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What Causes Productive Cough And Sinus Infection While Treating Type 2 Diabetes?
Question: I was put on lisinopril as a protection for kidneys because I have type 2 diabetes. I deveoped the cough. The problem is I am also an asthmatic that is fairly well controlled with flovent. I thought that I had gotten a cold from grandkids. After using my xopenex inhaler which didn't do much, switched to pro air still not much help and zithromax, augmentin and doxycycline plus a five day course of prednisone 20mg/day. I am slightly better but still coughing up mucus and sinuses still somewhat congested. I have seen anecdotes where apparently this will take some time to go away. Is there some time frame that I might expect? Perhaps 3 months, etc. It sure is a nuisance. This has been going on for approximately 7 weeks.
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
Regarding your concern, I would explain that your symptoms could be related to a sinus infection.
Although you have used a great variety of antibiotics, you should know that there are different infectious agents (including fungal infections), which can lead to sinus infection and chronic cough.
I recommend consulting with your attending physician for a careful physical exam and some tests:
- sinus X ray study
- a chest X ray study
- a mucus bacterial culture to examine for possible infectious agents
- lab blood tests (complete blood count, PCR, sedimentation rate, blood electrolytes).
- a sinus discharge culture may be needed in case sinus infection is suspected (during physical exam and sinus X ray study).
Regarding lisinopril, I would recommend discussing with your doctor the possibility of switching to another antihypertensive drug, as it is known that when cough occurs, it means that ACEI class drugs are not tolerated and there is no definite period to develop tolerance to this adverse effect.
Hope to have been helpful!
Feel free to ask any other questions whenever you need!
Kind regards,
Dr. Iliri
I would explain as follows:
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
Regarding your concern, I would explain that your symptoms could be related to a sinus infection.
Although you have used a great variety of antibiotics, you should know that there are different infectious agents (including fungal infections), which can lead to sinus infection and chronic cough.
I recommend consulting with your attending physician for a careful physical exam and some tests:
- sinus X ray study
- a chest X ray study
- a mucus bacterial culture to examine for possible infectious agents
- lab blood tests (complete blood count, PCR, sedimentation rate, blood electrolytes).
- a sinus discharge culture may be needed in case sinus infection is suspected (during physical exam and sinus X ray study).
Regarding lisinopril, I would recommend discussing with your doctor the possibility of switching to another antihypertensive drug, as it is known that when cough occurs, it means that ACEI class drugs are not tolerated and there is no definite period to develop tolerance to this adverse effect.
Hope to have been helpful!
Feel free to ask any other questions whenever you need!
Kind regards,
Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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