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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Persistent Cough Even After Two Rounds Of Antibiotics?

I had a cold about 2 months ago and was left with a cough. It got better then worse again after a few weeks. Now, after 8 weeks I am still coughing, even after 2 rounds of antibiotics. My cough is worse when I talk, sing or eat, but goes away if I am quiet or asleep.
Tue, 24 Jan 2017
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Infectious Diseases Specialist 's  Response
hello, you havnt mentioned some important things in your history.
how old are you?
what are the other symptoms except redness? does it itch, painful, tender and oozing?
do you have fever? do you have a purulant urethral discharge?
have you had sexual intercourse recently? how long have you been treated for this?
if you are having any of the bacerial or yeast infections you would have itching ,sometimes pain and tenderness. Depending on the severity of the infection not only topical antibiotics and antifungals you may have to take oral antibiotias or antifungals also. So make sure with your doctor whether you are given drugs correctly . also make sure your sexual partner is also treated for the infection. Other wise you would get reinfection.
Allergies or eczema of the penis usually cause itching. so change you soap to a ph treated unperfumed soap. If you are using condoms latex allergy also has to be considered.
If you are having red penile head only with milder other symptoms im thinking of psoriasis also. for that steroidal topical cream is better.
Last an not least penile cancer also has to be excluded. if you could come up with other associated symptoms it is easier to come to a diagnosis. thank you.
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General & Family Physician Dr. Ayesha Shareef's  Response
Hello
I have gone through your question and understand your concern. An upper respiratory infection such as a cold can cause a cough that lasts more than eight weeks. This may be due to postnasal drip ( nasal contents passing into throat), or to irritability in the airways that developed as a result of the infection. Many people with a chronic cough after a respiratory infection respond to treatment for postnasal drip or cough variant asthma.
To investigate the cause of a chronic cough, your healthcare provider will ask about your symptoms and perform a physical examination along with a few diagnostic test like:
Lung imaging :If you are a current or former cigarette smoker, or if you have other medical conditions that can affect the lung, a chest X-ray or even a chest CT scan may be done.
Lung function tests :If asthma is suspected but cannot be confirmed, the clinician may perform lung function tests that measure the pattern of air flow into and out of the lungs.
Acid reflux testing :To confirm a diagnosis of acid reflux, a test may be done to measure the acid level of fluid in the esophagus. Kindly, talk to your treating doctor about the above mentioned causes and his views on seeing the other mode of treatments that may help you with your cough.
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What Causes Persistent Cough Even After Two Rounds Of Antibiotics?

hello, you havnt mentioned some important things in your history. how old are you? what are the other symptoms except redness? does it itch, painful, tender and oozing? do you have fever? do you have a purulant urethral discharge? have you had sexual intercourse recently? how long have you been treated for this? if you are having any of the bacerial or yeast infections you would have itching ,sometimes pain and tenderness. Depending on the severity of the infection not only topical antibiotics and antifungals you may have to take oral antibiotias or antifungals also. So make sure with your doctor whether you are given drugs correctly . also make sure your sexual partner is also treated for the infection. Other wise you would get reinfection. Allergies or eczema of the penis usually cause itching. so change you soap to a ph treated unperfumed soap. If you are using condoms latex allergy also has to be considered. If you are having red penile head only with milder other symptoms im thinking of psoriasis also. for that steroidal topical cream is better. Last an not least penile cancer also has to be excluded. if you could come up with other associated symptoms it is easier to come to a diagnosis. thank you.