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What Causes Raspy Voice, Cough And Chest Pain?
Question: I had a raspy voice about two weeks ago that turned into a cough that I'd have to cough hard to get flem out, then it turned into chest pai that felt like I couldn't clear the bottom of my lungs then it felt like someone was sitting on my chest the flem I'm coughing up is yellow, now for two-three days now Iv had intense pain in my left shoulder and it's very painful when I breath in or cough or try to sneeze., the flem seems to be in the middle of my chest now, just now I notice after soaking in a hot bath to try relieve my pain that between my left collar bone and my left breast it seems to be swollen compared to the right side, I am only able to take light breaths. I haven't had a runny nose, Iv had a high Temp of 39* cels ,
Brief Answer:
Suggestive of Respiratory tract infection
Detailed Answer:
Dear XXXX,
Thanks for your query.
The symptoms are suggestive of Respiratory tract infection, most probably with a bacterial etiology. Presence of yellow sputum, fever and chest pain is attributed to that.
Panadol (pharmacologically Paracetamol) being an analgesic anti-inflammatory preparation, can only provide temporary relief from pain and fever.
However, until the causative agent is treated, the symptoms will keep recurring.
Regarding the symptoms as mentioned in your post, kindly let us know about the following:
1. Any diurnal variation? i.e. symptoms are more during any particular time of the day?
2. Any tests/ laboratory investigations carried out? If yes, then please attach the concerned reports along with your post.
3. Any past history or family history of Asthma, Pulmonary Tuberculosis, Hypertension, Diabetes, Thyroid disorder, etc?
4. History of exposure to any chemical or smoke at home or working place?
5. Habit of smoking or alcohol consumption?
6. History of recent or prolonged intake of any medication (other than Panadol)?
7. Any other associated symptoms, like sore throat, breathlessness, loss of weight and appetite, etc.?
A knowledge of the above mentioned facts will be helpful to make a better diagnosis and formulate an appropriate management plan.
Till then, symptomatic relief can be obtained with:
1. Steam inhalation.
2. Cough expectorant syrup.
3. Antihistamine preparations like Cetrizine.
4. Continue the Panadol.
Wishing you a good health.
Take care.
Suggestive of Respiratory tract infection
Detailed Answer:
Dear XXXX,
Thanks for your query.
The symptoms are suggestive of Respiratory tract infection, most probably with a bacterial etiology. Presence of yellow sputum, fever and chest pain is attributed to that.
Panadol (pharmacologically Paracetamol) being an analgesic anti-inflammatory preparation, can only provide temporary relief from pain and fever.
However, until the causative agent is treated, the symptoms will keep recurring.
Regarding the symptoms as mentioned in your post, kindly let us know about the following:
1. Any diurnal variation? i.e. symptoms are more during any particular time of the day?
2. Any tests/ laboratory investigations carried out? If yes, then please attach the concerned reports along with your post.
3. Any past history or family history of Asthma, Pulmonary Tuberculosis, Hypertension, Diabetes, Thyroid disorder, etc?
4. History of exposure to any chemical or smoke at home or working place?
5. Habit of smoking or alcohol consumption?
6. History of recent or prolonged intake of any medication (other than Panadol)?
7. Any other associated symptoms, like sore throat, breathlessness, loss of weight and appetite, etc.?
A knowledge of the above mentioned facts will be helpful to make a better diagnosis and formulate an appropriate management plan.
Till then, symptomatic relief can be obtained with:
1. Steam inhalation.
2. Cough expectorant syrup.
3. Antihistamine preparations like Cetrizine.
4. Continue the Panadol.
Wishing you a good health.
Take care.
Above answer was peer-reviewed by :
Dr. Yogesh D
The pain has now shift to the right hand side of my upper chest and its so hard to breath without feeling a pain thats like pushing on a bruse, im still coughing, i try not because it hurts so much like iv been hit by a big object the size of my upper body and suffing the after effects, but i havent been hit by anything, could i have pnemonia
Brief Answer:
Pneumonia can be one of the differential diagnoses
Detailed Answer:
Dear XXXX,
Thanks for your follow up query.
Pneumonia can be one of the differential diagnoses for your symptoms.
But it cannot be confirmed without a complete history and clinical examination of the Respiratory system.
So, kindly visit your Physician/ Pulmonologist and get a proper examination done.
Certain investigations like complete blood count, Pulmonary Function Test and X ray of chest will be helpful in clinching the diagnosis.
Since you are having the symptoms for the past 02 weeks, any further delay in seeking medical attention is not advisable.
Till then, temporary relief can be obtained with the measures mentioned in my previous answer.
If the diagnosis of Pneumonia gets confirmed, then Panadol alone will not be enough for the management.
Under such circumstances, you will need a course of antibiotics like Azithromycin/ Amoxicillin+Clavulanic acid , OR based on culture and sensitivity reports.
There is no need to worry, you will be fine.
Wishing you a speedy recovery.
Take care.
Pneumonia can be one of the differential diagnoses
Detailed Answer:
Dear XXXX,
Thanks for your follow up query.
Pneumonia can be one of the differential diagnoses for your symptoms.
But it cannot be confirmed without a complete history and clinical examination of the Respiratory system.
So, kindly visit your Physician/ Pulmonologist and get a proper examination done.
Certain investigations like complete blood count, Pulmonary Function Test and X ray of chest will be helpful in clinching the diagnosis.
Since you are having the symptoms for the past 02 weeks, any further delay in seeking medical attention is not advisable.
Till then, temporary relief can be obtained with the measures mentioned in my previous answer.
If the diagnosis of Pneumonia gets confirmed, then Panadol alone will not be enough for the management.
Under such circumstances, you will need a course of antibiotics like Azithromycin/ Amoxicillin+Clavulanic acid , OR based on culture and sensitivity reports.
There is no need to worry, you will be fine.
Wishing you a speedy recovery.
Take care.
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. Shanthi.E
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