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Suggest Treatment For Cough, Nasal Congestion And Fever
Question: I am suffering from cough with mucus,nasal congestion and fever around 99-99.5 from last one month.The fever comes only in the evening time for around 3-4 hrs and then break down on its own.
I occasional run a problem of allergy and sinusitis.
Have the following test done
Chest X ray- clear,no abnormal findings noted
CBC
TLC-12.27
Lymphocytes- 15.7
Monocytes-8.50
Neutrophils-73.8
ESR-32
Hgb-13.2
I already had one round of antibiotics(augementin 625 twice daily for 5 days) but the problem still persist.
Just to let you know I had a similar problem six months back at that time chest xray revealed opacity in left upper lobe.Had antibiotic course for 1 week and the problem and clinical symptoms was resolved.
Repeat X ray after six months now did not show any opacity and was clear.
I occasional run a problem of allergy and sinusitis.
Have the following test done
Chest X ray- clear,no abnormal findings noted
CBC
TLC-12.27
Lymphocytes- 15.7
Monocytes-8.50
Neutrophils-73.8
ESR-32
Hgb-13.2
I already had one round of antibiotics(augementin 625 twice daily for 5 days) but the problem still persist.
Just to let you know I had a similar problem six months back at that time chest xray revealed opacity in left upper lobe.Had antibiotic course for 1 week and the problem and clinical symptoms was resolved.
Repeat X ray after six months now did not show any opacity and was clear.
Brief Answer:
Get done sputum culture and sensitivity report.
Detailed Answer:
Thanks for your question on Healthcare Magic.
I can understand your concern.
In my opinion you are having infection mostly in the lungs. Chest x ray can be normal but your symptoms, blood reports are more suggestive of lung infection.
So get done sputum culture and sensitivity report.
Culture report will isolate the causative organism and sensitivity report will guide about effective antibiotic treatment.
Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
Get done sputum culture and sensitivity report.
Detailed Answer:
Thanks for your question on Healthcare Magic.
I can understand your concern.
In my opinion you are having infection mostly in the lungs. Chest x ray can be normal but your symptoms, blood reports are more suggestive of lung infection.
So get done sputum culture and sensitivity report.
Culture report will isolate the causative organism and sensitivity report will guide about effective antibiotic treatment.
Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks Doctor.
I need to ask is this be related to the problem I had six months earlier.At that time chest X ray show opacity left upper lobe. Had AFB sputum test but was negative.
Given on antibiotic for one week clinical symptoms improved.
Recent Chest x ray show no abnormal findings in the X ray and is clear.
I not feeling an discomfort in the lungs. Only main problem is cough with mucus mainly in the morning,throat irritation ,post nasal drip ,slight discomfort around eyes and low grade fever in the evening(99-99.5) daily from last one month.
Taking an anti allergic like Montair LC helps in subsiding the cough.
My doctor is suggesting to have chest CT scan.Will it be helpful as my current chest Xray is normal.
I need to ask is this be related to the problem I had six months earlier.At that time chest X ray show opacity left upper lobe. Had AFB sputum test but was negative.
Given on antibiotic for one week clinical symptoms improved.
Recent Chest x ray show no abnormal findings in the X ray and is clear.
I not feeling an discomfort in the lungs. Only main problem is cough with mucus mainly in the morning,throat irritation ,post nasal drip ,slight discomfort around eyes and low grade fever in the evening(99-99.5) daily from last one month.
Taking an anti allergic like Montair LC helps in subsiding the cough.
My doctor is suggesting to have chest CT scan.Will it be helpful as my current chest Xray is normal.
Brief Answer:
Yes, chest CT will be helpful.
Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Yes, chest CT scan will be of more useful than chest x ray.
Actually chest x ray can miss few things like retrocostal areas, retro cardiac areas etc.
So better to get done CT scan to rule out any possibility of tuberculosis or pneumonia.
Please let me know
1. Do you smoke?
2. Do you have allergies?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Yes, chest CT will be helpful.
Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Yes, chest CT scan will be of more useful than chest x ray.
Actually chest x ray can miss few things like retrocostal areas, retro cardiac areas etc.
So better to get done CT scan to rule out any possibility of tuberculosis or pneumonia.
Please let me know
1. Do you smoke?
2. Do you have allergies?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
No I do not smoke.
Yes I occasional have allergies/sinus problem. Also deviated nasal septum and suffers from post nasal drip.
Also need to check Can TB be confirm only using chest ct scan since my blood reports do not indicate much.
AFB sputum is negative.
Yes I occasional have allergies/sinus problem. Also deviated nasal septum and suffers from post nasal drip.
Also need to check Can TB be confirm only using chest ct scan since my blood reports do not indicate much.
AFB sputum is negative.
Brief Answer:
If CT scan is showing something than go for bronchoscopy.
Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Well chest x ray and sputum for AFB are basic screening tests for tuberculosis.
If CT scan is showing something then get done bronchoscopy and XXXXXXX analysis.
Please let me know
1. Do you have weight loss or decreased appetite?
2. Is any of your family member is suffering from tuberculosis?
3. During these six months how was your health?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
If CT scan is showing something than go for bronchoscopy.
Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Well chest x ray and sputum for AFB are basic screening tests for tuberculosis.
If CT scan is showing something then get done bronchoscopy and XXXXXXX analysis.
Please let me know
1. Do you have weight loss or decreased appetite?
2. Is any of your family member is suffering from tuberculosis?
3. During these six months how was your health?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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