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What causes persistent fatigue, chills and cough?

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Posted on Mon, 7 Dec 2015
Question: I came down with something about two months ago..fatigue, chills, gravely low voice, rarely coughed, but when it occurred, it made barking sound. I did not have a fever. About one one half month Later, it seemed to go away for about a week, then had re-occurring symptoms, on top of what felt like a mild head cold, but once again, the deep barking sound upon cough and low gravely voice with chills and exhaustion. My Dr put me on amoxycillian. I improved after day four, finished dose but still not up to par. I have slight wheeze upon inhale, just occassionally, but feel I'm dramatically improving, but cannot exert at work or home.

These occurrances, have plagued me for five, six years, periodically. At The onset, it seemed to take six months to go away, but I had been just been very ill with ameoba hystolitica ...on many rounds of antibotics, and taught high intensity cardio activity on and off forcing myself into a very bad bout of what I previously have described....maybe pneumonia? ....I was also very winded and restricted physically, and had high fever 102 for about four days.
During this time I saw my Dr very often who gave antibiotics, but never diagnosed for pneumonia...(I cant recall when I finally had a lung xray performed.
Recently, with these symptoms, of on and off low energy, chills, I had a breathing test performed. He thought it may be asthma, not certain, gave singular. I took only three days, did not like side effects.
Additionally I have exposure to ammonia and per sulphates in hair color, as I specialize in color. I always work and mix with excellent ventalation. If asthma, I would not experience run down chilled feeling would I? Thinking maybe chronic bronchitis?....but I really get sick feeling and get lung gurgle as well.

Thank you XXXXXXX
doctor
Answered by Dr. Sumit Bhatti (1 hour later)
Brief Answer:
This needs further evaluation.

Detailed Answer:
Hi,

Thank you for your query.

1. A barking cough usually signifies an upper airway infection or inflammation.

2. Chronic bronchitis leads to a productive cough while you have a dry cough, however it is consistent with wheezing and being out of breath on exertion.

3. Rule out eosinophilia with a blood tests (Absolute Eosinophil Count) since you have amoebiasis. Check if you are on any ACE inhibitors (blood pressure pills) and have any exposure to tobacco smoke.

4. Chemical damage can cause lung issues in the long term.

5. Upload a recent Chest X-ray and the results of your lung function tests. An HRCT Chest and a 2D Echo will be a good investigation. Check if there is a sputum culture report (including fungal and AFB culture).

6. The episode of fever suggests an acute infection. After this subsides, other medication such as steroids can help.

7. Which cough suppressants and asthma medications are you currently taking?

I hope that I have answered your query. If you have any more questions I will be available to answer them.

Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sumit Bhatti (8 hours later)
Thank you.

1-2 the cough is rare, and seems to occur during or shortly after an acute infection, as does mild wheezing, and the disability AND lack of desire to exert while so fatigued

3-high eosinophil count observed when all this begun ( diagnosed with eosinophilia) as recent as two years ago. ( could this explain why Im constantly getting sick?)...most Drs say its nothing to be alarmed about as its probably allergies ( though when tested for allergies, nothing shows up)...I've always wondered why nobody has addressed this. ( I will check with most recent tests)

4- is there a way to determine specifically if Im reacting to chemicals in hair color?
Is so, I WILL FIND A NEW PROfFESSION

5- I will get chest xray today, however three years prior nothing has been discovered...and yes, I was exposed while being a singer, to 10 years of second hand smoke.

7- no need for cough or asthma meds, as I rarely cough (only while in or just post) acute phase.. When infection leaves, Im good to go, hiking, teaching zumba etc. The MAIN problem is frequency of similar episodes and long duration. I do have high exposure to public and close contact.

Thank You for your test recommendations...Im on it!
doctor
Answered by Dr. Sumit Bhatti (13 hours later)
Brief Answer:
Your thought process is correct.

Detailed Answer:
Hi,

Thank you for writing back.

1. A post viral reactive airway with fatigue is common, has no specific treatment and is self limiting.

2. Rule out eosinophilia due to the amoebiasis. Upload a recent test report, preferably with an AEC (Absolute Eosinophil Count).

3. Work related chemical exposure is a known cause for respiratory problems. Since you work in a well ventilated surrounding, you may have escaped most of the problems. It is possible to check Ig levels in blood. You can change to herbal dyes or avoid exposure for some time to check the difference.

4. Upload the Chest X-ray image.

5. It is good to hear that cough is not an issue as is the frequency of episodes. This may be due to the exposure to the chemicals and close contact with many people. To boost immunity, you should review your diet and lifestyle with a nutritional expert.

I hope that I have answered your query. If you have any more questions I will be available to answer them.

Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sumit Bhatti (22 minutes later)
Thank you very much!
I will follow your advise and upload as soon as all information is gathered.
XXXXXXX
doctor
Answered by Dr. Sumit Bhatti (5 hours later)
Brief Answer:
Awaiting your reply.

Detailed Answer:
Hi,

Thank you for writing back.

You can upload the reports here or directly at bit.ly/ Dr-Sumit-Bhatti

Awaiting your reply,

Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Sumit Bhatti

Otolaryngologist / ENT Specialist

Practicing since :1991

Answered : 2652 Questions

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What causes persistent fatigue, chills and cough?

Brief Answer: This needs further evaluation. Detailed Answer: Hi, Thank you for your query. 1. A barking cough usually signifies an upper airway infection or inflammation. 2. Chronic bronchitis leads to a productive cough while you have a dry cough, however it is consistent with wheezing and being out of breath on exertion. 3. Rule out eosinophilia with a blood tests (Absolute Eosinophil Count) since you have amoebiasis. Check if you are on any ACE inhibitors (blood pressure pills) and have any exposure to tobacco smoke. 4. Chemical damage can cause lung issues in the long term. 5. Upload a recent Chest X-ray and the results of your lung function tests. An HRCT Chest and a 2D Echo will be a good investigation. Check if there is a sputum culture report (including fungal and AFB culture). 6. The episode of fever suggests an acute infection. After this subsides, other medication such as steroids can help. 7. Which cough suppressants and asthma medications are you currently taking? I hope that I have answered your query. If you have any more questions I will be available to answer them. Regards.