Suggest Treatment For Chest Congestion And Fever

Posted on Thu, 4 Sep 2014

Question: Hi,
It started with mild chest congestion 3 weeks ago. I get mild fever towards evening(99.9F - 100.4F oral temp). And i have throat pain as well to the left side. When i turn to the right and swallow i get pain. When i swallow head straight then there is no pain. I am a lactating mother of 6 months old baby. I have taken following medicines after consulting docter.Levocet 5 mg, cefolac- az, oflox 200mg. Each for 3 days one after other.But there is no use. My blood report is clean. There is no increase in Wbc count or neutrophils. Throat swab test shows that there is no bacteria... But i still have fever dialy towards eve and throat pain.cough is developing now. It is mostly dry cough. But sometimes i get white plegm. My absolute eosinophil count is 286 and erythocite sedimentation rate is 22mm/ hr (reference range 0- 14mm/hr). Sorry for very large description. But can u please tell me what is causing all this...thank you

Answered by Dr. Krunal Karade (42 minutes later)

Brief Answer:
You are having post nasal drip with mild allergy

Detailed Answer:
Hi XXXXXXX

Thanks for the query.

As per your clinical history it appears that you are having post nasal drip with mild allergy leading to chest congestion.

If I were your treating doctor, I would advice you Antiseptic Mouth Wash like triguard for 7 min twice daily , Steam Inhalation thrice daily, Antihistaminic like levocetirizine + Montelukast combination like Romilast L 10 & Vitamin C.

Use cough suppressant syrup like Solvin cold twice daily.

Hope this information helpful to you .If you have any further questions I will be happy to help.
Regards.

Above answer was peer-reviewed by : Dr. Ashwin Bhandari

Follow up: Dr. Krunal Karade (1 hour later)

Hi,

Thank you for the analysis. Can you please explain more on post nasal drip n what it means. Also are the tablets safe to take while breastfeeding a 6 month old baby girl.

Thank you0

Answered by Dr. Krunal Karade (2 hours later)

Brief Answer:
Post nasal drip is a excess mucus production.

Detailed Answer:
Hi XXXXXXX ,
Thanks for follow up query.

Post nasal drip is a excess mucus production by nasal mucosa . This accumulates back in the nose. It is due to allergy , infection in nose , acidity, etc. This accumulated mucus back in nose cause throat & chest problem.

Yes , tablet are safe while breastfeeding .

You can discuss this with your treating doctor.
Regards.

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Krunal Karade (1 hour later)

Hi Sir,

Thank you very much. One last question. If these tablets 'Antihistaminic like levocetirizine + Montelukast combination like Romilast L 10 & Vitamin C' are not available in XXXXXXX can you please let me know their substitutes.

Answered by Dr. Krunal Karade (15 minutes later)

Brief Answer:
These are XXXXXXX brands.

Detailed Answer:
Thank for asking .
Tab Romilast L 10 ( Ranbaxy ) & Tab Limcee or Celin ( Vitamin C ) are available in XXXXXXX .
Substitutes for Romilast L 10 is Montek Lc ( Sun pharma ) & Montair lc ( Cipla ).
Use this tablet till allergy subsides .
Regards.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Krunal Karade (18 hours later)

Hi Sir,

Thank you. My doctor prescribed Clarinova 250mg and Montemac -fx tablets, Kufril syrup and I am currently using them. Next time when I visit him I will check with him about the tablets that you have suggested.

One last question - are Clarinova 250mg and Montemac -fx tablets, Kufril syrup safe while bresastfeeding? I am really concerned about my baby because of the medications that I am taking

Thank you,

Answered by Dr. Krunal Karade (31 minutes later)

Brief Answer:
Your doctor now prescribed right medication.

Detailed Answer:
Hi XXXXXXX ,
Thanks for follow up query.

Your doctor now prescribed right medication for your condition , continue using them .
You can use antiseptic Mouth Wash , Steam Inhalation & Limcee along-with above medication. You will get early relief .

These medication are safe while breastfeeding .

Hope this information helpful to you .
Wish you good health.
Regards.

Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Shanthi.E