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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Whooping Cough, Pain Throat And Lungs, Difficult To Breathe, Fluid In Ear

Hi...I had whooping cough four weeks ago and have not gotten better. It went from that to Bronchitis . I have been having terrible pains in my lungs while coughing, and while the cough itself is calming down, the pain is getting worse. It burns to take a breath all the way down the center of my chest, and I am having shooting pains in my right lung. Also, my ears have been filled with fluid for weeks causing vertigo , and the left side of my throat is very painful. I don t know what to do as the pain is getting worse tonight. Thank you
Tue, 25 Mar 2014
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ENT Specialist,  's  Response
Hi , in my opinion you are suffering from chronic cinfection of your larynx with bronchitis.
Bronchitis usually takes mora than 2 weeks to reduce.
Any upper respiratory infection usually cause fluid to accumulate in the ear, this may cause ear block, reduced hearing, vertigo.
If a patient with this symptoms come to my clinic, I would prescribe.
Steroid nebulisation every 6 th hourly for 3 to 5 days.
Steroid tablet for 1 week, with cough suppresant drugs like dexteomethrophan. Chest pain is because of spasm of respiratory muscles.
I would prescribe some pain killere diclofenac for chest pain.
I would also get the ear checked for fluid accumulation, if it there then I would ask the patient to get an audiological test like tympanometry done to detect the middle ear status.
I would advise the patient to get his fliud removed by a small surgical procedure in ear.
In case with all this treatment the cough persists, then I would advise blood counts, chest x ray, ct csan of thorax and evaluate the patient according to the report
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Whooping Cough, Pain Throat And Lungs, Difficult To Breathe, Fluid In Ear

Hi , in my opinion you are suffering from chronic cinfection of your larynx with bronchitis. Bronchitis usually takes mora than 2 weeks to reduce. Any upper respiratory infection usually cause fluid to accumulate in the ear, this may cause ear block, reduced hearing, vertigo. If a patient with this symptoms come to my clinic, I would prescribe. Steroid nebulisation every 6 th hourly for 3 to 5 days. Steroid tablet for 1 week, with cough suppresant drugs like dexteomethrophan. Chest pain is because of spasm of respiratory muscles. I would prescribe some pain killere diclofenac for chest pain. I would also get the ear checked for fluid accumulation, if it there then I would ask the patient to get an audiological test like tympanometry done to detect the middle ear status. I would advise the patient to get his fliud removed by a small surgical procedure in ear. In case with all this treatment the cough persists, then I would advise blood counts, chest x ray, ct csan of thorax and evaluate the patient according to the report