Brief Answer:
Sinus infection with possible pneumonia or bronchitis

Detailed Answer:
Thanks for contacting HCM with your health care concerns

You are concerned about having a persistent cough with chest pain after being treated with antibiotics for a sinus infection. This is a very common problem this time of year when people are contracting all sorts of upper respiratory infections. These infections can last from days and sometimes for weeks depending on the cause of the infection and the overall health of the person.

In my practice I see people with all sorts of upper respiratory infections. They are more than likely viral in origin. The viral infection than can reduce a person's immunity and then allow for secondary bacterial infections. The secondary bacterial infection is usually a sinus infection or bronchitis. In viral infections there are only a few antiviral medications available and regular antibiotics will not treat viral infection. They also do not prevent the secondary infection. Only after being diagnosed with a bacterial infection will antibiotics help. To diagnose bacterial infection a doctor will need an exam and possibly x ray. Once diagnosed the treatment is 10-14 days for antibiotics depending on the type of infection and agent used.

If after a course of antibiotics the infection persists then additional testing x rays and examination may be needed. The initial antibiotic may have been completely ineffective as the bacteria maybe resistant to the medication. There is no way to tell prior to starting an antibiotic if it will work. Second line of antibiotics can then be started and additional 10-14 days of therapy started.

To help fight the infection you must also improve your overall health. This includes getting plenty of fluids, eating a well balanced diet, getting plenty of rest and sleep. This will mean staying home from work until you are ready to return.

Also stop smoking or use of alcohol.

In summary
1. initially viral illness
2. Secondary bacterial infection sinuses or lungs
3. Start a full course of antibiotics
4. Improve overall health with plenty of fluids, eating well balanced diet and plenty of sleep and rest
5. Do not return to work until well
6. Stop Tobacco and alcohol
7. If not better seek additional medical advice and see doctor may need xrays and another course of antibiotics.


In your case I think you may have a secondary bacterial bronchitis or pneumonia. I recommend that you seek medical attention.

I hope I answered your question. Please contact HCM again with your health care concerns and questions

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