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Severe cough with green and thick mucus, chest pain radiating to back, later blood on coughing. Waiting X-ray results. Advice?

Hi Dr Samuel My name is Luis, I started coughing since 4 weeks ago when I came back from holiday. Then, it developed a bad flu .. I cough really bad with green and thick mucous. I went to my GP and prescribed amoxicillin , 5 days later I experience pain in my chest and radiates to my back so I called ambulance and the doctor in the hospital change to a stronger antibiotic Claritromycin/doxycilin and enhaler. Three weeks later I had difficulty in breathing so I called the ambulance again and I had x ray but still waiting for the result, and now there is blood coming out in my saliva when I cough. I feel dizzy, weak, difficulty of breathing, chest burn , confused.
Asked On : Tue, 30 Oct 2012
Answers:  1 Views:  52
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Internal Medicine Specialist 's  Response
Welcome to HCM
Your history suggest that you have LRTI that is Lower Respiratory tract infection,which has not responded well to the antibiotics.
The pain which you had could be a Pleuritic pain with the membrane of lungs get inflamed.
There is some kind of bronchospasm which is causing breathing difficulty.
If you are introble please get hospitalized and a Complete blood count along with routine biochemistry like blood sugar and liver function and kidney test along with X ray chest may be performed.
Your sputum staining and a culture can be given to know causative organism and antibiotic sutaible to treat this infecton will be helpful.
Arterial blood gases may be tested to know blood is properly oxygenated or not.
Hope you get well soon
Take good care
Best of luck
Answered: Tue, 30 Oct 2012
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