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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How can chronic cough and swelling in the sinus be treated?

I have had no voice since Xmas and had a cold for about a week so Dr gave me pertussin pearl cough meds ... Continued to get worse so now I have had it about 4 weeks ... Cough has turned from lots of phlegm to little phlegm and from colored to clear ... Went to Dr and said my sinuses were very swollen and irritated so gave me biaxin cuz that normally works well on them for me ... I have been taking it 4 days and now today my voice is even worse again and I have coughed non stop all day even taking those pearls??? I ve had people trell me I need predosone to get rid of this and get voice back??
Fri, 23 Feb 2018
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Ayurveda Specialist 's  Response
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Thanks for contacting with your health concern and since I'm unable to examine you directly, following should be your symptomwise approach:

1. . As you are suffering from the sinus problem for the last 4 days [upper respiratory problem thus consultation with an ENT physician is essential.

PS. CT scan of the sinuses can help confirm the diagnosis, till then:

- steam inhalation to help loosen thick mucus.
- regular nasal rinses.
- Avoid heavy, slimy and acidic food, curd, mustard oil, excess physical exertion, sunlight-dust areas, exposure to strong winds, day sleeping, smoking, potato, green leafy vegetables. Cold water/food

2. With the history of chronic symptoms of cough/congestion either there is the possibility of seasonal allergy or Acute bronchitis, as such you should see a Chest Specialist for relevant physical examination and investigation like
. Hb%, WBC for eosinophilia
. X-ray chest for TB, Pneumonia
. If other investigations are normal, HIV test [as routine]

PS. As a cough is there, thus this is an indication for immediate chest X-ray.

ii. The choice of antibiotic will vary from doctor to doctor, and from locality to locality, till then

- maintain good oral hygiene, rinse your mouth after every meal, avoid smoking, tobacco chewing.
- Take mainly soft diet - rice, chapati, or phulka, with nonspicy vegetables.
- Avoid fried foods like wada, samosa, dosa, pakodas, papad,namkeen and potato chips, avoid hotel food.
. Do not take any cold drinks, cold water, ice cream, chilled food from the refrigerator.
. Avoid sour fruits like citrus fruits, grapes, take sweet fruits- bananas, papaya
. Steam Inhalation and warm salt water gargles.
. Cover the mouth while coughing (using hand or handkerchief) to prevent the spread of infection to other family members.
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