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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Dry Cough During The Day And Productive Cough At Nights?

I have a dry cough in the day, productive at night...tons of drainage and laryngitis. Earlier in the week, I had drainage that resulted in nausea and a severe headache for about 24 hours. I am not running fever. Feeling better but can t do much with this cough and laryngitis. I started taking ClaritinD - 12 hour and using my Azelastine nose spray. I ve been drinking lots including hot drinks (chai latte, hot chocolate, hot toddy). Suggestions to speed relief of these symptoms.
Tue, 8 Nov 2016
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General & Family Physician 's  Response
Hi,

I have gone through your medical history carefully and understood your concerns.

Let me recapitalize your case:
- symptoms: dry cough in the day, productive at night
- drainage and laryngitis
- no fever
- meds taking: Claritin D; Azelastine nasal spray
- diet: hot drinks (chai latte, hot chocolate, hot toddy)

From what you are describing you are having upper respiratory tract infection with laryngitis. A good physical examination is advised to rule out pneumonia.

ClaritinD is a combination pill containing loratadine and pseudoephedrine and will ease nasal congestion and sinus pressure.

Azelastine nasal spray will also reduce nasal congestion as it will work locally inside your nose.

As you are having productive cough at night, if I was your caring doctor would recommend to start an mucolytic medication like carbocysteine or N-acetylcysteine. They will dissolve sputum and you'll find easier to clear up your respiratory pathways.

Increased fluids intake will keep hydrated and will help ease the symptoms.
Aerosol-therapy is also recommended to ease the symptoms. Can use saline water for that.

I still think pneumonia or bronchitis to rule out first after a good physical examination. If after starting mucolytic your symptoms will be still there, I recommend to consult with your physician as antibiotics might be needed to add and you need prescription for that.

Bronchodilatators (e.g. Ventolin) should be started if symptoms will persist.

Hope this helps. Wish fast recovery.
Dr.Albana
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What Causes Dry Cough During The Day And Productive Cough At Nights?

Hi, I have gone through your medical history carefully and understood your concerns. Let me recapitalize your case: - symptoms: dry cough in the day, productive at night - drainage and laryngitis - no fever - meds taking: Claritin D; Azelastine nasal spray - diet: hot drinks (chai latte, hot chocolate, hot toddy) From what you are describing you are having upper respiratory tract infection with laryngitis. A good physical examination is advised to rule out pneumonia. ClaritinD is a combination pill containing loratadine and pseudoephedrine and will ease nasal congestion and sinus pressure. Azelastine nasal spray will also reduce nasal congestion as it will work locally inside your nose. As you are having productive cough at night, if I was your caring doctor would recommend to start an mucolytic medication like carbocysteine or N-acetylcysteine. They will dissolve sputum and you ll find easier to clear up your respiratory pathways. Increased fluids intake will keep hydrated and will help ease the symptoms. Aerosol-therapy is also recommended to ease the symptoms. Can use saline water for that. I still think pneumonia or bronchitis to rule out first after a good physical examination. If after starting mucolytic your symptoms will be still there, I recommend to consult with your physician as antibiotics might be needed to add and you need prescription for that. Bronchodilatators (e.g. Ventolin) should be started if symptoms will persist. Hope this helps. Wish fast recovery. Dr.Albana