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Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What is the treatment for persistent cough and chest pain?

My Husband has severe cough for a month and he has been diagonised as alergic bronchitis and lower respiratory tract infection. The frequency of cough has decreased but whenever he coughs he complains of severe chest pain and muscle pull with is unbearable. he is taking the below mentioned medicines

Zocef500 morning and night

Odimont.LC night

esos 40R morning and night

Deriphiline 150 morning and night

Ultracet morning, afternoon and night

He was admitted to S J Hospital and was given nebulization, Zocef injections for antibody and multivitamine drips with glucose.He is also taking Combitide inhaler to reduce cough.

His Report says


haemoglobin - 14.9gm/d1

Total Count - 13,200 cells/Cumm. (4000 - 10000 cells/Cumm.)

Differential Counts :

everythings under range except Eosinophils - 13%

A E C 1720 Cells/ Cumm (40-440 Cells/ Cumm)

E S R - 20mm/hr ( male - 0 - 9 mm/hr)

we have consulted 4 doctors the cought is still not reduced nor the pain. Please help.

Mon, 30 Oct 2017
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Pulmonologist 's  Response
listen your husband problem may be ABPA or simple allergic bronchitis
go for investigation total IgE and if it is more than 1000 then again go for IgE specific for aspergillus fumigatus. if possible send xray chest or CT

for meanwhile after giving blood sample take tab medrol 16 mg for 5 days you will get better results but after taking blood samples

thank you
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