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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Coughing, Chest Pain, Tiredness, Diagnosed With Bronchitis And Allergies. Serious Symptoms?

I was diagnosed a couple of days ago with acute bronchitis on top of allergies. When I exhale, I hear a bubbling or crackling kind of sound which often makes me need to cough . Is this normal with acute bronchitis or is there a chance it has turned into pneumonia? I am not running a fever , but today my cough seems deeper and is hurting my chest more too. I have been extremely tired yesterday and today, too.
Wed, 5 Dec 2012
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Pulmonologist 's  Response
Hi
Thanks for your query
If you are a smoker then you should quit it completely as soon as possible and if not possible totally you should quit it in a phased manner.
Secondly pneumonia may be associated frequently with chronic bronchitis though absence of fever goes against the presence of pneumonia.
You must have the following tests at the very outset before starting any treatment
1. routine blood investigations
2. sputum gram staining and culture sensitivity
3. spirometry with bronchodialator reversibility
4. chest x-ray PA view
5. sputum for acid-fast bacilli smear
Consult a pulmonologist and get yourself locally examined.
depending upon the report of the above tests you may have to start inhalers, oral antibiotics, nasal spray, oral bronchodialators to control your symptoms.
I think my informations will be of help to you.
If you have further queries you may write back to me.
Thank you.
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Coughing, Chest Pain, Tiredness, Diagnosed With Bronchitis And Allergies. Serious Symptoms?

Hi Thanks for your query If you are a smoker then you should quit it completely as soon as possible and if not possible totally you should quit it in a phased manner. Secondly pneumonia may be associated frequently with chronic bronchitis though absence of fever goes against the presence of pneumonia. You must have the following tests at the very outset before starting any treatment 1. routine blood investigations 2. sputum gram staining and culture sensitivity 3. spirometry with bronchodialator reversibility 4. chest x-ray PA view 5. sputum for acid-fast bacilli smear Consult a pulmonologist and get yourself locally examined. depending upon the report of the above tests you may have to start inhalers, oral antibiotics, nasal spray, oral bronchodialators to control your symptoms. I think my informations will be of help to you. If you have further queries you may write back to me. Thank you.