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Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for cough and running nose

Dear Doctor, recently I have been coughing and have running nose for more than a month. Doctor advised me to get blood test which includes liver test. The reading is: SGPT 27.2 SGOT 18.2 Alkaline Phosphatase 95.0. I have been regularly consuming alcohol for last few years (Daily 120ml of Whiskey). Can you please advise, the above readings are alarming? I should quite alcohol. Doctor advised me to take Livolin Forte tablet. I am also a smoker 5-6 sticks a day. I am 44 years old and staying in Nigeria. Your advise is much appreciated please. R
Fri, 9 Jan 2015
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General & Family Physician 's  Response
First of all I want to tell you that all these reading mentioned in the query are normal and need not to worry at all .
You are taking 120 ml whisky ( you should not take > 30 ml / day ).
Sticks of smoking , avoid completely.
You are having running nose and cough , these symptoms may be due to these possibilities , these include:
1 Smoker's cough ,as this is most common cause . Since you are a smokers , so when you inhale smoke ,it enter into the lungs through air ways , causes bronchoconstriction . This bronchoconstriction produces cough and running nose . So the best way is to get rid off smoking.
2 Allergic rhinitis ,is the 2nd most common cause of these symptoms . Allergens may be smoke, dust, mite , pollen, pests , sudden increase or decrease of temperature , fumes .
3 Asthmatic allergic bronchitis , this is also due to allergy . In this patient feel breathlessness.
When such patient visit , after testing for chest clearance ( for tuberculosis , bronchiectasis ) I advise my patient to take motelukast+fexofenadine combination ( tablet orally ) . Doses one or two according to severity ( normal dose is one tablet ).
Since you are also having cough , so take codeine+ chlorphenirmine maleat cough syrup ( but this is habit forming and causes addiction , so once complete cure of cough , don't take again).
Since all these drugs are prescription , so take a prescription from your doctor.
Hot coffee and steam inhalation also provide instant relief.
Good luck.
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