long he needs a measure of his lung function and the xray to make sure there is no underlying problem like pneumonia.
If things are not getting better in the next few weeks he should see a pulmonologist but a regular internist or family doctor can order the pulmonary function tests and xrays first
Regards,
Dr. Robinson
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kathy Robinson (4 hours later)
Thank you, that makes sense. XXXXXXX has had chills and felt clammy at times during this ordeal, but hasn't had a fever so that's good for the Valley Fever possibility. We will make an appointment with his regular doctor to request the pulmonary function test. And will follow up with a pulmonologist if the X-ray results and chest issues are not resolved.

Thanks again, XXXXXXX
doctor
Answered by Dr. Kathy Robinson (6 hours later)
Brief Answer:
good plan

Detailed Answer:
Hello again and thanks for the follow up.
I think that is a good plan. Since it has been going on you really need to push for an answer so that he can get some relief
Regards,
Dr. Robinson
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Kathy Robinson

General & Family Physician

Practicing since :1989

Answered : 3535 Questions

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Suggest Treatment For Upper Respiratory Infection

Brief Answer: many possible causes Detailed Answer: Hello, If he has a fever then pneumonia or valley fever are possibilities. If he does not have a fever then they are less likely. However he definitely needs a chest xray. He may need pulmonary function testing also. It is unlikely that he would develop asthma at his age or COPD if he does not smoke but since it has been going on so long he needs a measure of his lung function and the xray to make sure there is no underlying problem like pneumonia. If things are not getting better in the next few weeks he should see a pulmonologist but a regular internist or family doctor can order the pulmonary function tests and xrays first Regards, Dr. Robinson