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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Persistent Productive Cough?

I am a 53 year old female. I have had a cough....sometimes dry, but mostly productive....for going on 9 weeks. Wheezing often accompanies the cough and seems to be worse upon inhaling. I have been to the doctor 3 times during this period. I have had 3 rounds of antibiotics (Ceftin, Amoxicillin, and Levoquin), a cortisone shot and 5 days of oral prednisone. I was given an x-ray, as pneumonia was suspected, but it came back negative. I was also give an inhaler. I will occasionally have a day when the cough/wheezing seem to be much better, but then it just comes back the next day. I am going to make an appointment with a pulmonary specialist, per the recommendation of my doctor. However, I m just at a point where I m confused as to what s going on and what the possible problem could be. I m actually getting very worried.....and obviously, tired of coughing!! Any insight at all?
Mon, 20 Jul 2015
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General & Family Physician 's  Response
Hello
As you mentioned that you are having cough ( dry as well productive ) took antibiotics as well inhalers . Cough is accompanied with wheeze .
In my opinion such type of cough may be due to these possibilities , these include :
1 Asthmatic allergic bronchitis , when such patient visit my clinic I only prescribe them to take montelukast+ bambuterol , one tablet once in the night , but some times twice in a day .Along also take codeine+ chlorampheniramine maleate syrup ( codeine is habit forming ,so be aware).
Since this is a prescription drugs so please consult your doctor .
2 Tuberculosis , diagnosis can be confirmed by X -Ray chest as well sputum examination for a AFB and blood examination for ESR , CBC and Mountox's test.
3 Bronchiectasis , diagnosis can be confirmed by sputum for pathogens and X ray chest.
However there are so many other reasons of such cough like lung abscess etc.
So deal as mentioned above .
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What Causes Persistent Productive Cough?

Hello As you mentioned that you are having cough ( dry as well productive ) took antibiotics as well inhalers . Cough is accompanied with wheeze . In my opinion such type of cough may be due to these possibilities , these include : 1 Asthmatic allergic bronchitis , when such patient visit my clinic I only prescribe them to take montelukast+ bambuterol , one tablet once in the night , but some times twice in a day .Along also take codeine+ chlorampheniramine maleate syrup ( codeine is habit forming ,so be aware). Since this is a prescription drugs so please consult your doctor . 2 Tuberculosis , diagnosis can be confirmed by X -Ray chest as well sputum examination for a AFB and blood examination for ESR , CBC and Mountox s test. 3 Bronchiectasis , diagnosis can be confirmed by sputum for pathogens and X ray chest. However there are so many other reasons of such cough like lung abscess etc. So deal as mentioned above .