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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Coughing, Taken Erythromycin, Knee Joint Pain, Taking Paracetamil. X-ray Shows Patchy Opacities

Coughing for about six months. Initially, i coughed up blood. but the blood from the cough stopped after I took erythromycin . so I no longer cough out blood. but i do still cough, and the cough is productive. i feel pain in the knee joints, right up to the bones. i have to use 1g of paracetamol daily to function. if i don t, I experience the said pains, and rather unplesant chills. people tell me i look emaciated. since the illness began, i have used at various times erythromycin (as i said), ceffixon injection, septrin, co-triamixole, amoxiclav and spafloxacin. but the cough persists. i took chest xray which showed patchy opacities and in which i was told a cavity and some consolidation was noted. please advise.
Wed, 31 Oct 2012
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Pulmonologist 's  Response
Cough for 6 months is definitely not normal. I do not know which part of the world you live in but if it was in developing countries, the first thing that comes to my mind is tuberculosis as patchy opacities with cavitation and symptoms of haemoptysis(blood in sputum) are the commonest findings in a case of TB of lungs. However there are other many causes. I suggest you consult a pulmonologist who can examine you and ask for relevant investigations like chest x ray, sputum examination and if required, a CT chest , PFT etc and then you can be treated accordingly
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Coughing, Taken Erythromycin, Knee Joint Pain, Taking Paracetamil. X-ray Shows Patchy Opacities

Cough for 6 months is definitely not normal. I do not know which part of the world you live in but if it was in developing countries, the first thing that comes to my mind is tuberculosis as patchy opacities with cavitation and symptoms of haemoptysis(blood in sputum) are the commonest findings in a case of TB of lungs. However there are other many causes. I suggest you consult a pulmonologist who can examine you and ask for relevant investigations like chest x ray, sputum examination and if required, a CT chest , PFT etc and then you can be treated accordingly