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Suggest Treatment For Severe Cough

Posted on Tue, 31 Mar 2015

Question: I am suffering from cough since last 20 days. I have consultant a physician on 25.02.2015, who had prescribed me some antibiotics with cough syrup and asked to go for a chest X-Ray. The chest X-ray was carried out on 27.02.2015 and report mentions "Prominent bronchovascular markings seen in both lungfields". What does it mean?
The physician has continued the medicine as prescribed for 5 days. Now even after completing the prescribed medicine course, I am still suffering from cough. What should I do further to get relief from cough?
I am also taking medicines for High BP and Cholestrol.

Answered by Dr. Drkaushal85 (57 minutes later)

Brief Answer:
Get done ECG and 2d echo.

Detailed Answer:
Hello dear, thanks for your question on HCM.
You are having hypertension and dyslipidemia at very early age of 32.
This suggest possibility of Syndrome X.
And these patients are at increased risk of cardiac problems like heart failure and coronary artery disease.
They are also at risk for bronchitis.
Early stage of cardiac disease can present as dry coughing.
So i advice you to first get done
1. Ecg
2. 2d echo to rule out cardiac cause.
Get done PFT ( pulmonary function test ) to rule out bronchitis.
Prominent bronchovascular marking (BVM) is seen in
1. Normal individual
2. Bronchitis
3. Early pulmonary edema in case of cardiac disease.
Please let me know following things.
1. Your height and weight.
2. Are you having stressful life?
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

Follow up: Dr. Drkaushal85 (42 hours later)

Thanks for your reply and suggestion sir.
As suggested, 2D Echo, ECG & PFT tests has been done and reports are attached for your kind perusal.
Sir, My height is 169.5cm & weight is 100 Kg.
In reference to stressful life, I would like to mention that I also live a life like any other middle class family who is struggling to comply the basic needs of daily life and future security and to perform in his profession. Other than this, I don't think I am living with any extraordinary stresses.

Answered by Dr. Drkaushal85 (1 hour later)

Brief Answer:
Not able to see your PFT report.

Detailed Answer:
Hello dear, thanks for your follow up question on HCM.
I have gone through the reports, you have attached.
Your 2d echo and ecg reports are normal.
But I am not able to download your PFT report.
So please reply me result of your PFT report.
Your weight is quite more for your height.
Your BMI (Body Mass Index) is almost 35.
This is considered as moderate obesity and this is not good for health.
Please reply me your result of PFT.
I will be happy to help you further.
Wish you good health.
Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Drkaushal85 (4 minutes later)

I have re-attached PFT Report namely "PFT Report_1". However, that also mentions normal results.
So, what could be reason for cough and what should I do to get relief?

Answered by Dr. Drkaushal85 (2 hours later)

Brief Answer:
Olmisartan can cause dry coughing.

Detailed Answer:
Hello dear, thanks for your follow up question on HCM.
Olmisar contains olmisartan.
And olmisartan can have chest side effects like coughing, dysphagia and chest pain.
So you are having coughing mostly due to olmisartan.
Please let me know
1. Do you have dry coughing, without expectoration?
2. Dies your coughing worsen after taking olmisar?
3. Are you trying for weight reduction?
Please reply me answers of above asked questions, so that I can guide you better.
I will be happy to help you further.
I am also practising in XXXXXXX
Wish you good health.
Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar