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What Causes Heavy Cold, Medium Cough, Body Ache And Pain In Ear?

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Posted on Mon, 16 Mar 2015
Question: We travelled by road from our home town (400 km) and kept AC on in car as it was hot outside. My wife had heavy cold, medium cough, body ache and medium pain in ear initially on 2/12 (Thursday), I gave her two dosage of Vicks Day Quil (http://www.vicks.com/en-us/browse-products/dayquil/dayquil-nyquil-severe-caplets-co-pack). Next day in night I gave her Sinarest and Zenflox-200 and following morning she reported little reaction (she is allergic to Pencilling, Sulphur, Cirpofloxacin), so we stopped antibiotic and continued Sinarest (2 times a day dosage) and cough Syrup (Mits Linctus). On 2/14 she reported little vertigo, so we visited General Physician (GP) on 2/15, he most probably pointed to something related to ear infection (Labyrinthitis) and prescribed medication (prescription attached). Also, I was told to give medication for 5 days and then check if it relieves the symptom else get CBC and H1N1 test.

We started medication on 2/15 night (missed Vertigo medicine on night). She reported little vertigo only once in the morning of 2/16 and for rest of the day she was fine (no body ache). next day i.e. 2/17 morning again she reported vertigo only once and then in evening again she reported vertigo. Apart from vertigo issue she has been feeling better with no body ache, very little cold and cough. We called up GP and he asked us to increased the frequency of Vertigo medicine from 2 times a day to 3 times a day and start stugeron 25 three times a day for 2 days apart from vertin 16 three times a day. We gave vertin 16 in the evening and she was feeling better. Today morning she again reported light vertigo. I have not started with stugeron 25 as she is already taking Vertin 16 for vertigo.

Concern
1. Should I be too much concerned with Vertigo or it would take time for it to go away?
2. When can we expect vertigo to go away? after 5 days of medicine?
3. GP advised H1N1 screening after 5 days of medication. I am not sure if i understand the rationale for this test as my wife don't have symptoms like running nose, fever, vomiting etc. I am very concerned on the course of treatment which she is undergoing.
4. Can vertigo be due to heavy dosage of anti biotic (3 times of day) instead?
doctor
Answered by Dr. Paparaja S (1 hour later)
Brief Answer:
Giddiness could be due to dehydration.

Detailed Answer:
Hi,

Welcome to healthcare magic.
I have gone through your question. I can understand your concern.

The giddiness could be due dehydration. She could be suffering from upper respiratory tract infection and infection of the ear. The giddiness could be due to dehydration secondary to infection. With the above symptoms its highly unlikely to be due labyrinthitis. Yes, Even the antibiotics she is taking could cause dizziness.

I recommend her the following.
1) Plenty of fluids to prevent dehydration.
2) Adequate rest and sleep.
3) Analgesics like tablet paracetamol if necessary for pain. Avoid taking too many medications.
4) If the vertigo persists then consult ENT doctor and get an evaluation done rather than increasing and adding more drugs for vertigo.
5) Take antibiotics after meals.

She will be fine.

Hope I have answered your question. If you have any questions, I am happy to help.

Wish her a good health and speedy recovery.
Regards,
Dr Paparaja S MBBS MS
Consultant ENT Surgeon
Above answer was peer-reviewed by : Dr. Ashwin Bhandari
doctor
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Follow up: Dr. Paparaja S (2 hours later)
Thanks Doctor for your reply, i have few follow-up question.

1. She is already on antibiotic course for 5 days, "upper respiratory tract infection" should go away after this antibiotic? Since my daughter (2 year) also had same infection and she is also on same antibiotic (paediatric one)

2. Would same antibiotic would also remove ear infection as well?

3. Should I be too much concerned with Vertigo or it would take time for it to go away?

4. When can we expect vertigo to go away? after 5 days of medicine?

5. GP advised H1N1 screening after 5 days of medication. I am not sure if i understand the rationale for this test as my wife don't have symptoms like running nose, fever, vomiting etc. Please advice

6. When should we see ENT? Should we wait for 5 day medication course and then see ENT if still vertigo persists?
doctor
Answered by Dr. Paparaja S (1 hour later)
Brief Answer:
Nothing to worry. She will be fine.

Detailed Answer:
Hi,
Thanks for your follow up.
- Continue same antibiotics. This will take care of both throat and ear infection.
- She might recover slowly over 7 to 10 days. Ask her to take plenty of fluids.
- Nothing to worry much about vertigo. Give some time like 7 to 10 days. If it's persists then consult an ENT doctor for evaluation.
- If symptoms are aggravated and she starts developing vomiting, diarrhea then you can go for H1N1 testing. If she is showing improvement and doing well, no need for testing.

Wish her speedy recovery.

If you are happy with my answer, you can close the discussion and rate my answer.

Truly,
Dr Paparaja S MBBS MS
Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
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Follow up: Dr. Paparaja S (47 minutes later)
Thanks doctor for your response,

1. should we wait for 10 days and then see ENT in case vertigo is still there after 5 days of medication?

2. Can we continue for vertin 16 after prescribed medicine of 5 days in case we need to wait for 10 days to see doctor?
doctor
Answered by Dr. Paparaja S (1 hour later)
Brief Answer:
Nothing to worry. She will be fine.

Detailed Answer:
Hi,
Thanks for your follow up.
It takes sometime for her to recover from illness. If she is showing improvement you can wait for 7 to 10 days. If she is finding difficult to manage and symptoms are getting worse then you can see doctor before that also.

Yes, you can take antivertigo medications for symptomatic relief for 10 days. If no improvement then see an ENT doctor.
Wish her a speedy recovery and good health.

If you are happy with my answer, kindly close and rate it.

Truly,
Dr Paparaja S MBBS MS
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. Ashwin Bhandari
doctor
Answered by
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Dr. Paparaja S

ENT Specialist

Practicing since :2010

Answered : 615 Questions

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What Causes Heavy Cold, Medium Cough, Body Ache And Pain In Ear?

Brief Answer: Giddiness could be due to dehydration. Detailed Answer: Hi, Welcome to healthcare magic. I have gone through your question. I can understand your concern. The giddiness could be due dehydration. She could be suffering from upper respiratory tract infection and infection of the ear. The giddiness could be due to dehydration secondary to infection. With the above symptoms its highly unlikely to be due labyrinthitis. Yes, Even the antibiotics she is taking could cause dizziness. I recommend her the following. 1) Plenty of fluids to prevent dehydration. 2) Adequate rest and sleep. 3) Analgesics like tablet paracetamol if necessary for pain. Avoid taking too many medications. 4) If the vertigo persists then consult ENT doctor and get an evaluation done rather than increasing and adding more drugs for vertigo. 5) Take antibiotics after meals. She will be fine. Hope I have answered your question. If you have any questions, I am happy to help. Wish her a good health and speedy recovery. Regards, Dr Paparaja S MBBS MS Consultant ENT Surgeon