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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Nasty Dry Cough After Combustion Fire, Sneezing, Left Nostril Blocked. Any Advice ?

Hi,

About two weeks ago I developed a nasty dry cough after lighting a combustion fire using cardboard boxes and tongue and groove flooring. The cough was dry initially and had a burning sensation. A few days later I began coughing up phlegm dark green. Then I developed sneezing and cold like symptoms. Suddenly I developed a toothache on my left upper jaw. Went to dentists who said tooth was cracked and I decided to have tooth extracted. Since the extraction my left nostril is constantly blocked, and runs. I blow my nose and not much leaves, however, there is a foul smell in my nose very disgusting. Have seen two doctors who say it's viral and to rest, however, it's been nearly 3 weeks since the cough began and it's not going away. Sometimes the cough is wet and sometimes dry. In addition to this I have Rhuematoid Arthritis and take 20mg of Methtraxate per week, 5mg Folic Acid, 20mg Somac and 1000mg Naprosyn. All professional advice appreciated.
Wed, 10 Jul 2013
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Emergency Medicine Specialist 's  Response
Hi,
Thanks for writing your query.

After reading your post, it seems that your cough started due to allergic response which is now accompanied by secondary infection.

You should take antihistaminic like Fexofenadine 120 mg once a day along with an antibiotic like Azithromycin 500 mg once a day and a Lactobacillus preparation.
Any medicine to be taken under medical supervision only.

You can get culture/sensitivity test of the phlegm to know the appropriate antibiotic.

I hope this is helpful to you.
Thanks.
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Nasty Dry Cough After Combustion Fire, Sneezing, Left Nostril Blocked. Any Advice ?

Hi, Thanks for writing your query. After reading your post, it seems that your cough started due to allergic response which is now accompanied by secondary infection. You should take antihistaminic like Fexofenadine 120 mg once a day along with an antibiotic like Azithromycin 500 mg once a day and a Lactobacillus preparation. Any medicine to be taken under medical supervision only. You can get culture/sensitivity test of the phlegm to know the appropriate antibiotic. I hope this is helpful to you. Thanks.