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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Medication For Severe Cough And Wheezing

i have had a severe cough for about a week with now. i try to cough up phlem but none comes up when i am forced to cough. i don't have a cold or the flu and i am wheezing terribly when i lay down to go to sleep. i am having trouble breathing it seems, especially when i lay down. when i'm laying down is when the coughing is more severe and frequent. I want to know what is going on with me and what medication i need to take.

Thu, 5 Mar 2015
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Allergist and Immunologist 's  Response
Hello,

Thank you for asking at HCM.

I went through your history and would like to know more about you like - whether this is the first time you are experiencing such symptoms, any nose symptoms, any known allergies, any digestion related symptoms, whether a smoker, whether exposed to air pollution frequently, etc etc. These details would help me to know more about you and therefore to make more specific suggestions for you. Such details would also help me to suggest possibility of some diagnosis as there are numerous causes for cough & wheezing.

At present, from your given history, I would suggest you as follows:

1. I usually prescribe my such patients salbutamol (inhaler, if not available, oral tablet will also work) for 5-7 days depending upon response.

Please note that salbutamol can cause side effects such as increased heart rate, palpitation, tremors, etc. So it is very important to know about your medical history in detail. Please consult your doctor before taking salbutamol.

2. If you have nose symptoms like nose congestion, sneezing, etc, I would also add an antihistamine like cetirizine or levocetirizine in your treatment.

3. Warm saline gargles and saline nasal washes will also help you to improve earlier.

4. Please take adequate amounts of liquids to maintain hydration.

5. Please avoid exposure to dusts, smokes and air pollution as much as possible.

6. If you have had such episodes previously also, I would think of allergy and would suggest you allergy testing for common air-borne allergens such as house dust mite, molds, pollens, insect proteins, cockroach, etc.

Hope above suggestions will be helpful to you.

Should you have any further query, please feel free to ask at HCM.

Wish you a very quick recovery and the best of the health ahead.

Thank you & Regards.
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Suggest Medication For Severe Cough And Wheezing

Hello, Thank you for asking at HCM. I went through your history and would like to know more about you like - whether this is the first time you are experiencing such symptoms, any nose symptoms, any known allergies, any digestion related symptoms, whether a smoker, whether exposed to air pollution frequently, etc etc. These details would help me to know more about you and therefore to make more specific suggestions for you. Such details would also help me to suggest possibility of some diagnosis as there are numerous causes for cough & wheezing. At present, from your given history, I would suggest you as follows: 1. I usually prescribe my such patients salbutamol (inhaler, if not available, oral tablet will also work) for 5-7 days depending upon response. Please note that salbutamol can cause side effects such as increased heart rate, palpitation, tremors, etc. So it is very important to know about your medical history in detail. Please consult your doctor before taking salbutamol. 2. If you have nose symptoms like nose congestion, sneezing, etc, I would also add an antihistamine like cetirizine or levocetirizine in your treatment. 3. Warm saline gargles and saline nasal washes will also help you to improve earlier. 4. Please take adequate amounts of liquids to maintain hydration. 5. Please avoid exposure to dusts, smokes and air pollution as much as possible. 6. If you have had such episodes previously also, I would think of allergy and would suggest you allergy testing for common air-borne allergens such as house dust mite, molds, pollens, insect proteins, cockroach, etc. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at HCM. Wish you a very quick recovery and the best of the health ahead. Thank you & Regards.