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Suggest Treatment For Nasal Congestion, Rhinorrhea, Sore Throat And Cough

Posted on Tue, 17 Feb 2015

Question: 24 Year old Male, BMI=55 and on significant medications... Complaints of Nasal Congestion, Rhinorrhea, Moderate Sore Throat, Coughing with Bronchial Involvement. painful swallowing, exhasturbation of neck pain, L ear pain feeling of Reflux, and up for over 40 hours -6 hours sleep broken. Hx of Lap Band.
Never had Dx of Bronchitis. In this episode, 2 family members have had official Dx and are on Levaquin.
Question is: What does this sound like? Will Antibiotics be necessary?

Answered by Dr. Krunal Karade (45 minutes later)

Brief Answer:
You are most probably having URTI going into LRTI.

Detailed Answer:
Hi XXXXXXX
Thanks for the query.

I have read your query , reviewed medications and understand your concern.

In my opinion , after reading your clinical history it appears that you are most probably having upper respiratory tract infection (URTI) going into lower respiratory track infection(LRTI) .
Associated Laryngopharyngeal reflux (LPR) worsening your condition .

If I were your treating Doctor for this case , I would advice you
investigation like X ray chest to confirm LRTI .

I would also start antibiotic Levaquin , Antiseptic Mouth Wash twice daily &
Saline nasal spray thrice daily .

Continue other medication . Try to stop excess medication after consulting your specialist .

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. Bhagyalaxmi Nalaparaju

Follow up: Dr. Krunal Karade (8 hours later)

Would Augmentin be an acceptable substitute if I cannot get Levaquin?

Answered by Dr. Krunal Karade (1 hour later)

Brief Answer:
Azithromycin once daily will be good with less side effect .

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

Yes Augmentin will be acceptable substitute but it will increase reflux & stomach discomfort .

Azithromycin once daily will be good with less side effect .

You will need to see your doctor to get a prescription.

Regards.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Krunal Karade (5 hours later)

Understood. I wanted to get antibiotics on the way. I have a few kinds around from excess orders but I wanted to be sure that it would target the suspected bacteria. Since I only have 500s of augmentin in the house for sure, Im going to ask the on-call doc to call in Levaquin first and if out of stock, Azithromycin.

Thanks for your help. Im trying to encourage habits to keep it in the upper tract. They aren't on CNS depressants like I am, and no Hx of Diabetes Mellitus.

Answered by Dr. Krunal Karade (7 hours later)

Brief Answer:
Yes , don't swallow sputum .

Detailed Answer:
Thanks for the follow up query.

yes , don't swallow sputum .
Also use antiseptic Mouth Wash twice daily &
Saline nasal spray thrice daily .

You will be fine .

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. Yogesh D