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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Symptoms Of Sinus, Coughing And Feeling Fatigue. All Test Done And Took Medication Also. What To Do?

Hello. I am a 43 YO female, generally healthy. I began sinus symptoms, coughing, & feeling generally fatigued & ill on June 30. Went to the doctor on July 5. Oxygen levels & lungs sounded good to M.D. but cough was productive & was clearly terrible so I was diagnosed with acute bronchitis without ear or sinus infection. An "atypical presentation," apparently. Was given Z-pack, Cheratussin AC Syrup, & an Albuterol inhaler. They also gave me a dose of Albuterol in the office which I really didn't like - I felt it made the wheezing in my chest worse & gave me "the shakes" for about 3 hours afterwards. It's now July 12 & I'm still coughing like crazy. Though it's 95% non-productive, the coughing fits are exhausting. My voice is still hoarse& there's also a lot of discharge & drainage from my nose & eyes but it doesn't appear infected. The Z-pack is long gone but I'm still taking the cough syrup because it's the only thing that keeps my co-workers from strangling me. I'm hesitant to start on the Albuterol inhaler because I so disliked the first dose in the doctor's office.

I've taken a 5-day dose of Prednisone for a cough in the past. Do you think that might be helpful or should I suck it up (pun intended) & try the Albuterol again? Maybe both?? I can't take this cough anymore! Please help - any advice would be much appreciated. Thank you.
Thu, 18 Jul 2013
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Pulmonologist 's  Response
You seem to be suffering from allergy which is causing the cough and discharge from nose and eyes. You need antiallergics and anti inflammatorey like a monteleukast and cetrizine tablet and a course of steroids which you can take either as inhalers or as oral prednisolone. Albuterol should help in wheezing but if you are concerned about shakes, try levo asthalin inhalers.
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Pediatrician Dr. Imraan Hussain 's  Response
hi

Thanks for your query

i can feel your concerns

it seems to be an allergic cough

i advise you to take antiallergic and mast cell stabilizer like montelukast

you may need ashort course of oral steroids after consulting your doctor

yes,you can use Albuterol inhaler

i advise to use a mask especially when go out

take green tea and honey

steam inhalation also improve symptoms

avoid cold and soft drinks

take plenty of fluids

saline gargles are effective remedy

wishing you a speedy recovery

Hope i have ansewered your query
i am available for your help
regards
Dr.imran
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Note: For further information on diet changes to reduce allergy symptoms or to boost your immunity, Ask here.
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Have Symptoms Of Sinus, Coughing And Feeling Fatigue. All Test Done And Took Medication Also. What To Do?

You seem to be suffering from allergy which is causing the cough and discharge from nose and eyes. You need antiallergics and anti inflammatorey like a monteleukast and cetrizine tablet and a course of steroids which you can take either as inhalers or as oral prednisolone. Albuterol should help in wheezing but if you are concerned about shakes, try levo asthalin inhalers.