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How Should Persistent Cough For Nearly Two Weeks Despite Taking Azithromycin Be Managed?

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Posted on Wed, 9 Mar 2022
Question: My husband is having cough for nearly two weeks.He already took a cycle of azithromycin.
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Answered by Dr. Remy Koshy (45 minutes later)
Brief Answer:
Need few details

Detailed Answer:

Hello,

Before I can guide you any further, I would like to know a few more details required;

- Is the cough dry or associated with sputum expectoration?
- Is the cough constant throughout the day or does it vary?
- Does he have any associated symptoms of cold or viral fever? Has he taken any other medication apart from Azithromycin?

Kindly revert back with your details.
Awaiting your response.
Regards
Above answer was peer-reviewed by : Dr. Remy Koshy
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Follow up: Dr. Remy Koshy (12 minutes later)
Thank you for your response. Yes its dry cough with sputum expectoration. Not constant throughout the day. He had viral fever with cough and cold 15 days back and got fever again 2 days back with cold. The cough has not reduced since two weeks. Now he does not have fever but is feeling weak with cough and cold. He has taken Mucolite and cetirizine.
doctor
Answered by Dr. Remy Koshy (6 hours later)
Brief Answer:
Explained below

Detailed Answer:

Hello,

Since he is having persistent cough irrespective of the intake of antibiotics and also anti-histamines(cetirizine), I would suggest it worthwhile to get a sputum culture and sensitivity test done; so as to look for any specific pathogen causing his symptoms. If so, then we can start him on culture sensitive antibiotics if needed. Also, has he suufered any weight loss recently?

Meanwhile, if I were his treating physician, I would suggest him to take T. MONTEK-AB twice daily for 5 days and Syp. TUSQ-D 10ml thrice daily for 5 days and then SOS.

Also I would suggest him to take steam inhalation 2-3 times daily and also warm saline gargle 2-3 times daily.

I hope this helps. Please revert back with the test results once done.
Regards

Above answer was peer-reviewed by : Dr. Remy Koshy
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Answered by
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Dr. Remy Koshy

General & Family Physician

Practicing since :2014

Answered : 476 Questions

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How Should Persistent Cough For Nearly Two Weeks Despite Taking Azithromycin Be Managed?

Brief Answer: Need few details Detailed Answer: Hello, Before I can guide you any further, I would like to know a few more details required; - Is the cough dry or associated with sputum expectoration? - Is the cough constant throughout the day or does it vary? - Does he have any associated symptoms of cold or viral fever? Has he taken any other medication apart from Azithromycin? Kindly revert back with your details. Awaiting your response. Regards