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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Shortness Of Breath, Coughing Up Phlegm Greenish To Red Colour, Pain In Throat, Swollen Throat. Suggestions?

hi i hope u can help for a few yeas now i have had some symptoms which appear to exaccerbate in the winter i have been checked at the hospital and theyu couldnt find anything my symptoms are as follows shortness of breath in cold conditions when outside shortness of breath also when i do vigourous exercise of which doesnt effect me in the summer i cough up phlegm morning noon and night various colours ranging from green dark brown fresh red blood colour. i now have a strange pain in the left of my neck/ throat which isnt so bad when i keep my head upright however when i move it or require more support when getting up from laying etc its is really bad pain. it does feel slightly swollen on the left side. the pain is moving under my jaw line the more i try and move it. i first thought i had slept funny but this is now a very different pain. please help
Wed, 4 Sep 2013
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ENT Specialist 's  Response
Hello

Welcome in H.C.M.

After reading your clinical history I came to knew that you are haing most likely acute upper respiratory tract infection leading to sore throat, pain in throat with greenish sputum mixed with blood.
Your short of breath specially in winters also favors the respiratory tract infection with special attension for involvement of lower respiratory tract as upper respiratory tract infection usually doesnot produce breathlessness unless there is marked oedema.

But as a rule in all dyspnoea patients cardiac functions should be tharoughly examined. Therefore you are advice for-

1- X-Ray chest (P.A.view).

2- culture & sensitivity of throat swab.

3- X-Ray paranasal sinuses.

4- Blood- CBC, ESR,

By the help of these investigations and there clinical co-relation one may reach to correct doagnosis that may be accordingly manage.

Regards.



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Rheumatologist Dr. Dr. Shruti Rijhwani's  Response
Dear sir,

You could be having allergy related bronchitis but the pain seems unrelated . Kindly see an ENT surgeon for evaluation .

Dr. Shruti
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Allergist and Immunologist Dr. Suman Kumar's  Response
these are allergies and sinus related problems
may be linked to environment for exagerating the symptomps
need to get xray pns waters view as post nasal drip is culprit for swelling cough and tightness of jaw line
get treatment in consultation with ent doctor
in mean time take sinus specific antibiotics
anti allergic tab and anti allergiccough syp
neomycin h ointment in nose bd
sea water 2 drops night in each nose
to clear shouldr tightness jaww tightness
use bronchodilator syp if chest tightness
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Shortness Of Breath, Coughing Up Phlegm Greenish To Red Colour, Pain In Throat, Swollen Throat. Suggestions?

Hello Welcome in H.C.M. After reading your clinical history I came to knew that you are haing most likely acute upper respiratory tract infection leading to sore throat, pain in throat with greenish sputum mixed with blood. Your short of breath specially in winters also favors the respiratory tract infection with special attension for involvement of lower respiratory tract as upper respiratory tract infection usually doesnot produce breathlessness unless there is marked oedema. But as a rule in all dyspnoea patients cardiac functions should be tharoughly examined. Therefore you are advice for- 1- X-Ray chest (P.A.view). 2- culture & sensitivity of throat swab. 3- X-Ray paranasal sinuses. 4- Blood- CBC, ESR, By the help of these investigations and there clinical co-relation one may reach to correct doagnosis that may be accordingly manage. Regards.