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What Causes Persistent Cought With Chest Congestion?

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Posted on Sat, 17 May 2014
Question: Sir,
I am suffering form cough from last 20 days first i take the general cough syrup but nothing will happen with that after some i feel my chest is full of bulgum .I visted the doctor he suggest me Cepodem xp 325 mg twice daily,Vizylac twice daily ,Allercet Dc twice daily for five days Previously i started benadryl Cr for breaking the bulgum so it will be come out. i want to know whether this treatment is ok or i need to change the syrup which break this bulgum for coming out. Kindly advice me.
doctor
Answered by Dr. Anshul Varshney (48 minutes later)
Brief Answer:
We need to find the cause. Need more details.

Detailed Answer:
Dear Friend.
Hi , I am Dr Anshul Varshney , I have read your query in detail , I understand your concern.
Treatment of Cough depends on its cause. Is it allergic or infective. If infective it is bacterial or tubercular.
Actually your cough is since 20 days, that is a long duration.
In countries like India, we should always think of Tuberculosis in a cough of more then 2 weeks.
To help you better, i need following information:
1. How much is the expectoration(bulgum)? What is its colour?
2. Any fever?
3. Any weight loss?
4. Any night sweats?
5. Any wheezing associated?
6. Any blood in bulgum?

I would also like to see prescription of your doctor, so that i can see the clinical findings specially the chest condition.

This is my personal opinion based on details available here. If you still have any query you may please ask me and give me answers of the above questions preferably in point wise manner only.
Stay Healthy.
Dr Anshul Varshney , MD
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Anshul Varshney (17 minutes later)
why it is 20 days because i am taking the dry cough syrup sir after that i realize it is a productive cough then i started bynadrly cr. After starting this syrup bulgum is coming out with cough.

* Coming out in little quantity and it is white color some time yellowish is also come along with white.

* no fever
* no weight loss
* no night sweats
* no wheezing
* no blood
my doctor done the normal checkup and he told me it is lungs infection no clinical examination he done
doctor
Answered by Dr. Anshul Varshney (21 hours later)
Brief Answer:
Wait for 7 days.

Detailed Answer:
Dear Friend.
U have read your reply.
See, the antibiotic and medication prescribed by your doctor are all right to cover any bacterial infection.
But, in case you don't get relief in a week, i advise you following:
1. Chest X ray.
2. Sputum for AFB
3. Hemogram with ESR.

If you get relieved in a week, then no further treatment is required.

But, please don't wait after 7 days, if you don't get relieved. Get investigated.
In our country Pulmonary TB is a high possibility.

If you have any further query, please ask me, else close the discussion and rate it.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Anshul Varshney

Internal Medicine Specialist

Practicing since :2009

Answered : 3071 Questions

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What Causes Persistent Cought With Chest Congestion?

Brief Answer: We need to find the cause. Need more details. Detailed Answer: Dear Friend. Hi , I am Dr Anshul Varshney , I have read your query in detail , I understand your concern. Treatment of Cough depends on its cause. Is it allergic or infective. If infective it is bacterial or tubercular. Actually your cough is since 20 days, that is a long duration. In countries like India, we should always think of Tuberculosis in a cough of more then 2 weeks. To help you better, i need following information: 1. How much is the expectoration(bulgum)? What is its colour? 2. Any fever? 3. Any weight loss? 4. Any night sweats? 5. Any wheezing associated? 6. Any blood in bulgum? I would also like to see prescription of your doctor, so that i can see the clinical findings specially the chest condition. This is my personal opinion based on details available here. If you still have any query you may please ask me and give me answers of the above questions preferably in point wise manner only. Stay Healthy. Dr Anshul Varshney , MD