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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes cough, tightness in throat, chest and popping in ears?

Hi, I was given a zpak and gnereic equivalent of cheratussin for an upper respiratory infection I have one day left for my zpak and the cough is still insane and there s a tightness in my throat/chest my ears re still popping it doesn t seem that the meds are working I took the cheratussin but I can t sleep because when I lay down everything gets tight and I begun to uncontrollably cough. Should I go back to the doctor s? And right now to sleep could I take Benadryl eventhough I just took 5ml of the cheratussin.
Mon, 29 Aug 2016
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General & Family Physician 's  Response
Hi welcome to HCM...

You are according to history having URTI like infection ...
But here bronchitis chance are more .

Your Work up needed with .....
-auscultation
-physical examination
-CBC (for eosinophila )
-Chest x ray (to look for consolidation )
-spirometry (for assessing severity of bronchitis if present )
-ASO titre
-sputum examination only if needed
-throat swab only if needed

Here in your case decongested can be given like benadryl..
Steam inhalation done three times a day

If pneumonic consolidation present suitable antibiotic needed

If bonchi constriction present from allergy than short term steroid or bronchodilator needed

Take care

Advise : Pulmonologist consultation for examination

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