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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Chesty Cough With Coughing Up Phlegm,ears Blockage And Sore Glands?

Hello, I have had a chesty cough for 2 months. No cold symptomsfor the first month just coughing up phlegm every day. The GP said it was an asthma flair up and gave a course of ready pred. I still had the cogh a month later so went back and this time he said to buy a sinus rinse which I have been doing wice daily. I still have the cough, coughing up pleghm every day and now my neck glands are tender and my hears blocked. Frustrated that I can't get rid of the cough - should I go back to the doctor for a third time? I have also tried steam inhalation and muccinex but no help. Thanks
Sat, 25 Jan 2014
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Internal Medicine Specialist 's  Response
Hi there,

Thanks for your query.

Your symptoms are suggestive of chronic sinus problem with consequent post-nasal drip (scanty dribbling of secretions from sinuses into the back of the throat) It is these secretions irritating the throat and precipitating cough.

The phlegm is actually the sinus secretions, which collect in the throat. I am afraid your cough will CONTINUE till such time the sinuses do not drain out completely.

A regular course of antihistaminic such as, Levoceterizine; + Montelukast; nasal decongestant drops/spray and steam inhalation through the nose, will give significant relief.

Consult your doctor and apprise him of my opinion. I am certain that he will agree with me and prescribe the advised drugs in appropriate doses.

If you find my response helpful and informative, do not forget an “excellent” (5-star rating) to my answer, to ENCOURAGE ALL doctors- engaged in social service- to render sound advice to the FREE queries.

Take care

Dr. Rakesh Karanwal
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How To Treat Chesty Cough With Coughing Up Phlegm,ears Blockage And Sore Glands?

Hi there, Thanks for your query. Your symptoms are suggestive of chronic sinus problem with consequent post-nasal drip (scanty dribbling of secretions from sinuses into the back of the throat) It is these secretions irritating the throat and precipitating cough. The phlegm is actually the sinus secretions, which collect in the throat. I am afraid your cough will CONTINUE till such time the sinuses do not drain out completely. A regular course of antihistaminic such as, Levoceterizine; + Montelukast; nasal decongestant drops/spray and steam inhalation through the nose, will give significant relief. Consult your doctor and apprise him of my opinion. I am certain that he will agree with me and prescribe the advised drugs in appropriate doses. If you find my response helpful and informative, do not forget an “excellent” (5-star rating) to my answer, to ENCOURAGE ALL doctors- engaged in social service- to render sound advice to the FREE queries. Take care Dr. Rakesh Karanwal