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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Cough Attacks And Cracked Rib Caused By Excessive Coughing?

Have bronchitis...3 weeks now...started as cold-sinus, went to ENT and he gave me Levequin, inhaler, cough syrup etc. Had a bad coughing attack on Thkgiving day...ER, abuterol treatment in Er...followed up back home...coughing up quite abit of green phlem, long thin and dense ( about 1 inch by 1/4 inch) and thick...lots of coughing. Dr gave me a nebulizer and abuterol vials...has really helped but a few days before I started the treatments I cracked the 9th rib on the right side from coughing. I ache all over...my shoulders, delts, across the chest and now the ribs. This is the pits...any thing else I should know?
Thu, 22 Jan 2015
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Pulmonologist,  's  Response
Thanks for your question on HCM.
In my opinion you should consult pulmonologist and get done
1. Chest x ray
2. Sputum culture and sensitivity
3. Bronchoscopy and BAL (Bronchoalveolar lavage) analysis.
Since you are on antibiotics and inhalers, but still not improved with cough and started developing green phlegm, all these suggest possibility of pneumonia.
So better to rule out this by chest x ray.
Also get done sputum culture to identify the causative organism, And antibiotic sensitivity to Guide therapy. This will prevent haphazard use of antibiotics and thus improves outcome and fastens the recovery.
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What Causes Cough Attacks And Cracked Rib Caused By Excessive Coughing?

Thanks for your question on HCM. In my opinion you should consult pulmonologist and get done 1. Chest x ray 2. Sputum culture and sensitivity 3. Bronchoscopy and BAL (Bronchoalveolar lavage) analysis. Since you are on antibiotics and inhalers, but still not improved with cough and started developing green phlegm, all these suggest possibility of pneumonia. So better to rule out this by chest x ray. Also get done sputum culture to identify the causative organism, And antibiotic sensitivity to Guide therapy. This will prevent haphazard use of antibiotics and thus improves outcome and fastens the recovery.