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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Cough, Runny Nose, Sore Throat, Fever And Chest Congestion?

I have had a cough for 2 weeks. I had no other symptoms, ie, running nose, sore throat, fever, chest congestion. Because I was about to have cataract surgery the doctor put me on 7 days of Prednisone, Adavair inhaler 2x/day and Cheratussin cough syrup 3x/day. All that did help the cough somewhat but the cough continued. I just noticed last night that my throat was a bit achy and upon examination discovered I had numerous white spots at the back of my throat and white coating on the back of my tongue. My question is, might this be a reaction to any of the steroids or codine? Thank you for your response.
Thu, 10 Nov 2016
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Dentist 's  Response
Hi.
Welcome to HEALTHCARE MAGIC..

I have gone through your query and can understand your concerns..

As per your complain white pustules at the back of throat along with sore throat seems to be probably due to a severe case of bacterial throat infection known as Strep Throat..
White pustules are pus pockets that further confirms towards bacterial infection..
As you are taking steroid inhaler and also Prednisone that is again a steroid and white coating at the back of tongue seems to be due to Oral Thrush that is an yeast infection of tongue..

For confirmation consult an Otolaryngologist or an ENT expert and get evaluated..
He can do investigations like Throat swab culture and also microscopy of the coating of the tongue can help in diagnosis..

You can be advised:
-Antibiotics like Augmentin OR Azithromycin to resolve the infection..
-Anti-inflammatory painkillers like Ibuprofen can be taken to relive pain. -----Doing warm saline gargles, steam inhalation and using a humidifier in your room can be very much relieving.
-You can also suck throat lozenges to soothe the throat..
-Gargle with numbing mouthwash containing Lignocaine..
-Gargle with antiseptic solution like few drops of betadine in water..
-Chew Vitamin C pellets to boost up the immunity..
-Avoid spicy and chilled foods..
-For white coating you can be advised Nystatin mouthwash, Clotrimazole lozenges and oran antifungal medication like Fluconazole with plenty of probiotics like Yoghurt and Garlic..

Hope this information helps..

Thanks and regards.
Dr.Honey Nandwani Arora..
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What Causes Cough, Runny Nose, Sore Throat, Fever And Chest Congestion?

Hi. Welcome to HEALTHCARE MAGIC.. I have gone through your query and can understand your concerns.. As per your complain white pustules at the back of throat along with sore throat seems to be probably due to a severe case of bacterial throat infection known as Strep Throat.. White pustules are pus pockets that further confirms towards bacterial infection.. As you are taking steroid inhaler and also Prednisone that is again a steroid and white coating at the back of tongue seems to be due to Oral Thrush that is an yeast infection of tongue.. For confirmation consult an Otolaryngologist or an ENT expert and get evaluated.. He can do investigations like Throat swab culture and also microscopy of the coating of the tongue can help in diagnosis.. You can be advised: -Antibiotics like Augmentin OR Azithromycin to resolve the infection.. -Anti-inflammatory painkillers like Ibuprofen can be taken to relive pain. -----Doing warm saline gargles, steam inhalation and using a humidifier in your room can be very much relieving. -You can also suck throat lozenges to soothe the throat.. -Gargle with numbing mouthwash containing Lignocaine.. -Gargle with antiseptic solution like few drops of betadine in water.. -Chew Vitamin C pellets to boost up the immunity.. -Avoid spicy and chilled foods.. -For white coating you can be advised Nystatin mouthwash, Clotrimazole lozenges and oran antifungal medication like Fluconazole with plenty of probiotics like Yoghurt and Garlic.. Hope this information helps.. Thanks and regards. Dr.Honey Nandwani Arora..