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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Do Wheezy Dry Cough With White Frothy Spit Up And Chest Pain Suggest?

I have had a cough for a little over 2 weeks. It started out as a little tickle followed by a dry cough. I went to a doctor after 1 week. The cough had progressed and gotten worse. He said he thought it might be sinus related and told me to use my Flonase 2 times a day, gave me Zithromax, and tessalon perles for the cough. I finished the antibiotic Thursday. The cough medicine isn t working. I do not think it was sinus related. I have not had any sinus issues before or after the cough started, no drainage, and no mucus. The cough has gotten a lot worse. It now sounds very wheezy when I cough. I start having horrific coughing fits that last several minutes. I have been coughing up white, frothy stuff. I cough so bad that I cannot breathe and start gasping for air. I have coughed so bad that I have thrown up several times. My chest is hurting badly as well. Any ideas what it might be?
Fri, 16 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 to rule out infection.
Chances of lung infection (pneumonia) are high in your case. Your symptoms like worsening cough, expectoration and pain is suggestive of pneumonia mostly. So chest x ray is needed.
To find out the causative organism and effective antibiotics, sputum culture and sensitivity is needed.
So possibility of pneumonia is high in your case and therefore consult pulmonologist and discuss all these.
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What Do Wheezy Dry Cough With White Frothy Spit Up And Chest Pain Suggest?

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 to rule out infection. Chances of lung infection (pneumonia) are high in your case. Your symptoms like worsening cough, expectoration and pain is suggestive of pneumonia mostly. So chest x ray is needed. To find out the causative organism and effective antibiotics, sputum culture and sensitivity is needed. So possibility of pneumonia is high in your case and therefore consult pulmonologist and discuss all these.