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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Painful Cough?

Sir, I am having painful cough for last 4 days, my chest pains very badly when I cough
There is thick green mucas also coming out, no fever or throat pain.
only a runny nose.
My doctor says I have bronchitis as I react well to theoasthalin, How do I confirm if I have bronchitis
Thu, 25 Aug 2016
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Internal Medicine Specialist 's  Response
Bronchitis is inflammation of the your lower airways from a respiratory tract infection of chemical irritant. Cough is the predominant symptom which can last for many weeks. Bronchitis is generally self limiting with complete healing and full return to function. Most infections are viral, but individuals with lung or heart disease can suffer from more serious infections.

The diagnosis is usually made with the following:
- Sudden onset of cough and no evidence of pneumonia, asthma, exacerbation of COPD, or the common cold
- Cough is initially dry and nonproductive, then productive (for example, green mucus with the cough)
- Cough lasts more than 5 days
- Difficult breathing, wheeze, and fatigue may occur.
- Absent fever

There is usually no testing needed. Occasionally, a chest x-ray will be taken to help rule out other disease such as pneumonia.

Recommendations:
-Avoid smoking or second smoking.
-Rest
-Hydration
-Get pneumovax and influenza immunization at your local pharmacy.
-Cough drops or tessalon pearls
-Steam showers
-Acetaminophen or iburofen for fevers or pain.
-Decongestions like benadryl
-Continue albuterol or theoasthalin
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What Causes Painful Cough?

Bronchitis is inflammation of the your lower airways from a respiratory tract infection of chemical irritant. Cough is the predominant symptom which can last for many weeks. Bronchitis is generally self limiting with complete healing and full return to function. Most infections are viral, but individuals with lung or heart disease can suffer from more serious infections. The diagnosis is usually made with the following: - Sudden onset of cough and no evidence of pneumonia, asthma, exacerbation of COPD, or the common cold - Cough is initially dry and nonproductive, then productive (for example, green mucus with the cough) - Cough lasts more than 5 days - Difficult breathing, wheeze, and fatigue may occur. - Absent fever There is usually no testing needed. Occasionally, a chest x-ray will be taken to help rule out other disease such as pneumonia. Recommendations: -Avoid smoking or second smoking. -Rest -Hydration -Get pneumovax and influenza immunization at your local pharmacy. -Cough drops or tessalon pearls -Steam showers -Acetaminophen or iburofen for fevers or pain. -Decongestions like benadryl -Continue albuterol or theoasthalin