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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Chest Infection

Yes, I have had a sinus infection for 2 weeks. My GP prescribed an antibiotic (Azithromycin) and Prednisone. I have finished both but my symptoms have changed and gotten worse. My chest is congested and I am coughing more with greenish mucus. What should I take now?
Fri, 30 Jan 2015
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Pulmonologist,  's  Response
Thanks for your question on HCM.
I can understand your situation and problem.
In my opinion you should consult pulmonologist and get done
1. Repeat chest x ray
2. Sputum culture and sensitivity.
You have taken treatment (antibiotics) and still not improving, rather worsening, so we need to rule out worsening of infection by chest x ray.
And in pneumonia, we should first identify the causative organism and than guide antibiotic therapy according to sensitivity report.
So sputum culture and sensitivity report is needed to titrate antibiotics.
Haphazard use of antibiotics should be avoided in pneumonia as it will increase drug resistance and delay the recovery.
So consult pulmonologist and start appropriate antibiotics according to sensitivity report.
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Suggest Treatment For Chest Infection

Thanks for your question on HCM. I can understand your situation and problem. In my opinion you should consult pulmonologist and get done 1. Repeat chest x ray 2. Sputum culture and sensitivity. You have taken treatment (antibiotics) and still not improving, rather worsening, so we need to rule out worsening of infection by chest x ray. And in pneumonia, we should first identify the causative organism and than guide antibiotic therapy according to sensitivity report. So sputum culture and sensitivity report is needed to titrate antibiotics. Haphazard use of antibiotics should be avoided in pneumonia as it will increase drug resistance and delay the recovery. So consult pulmonologist and start appropriate antibiotics according to sensitivity report.