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Suggest Treatment For Persistent And Irritating Cough

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Posted on Sat, 20 Jun 2015
Question: Dear Doctor Sir
I am 54 years old male. Non Diabetic. General Health Good
Suffering from Cough( Not Clod) for the last more than a month.
Initially it was with lot of mucus & slight fever like condition.
Thought it would go with time.
Took paracetamol & anti allergic tablets but not as a full course.
The cough remained though fever like condition gone.
Now for the last few days coughing has increased very much.
It starts with irritation in the Throat mostly font lower part may be due to secretion or dryness of the area. Throat is found choked many times especially in the morning.
The chest appears to be clear.
The force of the cough is so much that it renders me breathless for the moment. Mucus has reduced considerably & it is dry type of cough with droplets coming out only. Acute Bronchitis like condition appears to be there alhough I am not asthmatic.
The city XXXXXXX in which I live air is full of pollution of various gases & Dust and now a hot dry summer as well.
Mucus formation even in normal days is always there. Throat rarely clear.
I took 10 days course of Augmentine & flucon for the last 10 days for some other fungl/viral like condition on one particular part of the body. Plus I use Refresh Gel for dry eyes condition at night.
In view of above kindly advise the course of medicines to get rid of this irritating forceful cough.
Regards
doctor
Answered by Dr. Drkaushal85 (2 hours later)
Brief Answer:
Start antihistamine and inhaled corticosteroid.

Detailed Answer:
Thanks for your question on Health Care Magic.
I can understand your concern.
By your history and description, in my opinion you are mostly having acute bronchitis (not allergic bronchitis).
And for dry cough, you need to take antihistamine drug orally and inhaled corticosteroid (ICS).
Both are prescribed medicines, so you need prescription for them.
You need to take these drugs for 1-2 weeks for complete relief.
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
doctor
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Follow up: Dr. Drkaushal85 (1 hour later)
Sir,

Request for advising the dose of the medicines like antihistamine of 200/500 mgm, twice/thrice per day, before after meal etc.

Alternative good brands if any in case of non availability of one particular brand.

Further please advise how & when to use inhaled corticosteroid. Side effects if any. As such breathing is no problem except when coughing & that also for very short duration only.

Any syrup or tablet that is helpful in soothing the throat from recurrent irritation?

Once clear about above I shall start taking medicines immediately as prescribed.

Regards
doctor
Answered by Dr. Drkaushal85 (10 hours later)
Brief Answer:
ICS are very safe drug.

Detailed Answer:
Thanks for your follow up question on HCM.
Name of antihistamine drug is levocetrizine.
It is available in the dose of 5mg.
Trade names are ldio 1,levocet, l cet etc.
It should be taken twice daily before food.
Inhaled corticosteroid (ICS) is budesonide. It is available as budecort or derinide. It's dose is 200 micrograms twice daily.
For technique, you need to refer leaflet given in the packet.
ICS are very safe and not having any side effects.
Hope I have solved your query.
If you are not having further queries, then please close the conversation and rate my answer.
You can ask me directly on bit.ly,/askdrkaushalbhavsar.
Wish you good health. Thanks.
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. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Drkaushal85

Pulmonologist

Practicing since :2008

Answered : 14999 Questions

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Suggest Treatment For Persistent And Irritating Cough

Brief Answer: Start antihistamine and inhaled corticosteroid. Detailed Answer: Thanks for your question on Health Care Magic. I can understand your concern. By your history and description, in my opinion you are mostly having acute bronchitis (not allergic bronchitis). And for dry cough, you need to take antihistamine drug orally and inhaled corticosteroid (ICS). Both are prescribed medicines, so you need prescription for them. You need to take these drugs for 1-2 weeks for complete relief. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.