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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Persistent Cough And Fatigue

My daughter had been feeling sick for about 3 weeks, and thought it was just a cold. a little over a week ago, We decided to get it checked, and she was diagnosed with pneumonia. She was given antibiotics, cough medicine, an inhaler, and a 5 min breathing treatment. She has taken all medicine given to her, and still has a pretty persistant cough, runny nose, and fatigue. She is only 17 and is otherwise healthy. Should she go back to the doctor?
Thu, 10 Aug 2017
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General & Family Physician,  's  Response
Hello
I understand your concern.

Persisten cough,runny nose,fatigue beyond 3 weeks can be because of chronic sinusitis causing post nasal drip/pneumonia secondary lung complications/secondary atypical pneumonia.

If I were your treating doctor,I recommend,
-Steam inhalation using mucinex capsule 2times a day
-Nasal irrigation with saline
-Avoiding exposure to secondary smoke or environmental air pollutants
-Maintain plenty intake of water, healthy diet,breathing exercises for general well being.
-Certain investigation will be required.
CT scan chest for pneumonia complications and atypical pneumonia.
Nasal swab and bronchial swab culture and drug sensitivity.These tests will help to know the causative organism and also the effective antibiotic against it.
Nasal endoscopy by ENT surgeon will be required to find out underlying cause of chronic sinusitis like nasal polyp.

Hope this information helps.
Wish her speedy recovery.
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Suggest Treatment For Persistent Cough And Fatigue

Hello I understand your concern. Persisten cough,runny nose,fatigue beyond 3 weeks can be because of chronic sinusitis causing post nasal drip/pneumonia secondary lung complications/secondary atypical pneumonia. If I were your treating doctor,I recommend, -Steam inhalation using mucinex capsule 2times a day -Nasal irrigation with saline -Avoiding exposure to secondary smoke or environmental air pollutants -Maintain plenty intake of water, healthy diet,breathing exercises for general well being. -Certain investigation will be required. CT scan chest for pneumonia complications and atypical pneumonia. Nasal swab and bronchial swab culture and drug sensitivity.These tests will help to know the causative organism and also the effective antibiotic against it. Nasal endoscopy by ENT surgeon will be required to find out underlying cause of chronic sinusitis like nasal polyp. Hope this information helps. Wish her speedy recovery.