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What Causes Sporadic Cough, Sore Throat, Eye Fatigue And Throat Congestion?

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Posted on Mon, 27 Mar 2017
Question: Hello,
I have been experiencing sporadic cough accompanied by an occasional sore throat, and eyes that just feel tired. I often feel the need to clear my throat or swallow frequently. This has been ongoing for 4-5 months. I have had a chest X-ray which was normal, as well as a blood work up which demonstratd nothing out of the regular. But the symptoms persist, not sure what else to look at, my PCP, is not interested in pursuing any additional treatment or evaluation.

Thanks,
XXXX
doctor
Answered by Dr. Drkaushal85 (1 hour later)
Brief Answer:
Possibility of allergy is more.

Detailed Answer:
Thanks for your question on Healthcare Magic.
I can understand your concern.
I have gone through the attachments.
Sorry to say but there is no report attached. Current attachments show scholarship details.
I think by mistake you have uploaded wrong attachments.
So kindly attach your blood reports and chest x ray so that I can guide you better.
By your history and description, possibility of allergic disease is more.
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
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Follow up: Dr. Drkaushal85 (42 minutes later)
I will try to attach the correct files.

Thanks


I will paste the results here,
Xray Chest PA LAT (XRAY CHEST PA LAT) - Final result (12/08/2016 4:35 PM)
Narrative


Patient Name: XXXXXXX XXXXXXX XXXXXXX
Patient MRN: 0000 Account #: 0000 DOB: 0000
Facility: CMC
Date of Exam: 12/08/2016 Occurrence #: 0000 DocID: 0000
Ordering Provider: XXXXXXX XXXX
Report: ARW-Chest 2 Views PA / LAT
Report Dictated By: Orlin Hadjiev, MD, Radiologist

CC: XXXXXXX XXXX

EXAMINATION: ARW-Chest 2 Views PA / LAT
TECHNIQUE: ARW-Chest 2 Views PA / LAT
CLINICAL HISTORY: 49 years old Male presents with shortness of breath, pain when breathing
COMPARISON: None
FINDINGS:

There is no evidence for pneumonia, pneumothorax, pulmonary edema or pleural effusion.
There is no enlargement of the cardiac/pericardial silhouette. No evidence for mass effect on the trachea.

IMPRESSION:
1. No evidence for acute cardiopulmonary process.

Location code 22

Authenticated by Orlin Hadjiev, MD, Radiologist on 12/8/2016 4:35 PM

If you are a healthcare provider with questions about this report and would like to talk to the radiologist, please call 1-844-MRL-RADS (1-844-675-7237).
Result Comment
Notes Recorded by XXXXXXX XXXX, DO on 12/9/2016 at 10:55 AM
CXR is normal. The labs that are back are normal - waiting for the testosterone.



METABOLIC PANEL,COMPREHENSIVE(CMP) (COMPREHENSIVE METABOLIC PANEL) - Final result (12/08/2016 2:23 PM)
Component Value Range
Albumin 4.1 3.4-5.0 g/dL
Alkaline Phosphatase 92 46-116 U/L
BUN 18 7-18 mg/dL
Bilirubin, Total 0.5 0.2-1.0 mg/dL
Calcium 8.9 8.5-10.1 mg/dL
Total CO2 32 21.0-32.0 mmol/L
Chloride 103 98-107 mmol/L
Creatinine 1.0 0.7-1.3 mg/dL
Glucose 141 70-110 mg/dL
Potassium 4.0 3.5-5.1 mmol/L
Sodium 141 136-145 mmol/L
Total Protein 7.1 6.4-8.2 g/dL
ALT (SGPT) 18 12-78 U/L
AST (SGOT) 20Comment: Test performed at Arrowhead Clinic 226 Blue Bell Rd Cedar Falls, Iowa Medical Director Dr J.C. Peterson 15-37 U/L
Result Comment

CBC COVENANT2 - Final result (12/08/2016 2:23 PM)
Component Value Range
WBC 7.5 4.3-11.3 x10**3/uL
RBC 4.84 4.30-5.90 x10**6/uL
Hgb 15.8 13.9-16.3 g/dL
Hct 46.7 39.0-55.0 %
MCV 96.5 80.0-100.0 fl
MCH 32.6 25.0-35.0 pg
MCHC 33.8 32.0-36.0 g/dL
Platelets 207 150-375 x10**3/uL
RDW 13.1Comment: Test performed at Arrowhead Clinic 226 Blue Bell Rd Cedar Falls, Iowa Medical Director Dr J.C. Peterson 11.5-14.5 %
Result Comment
Notes Recorded by XXXXXXX XXXX on 12/16/2016 at 12:31 PM

AUTOMATED DIFFERENTIAL - Final result (12/08/2016 2:23 PM)
Component Value Range
Segs 72.6 40-80 %
Lymphocytes 19.4 20-40 %
Monocytes 5.6 0-10 %
Eosinophils 2.3 0-5 %
Basophils 0.1 0-2 %
Segs Absolute 5.41 2.18-7.80 x10**3/uL
Lymphocytes Absolute 1.45 0.88-3.30 x10**3/uL
Monocytes Absolute 0.42 0.12-0.62 x10**3/uL
Eosinophils, Absolute 0.17 0.00-1.90 x10**3/uL
Basophils Absolute 0.01Comment: Test performed at Arrowhead Clinic 226 Blue Bell Rd Cedar Falls, Iowa Medical Director Dr J.C. Peterson

I hope those help, iam sorry I had to copy them this way

Thank you very much
doctor
Answered by Dr. Drkaushal85 (22 minutes later)
Brief Answer:
Your sugar level is slightly high.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
I have gone through the reports you have mentioned.
Your chest x ray is normal.
In your blood reports, your sugar level was high (141).
So we should first rule out diabetes in your case.
So get done HbA1C (glycosylated hemoglobin).
If this is normal then no need to worry for diabetes.
You should also start combination of anti histamine (levocetrizine or fexofenadine) and anti allergic (montelukast) drugs because your symptoms are more suggestive of allergic disease.
Please let me know if you have any habits like smoking, alcohol etc.
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Drkaushal85 (10 hours later)
Thank you for the information.
To follow up your questions,

No, I do not smoke
I drink socially only
Iam a very competitive triathlete
My fasting glucose was 87 this morning, tested on a verio iq monitor, I work for a pharmaceutical company as a diabetes specialist.

I will try an antihistamine, and see how that goes!

Thank you!
Any additional ideas or thoughts are certainly welcome.
doctor
Answered by Dr. Drkaushal85 (13 minutes later)
Brief Answer:
Start antihistamine drug and see for any improvement.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
It's good that you are living healthy lifestyle.
No need to worry for diabetes.
Yes, you should start antihistamine drug and see for improvement.
Do give me feedback.
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. Raju A.T
doctor
Answered by
Dr.
Dr. Drkaushal85

Pulmonologist

Practicing since :2008

Answered : 15005 Questions

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What Causes Sporadic Cough, Sore Throat, Eye Fatigue And Throat Congestion?

Brief Answer: Possibility of allergy is more. Detailed Answer: Thanks for your question on Healthcare Magic. I can understand your concern. I have gone through the attachments. Sorry to say but there is no report attached. Current attachments show scholarship details. I think by mistake you have uploaded wrong attachments. So kindly attach your blood reports and chest x ray so that I can guide you better. By your history and description, possibility of allergic disease is more. I will be happy to help you further. Wish you good health. Thanks.