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Recovering from upper respiratory cold, has excessive mucus, surface bruising on abdomen at belt line. Suggestions?

Hello: My wife, 51 years-old, is just recovering from an upper respiratory cold. She coughed very frequently (at least every few minutes except while sleeping) for over a week and had lots of mucus . She used Mucinex, drank lots of liquids, and laid low for a week. Her coughs are less frequent but now are painful in her abdomen . Just yesterday she developed some surface bruising on her lower right abdomen at the belt-line and on her right upper inner thigh. She has continued to remain reclined and is remaining hydrated; and her appetitie is not diminished in the least. She is certainly not overweight but we are concerned because now it is the weekend and it is difficult to see our regular family doctor. She has not had a fever and her BP is 77 over 37 and her pulse is 110... Suggestions?
Asked On : Tue, 29 Jan 2013
Answers:  1 Views:  26
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Emergency Medicine Specialist 's  Response
Hi Richard,
Thanks for writing your query.

You can continue giving her mucinex as this will help to cough out the sputum.
Steam inhalation will also be beneficial in this.

You can add antihistaminic like fenofexadine 120 mg once day to decrease the irritating cough.
Pain in abdomen can be due to muscle pull of the abdomen during severe bouts of cough.
Hot fomentation will help in relaxing the strained muscles.

It seems that your wife is lying in one position for long. The bruises can be due to pressure sores resulting from lying in one position for long periods. Encourage her to change her position/posture to avoid them. Also physiotheray can cure these pressure sores, if present.

Urgent medical attention and examination/investigations are needed as her blood pressure is on the lower side and she is having tachycardia(increased heart rate).

I hope this is helpful to you.
Answered: Tue, 29 Jan 2013
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