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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for wet cough and itchy throat

Answered by
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Dr. Kaushal Bhavsar

Pulmonologist

Practicing since :2008

Answered : 14312 Questions

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Posted on Fri, 23 Oct 2015 in Lung and Chest disorders
Question: I am having cough and have to remove wet cough periodically I feel irritation in neck and cough starts
doctor
Answered by Dr. Kaushal Bhavsar 1 hour later
Brief Answer:
Get done PFT first.

Detailed Answer:
Thanks for your question on Health Care Magic.
I can understand your concern.
By your history and description, possibility of either worsening of asthma is more.
Another possibility is RA associated Pulmonary parenchymal involvement like fibrosis.
So better to first get done PFT first.
Also get done HRCT thorax for the diagnosis of fibrosis.
Please let me know
1. If you had PFT or HRCT thorax done?
2. Which drugs you are taking for asthma and RA?
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
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Follow up: Dr. Kaushal Bhavsar 8 hours later
I take trinium inhaler in the morning seritide inhaler in after noon and night
For rhumataod arthirities I take folionext
doctor
Answered by Dr. Kaushal Bhavsar 2 hours later
Brief Answer:
Start n acetyl cysteine.

Detailed Answer:
Thanks for your follow up question on HCM.
I can understand your concern.
So you ate taking optimal inhaled treatment.
Wet cough is mostly due to either infection or inflammation.
So short course of broad spectrum antibiotic and n acetyl cysteine (NAC) will be helpful in your case.
NAC is having mucolytic, expectorant and antioxidant properties.
Please let me know
1. Since how many days you are having these symptoms?
2. Have you ever undergone PFT and HRCT thorax?
3. Do you have fever?
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 1 hour later
Doctor
Three times HRCT was done
after First HRCT sample pleural effusion was extracted to know the infection
After analysis bacterial infection was found
Then to reduce pleural effusion dose of wyson steroid was given
Then again HRCT was done along with sonography
It was found to be minimal so regular treatment was started
doctor
Answered by Dr. Kaushal Bhavsar 34 minutes later
Brief Answer:
Start broad spectrum antibiotic (short course) and NAC.

Detailed Answer:
Thanks for your follow up question on HCM.
I can understand your concern.
Start NAC. It will definitely help you.
Also start deep breathing exercises and chest physiotherapy.
Both are good for lung functions.
Also vaccinate yourself with pneumococcal and Influenza vaccines to prevent recurrent respiratory tract infection.
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
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