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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How to treat the chronic cough with chest pain?

I have had a chronic cough for 6 months. Went into the Ashma/ Allery Clinic and did breathing tests and skin testing. Also got the pneumonia vaccine. The Doc put me on Qvar which showed no improvement in 4 weeks. Got a chest x-ray which indicated pneumonia in left lower. Took antibiotics for 5 days and did a follow up chest x-ray on 5/14. Do not know what the results are yet. I am now on Dulera and stopped the Qvar. I am not feeling any better and have chest pain. Still have the cough. What other recommendation(s) might you have?
Sat, 17 Jan 2015
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Pulmonologist 's  Response
Thanks for your question on HCM.
I can understand your situation and problem.
Ideal way to treat pneumonia is identification of causative organism first and than start antibiotics according to the sensitivity report.
So consult pulmonologist and get done sputum culture and sensitivity. If sputum is not available than bronchoscopy and BAL (Bronchoalveolar lavage) analysis is needed.
BAL is more superior than sputum to identify causative organism.
Better not to take antibiotics without culture and sensitivity report ,as you are not improving.
Irrational use of antibiotics may harm you.
So consult pulmonologist and discuss all these.
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