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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Cough And Wheezing

Hi I have had a chesty cough for 8 weeks now. I cough all the time and I am still coughing up dark green phlem. My breating does get very shallow. I am also asthmatic and I have increased my inhalers but my peek flow reading is 250 when usually it is 450-500. I have had 2 courses of antibotics: Amoxilin and Ethrithromicin (sorry about the spelling) and still it is no better. I feel tired all the time and cant sleep well due to my wheezing. What do you hink could be the cause? I know I have to go back to my doc. I have had pneumonia as a child before.
Tue, 20 Sep 2016
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General & Family Physician,  's  Response
Hi
Thanks for posting on HCM
Chronic cough and coughing up of dark phlem is mostly like due to a lung infection.Persistence of symptoms on antibiotic may mean the germ in cause is not responding to the the molecules.Most respiratory bacteria infections will however respond well on penicillins like amoxicillin and macrolides like erythromycin.
I will suggest you see a lung specialist(Pneumologist) for evaluation given the fact that your condition is making your respiratory function worse.A chest X ray and a sputum culture will be very important in your treatment.I will however advise you try the following:
-Take enough fluids
-Take a mucolytic like carbocysteine 5%
-Take your inhalers regularly especially when obstructed.
-Avoid irritants like cold, dust and smoke
Your lung specialist will take care of the rest.
Hope my answer will help you
Best regards
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Suggest Treatment For Cough And Wheezing

Hi Thanks for posting on HCM Chronic cough and coughing up of dark phlem is mostly like due to a lung infection.Persistence of symptoms on antibiotic may mean the germ in cause is not responding to the the molecules.Most respiratory bacteria infections will however respond well on penicillins like amoxicillin and macrolides like erythromycin. I will suggest you see a lung specialist(Pneumologist) for evaluation given the fact that your condition is making your respiratory function worse.A chest X ray and a sputum culture will be very important in your treatment.I will however advise you try the following: -Take enough fluids -Take a mucolytic like carbocysteine 5% -Take your inhalers regularly especially when obstructed. -Avoid irritants like cold, dust and smoke Your lung specialist will take care of the rest. Hope my answer will help you Best regards