Suggest Treatment For Chronic Cough And Lump In The Throat
the "pain" in my chest is a pressure/tightness. no SOB. rib pain/pressure when exhaling. and when pressing just below collar bone.
lump in throat,pain in throat,chest pain,cough is due to viral lymphadenopathy
Detailed Answer:
Hi,
Thanks for your question.
I do understand your pain and discomfort.
As per your clinical history is concerned please follow my advise below from grassroot level:-
1)Do full blood count with differential
2)Do T3,T4,TSH to confirm, Throat swab to see any growth of bacteria.
3)Take Cextriaxone one gram once a day for 3 days then cefixime 200 with lactobacillus twice a day for 7 days, These are prescribed medicines. You'll have to meet the local doctor to get them prescribed.
4)Do warm saline gargle 3 times a day
After blood report i will add other medications
I hope I was able to address your query. If you have any further questions, please do not hesitate to write to me.
Wishing you all the best.
Thanks
Dr U N Sahoo
Curious...why does pain/discomfort increase when I eat? i have currently not eaten today and while I still have a minimal amount of discomfort in my right chest area, i do not have the tightening/discomfort in my throat, just the globus sensation.
FYI, TSH was normal previously. T3 an T4 not tested previously.
Curious how to approach my physician with the request for abx. Any thoughts? are they typically receptive? I know some are anti-internet for diagnosing!
i have an ENT appointment March 16. Are these tests/prescriptions that he can order?
thank you.
first step towards diagnosis
Detailed Answer:
Hi,
The pain in the throat is due to inflammation of muscles. Saline gargle every hour, warm compression and aforementioned medications will help you. If solid food is painful you can take liquid diet like milk and bread.
Discuss about these possibilities with your physician and if he agrees with it, you can discuss about starting antibiotics.
If you have taken appointment with ENT doctor, I will recommend a detailed clinical examination of thyroid gland if nodule found ,it can be easily removed in a surgical way and it is a minor surgical procedure.if you have past ultrasound report you can share with me .
ADD-[Sputum RE/ME/Culture along with tuberculin test ]
Thanks
Dr U N Sahoo
I have uploaded the reports for your review.
thank you. XXXXXXX burkett
Upload reports
Detailed Answer:
Hi i could not find reports,please upload soon.[Thanks]
thank you!
Thyroid nodules
Detailed Answer:
Hi
as per your report indicates your problem is due to nodules only because every side in the report is normal .As you have already done ultrasound examinations so do one [Fine-needle aspiration biopsy in ultrasound guidance only]then go for surgery soon[Thyroidectomy].
Thanks
Dr U N Sahoo
Thyroid nodules
Detailed Answer:
Hi,
You can try as per your treating doctors advise.
Thanks
Dr U N sahoo
Details below
Detailed Answer:
Hi,
As per thyroid report it is good so no problem at all. So you can wait and observe without any fear.(Thanks)