Suggest Treatment For Sore Throat, Fever And Severe Dry Cough

Posted on Fri, 6 Mar 2015

Question: Hi Sir,

I have been suffering from sorethroat and took 3-5 days amoxyllin and there is some relief.again I went through azithromycin for 5 more days.Last monday I felt severe fever,dry cough,no pain in throat but some inconvenient feeling and went to see doctor after conducting few blood tests(CBP/ESR,widal test and complete urine test) he asked me to use 1)codylex cc -10 tabs2)omcef 200-10 tabs 3)vizylac -5 capsule .Today I completed the course and feeling better but I have one issue which is making me worried yesterday and today whle taking brush when intensionally coughing hard i got some blood with phlem that also onetime and later I coughed also I have not seen any blood stains in it.Today also same thing happened.Please advise me it is an serious issue and need any diagnosis or need to go any tests and to see which specialist.

Answered by Dr. Saumya Mittal (5 hours later)

Brief Answer:
Meet a pulmonologist

Detailed Answer:
Hi
I am Dr Mittal
I have read your query
You see the blood may be coming from soar throat
The excess cough leaves the wall damaged and the forceful cough damages the blood vessels causing bleeding.

However, there are 2 significant conditions that can cause blood in sputum or hemoptysis. One is TB and the other is Lung Cancer. We need to rule out these two conditions for sure.And therefore we need to get the tests.

For such conditions you may need to meet a pulmonologist. He may be able to suggest tests like chest x ray and sputum examination. Depending on the report, ct chest may be needed.

Treatment can then be started according to the cause.
Best of luck
Dr Mittal

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

Follow up: Dr. Saumya Mittal (12 hours later)

Thank you Sir,

Today I visited pulmonologist and explained the same things and has shown CBP reports.He advised to go for chest xray.After looking at the film he told x ray looks good and gave medicines for 10 days and aksed me not to do intentional coughing while brushing .If it repeated again wihtout forceble couging , he asked to go for CT scan and meet him.Prescription is as follows :1)Levomac AZ tab -5tabs 2)Linctus codeine syrup 3)celoz-d cap -10 tabs 4)bogbro cap-20 tabs .

Sir,
Please review above and advise me is there any matter to worry about .And the medicines prescribed are appropriate.

Answered by Dr. Saumya Mittal (3 hours later)

Brief Answer:
I agree

Detailed Answer:
Hi
I will agree with the doctor if the x ray is normal.
In fact if you see the first response, I have mentioned the possibility of the excess coughing as a cause of bleeding is the first thing I have mentioned.
I almost agree with the prescription. I would suggest an antacid like pantop 40 once daily on empty stomach.
Best of luck
Dr Mittal

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Saumya Mittal (17 hours later)

Thank you Sir,

1) I got the radiologist report of my X ray:

Impression:
Soft tissues and thoracic cage are normal.Cardiothoracic Ratio is wihin normal limits.Both hila are normal.visualised lung fields are clear.Right dome of diaphragm is elevated.Diaphragmatic humbs on both sides.Both costophrenic angles are clear.

Is this showing everything normal and need to go for any screening

2)Doctor has given me Veldoz-d for me to take in empty stomach.Still you want me to take Pantod 40 .

Thank you doctor for all the advices.

Answered by Dr. Saumya Mittal (5 minutes later)

Brief Answer:
No need

Detailed Answer:
Hi
They are same medicines.
So no need.
Earlier you had misspelt the medicine.
Hence the confusion.

X ray report is normal.

I hope that the information helped you.
Please feel free to contact us for more information.
Best of luck.
Dr Mittal.

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Above answer was peer-reviewed by : Dr. Ashwin Bhandari