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So I Have Been Sick Since January On And Off.

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Posted on Sun, 5 Jul 2020
Question: So I have been sick since January on and off. I have been to two different drs and they tell me I have strep the I have bronchitis then I have allergies and I’ve been on all kinds of meds but I continue to get sick and can’t get better. I cough up thick usually clear phlegm daily well tonight it has a few bright red blood streaks in it and I’m concerned but I don’t really feel bad my chest just feels tight. I’m not really having a cough either just making my self hack it up. So any advice on what I need to do? I’m 19 years old and male and otherwise healthy until January.
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Follow up: Dr. AJEET SINGH (0 minute later)
So I have been sick since January on and off. I have been to two different drs and they tell me I have strep the I have bronchitis then I have allergies and I’ve been on all kinds of meds but I continue to get sick and can’t get better. I cough up thick usually clear phlegm daily well tonight it has a few bright red blood streaks in it and I’m concerned but I don’t really feel bad my chest just feels tight. I’m not really having a cough either just making my self hack it up. So any advice on what I need to do? I’m 19 years old and male and otherwise healthy until January.
doctor
Answered by Dr. AJEET SINGH (2 hours later)
Brief Answer:
You are very likely suffering from allergic bronchitis.

Detailed Answer:
Hi...
Welcome to "Ask a Doctor" service.
I am Dr Ajeet XXXXXXX

I have gone through your query and here is my opinion.

You are very likely suffering from allergic bronchitis.
An acute episode is usually self limiting and clears up in a few days but a chronic one can continue for months.
Chest tightness and coughing are the main symptoms of allergic bronchitis.
At times,there can be breathlessness.
When the patient coughs,he will bring up a thick, slimy fluid called mucus.

You should visit a respiratory physician for further evaluation, who would go for investigations including blood work (CBC,Total Eosinophil Count etc),Chest X ray,sputum examination,sputum culture and pulmonary function test(PFT).
Sometimes a CT Chest is also procured in such patients.
He will treat you according to the investigation findings.

Time being...drink enough fluids/water and keep yourself well hydrated.
Use a humidifier and do steam inhalation.
Avoid exposure to atmospheric pollutants,pollen,dust and dander.
Quit smoking (if applies)
Avoid over-the-counter cough suppressants.
Learn pursed-lip breathing.

Hope that I have answered your query.

Stay healthy and stay blessed.
Regards.
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
doctor
Answered by Dr. AJEET SINGH (0 minute later)
Brief Answer:
You are very likely suffering from allergic bronchitis.

Detailed Answer:
Hi...
Welcome to "Ask a Doctor" service.
I am Dr Ajeet XXXXXXX

I have gone through your query and here is my opinion.

You are very likely suffering from allergic bronchitis.
An acute episode is usually self limiting and clears up in a few days but a chronic one can continue for months.
Chest tightness and coughing are the main symptoms of allergic bronchitis.
At times,there can be breathlessness.
When the patient coughs,he will bring up a thick, slimy fluid called mucus.

You should visit a respiratory physician for further evaluation, who would go for investigations including blood work (CBC,Total Eosinophil Count etc),Chest X ray,sputum examination,sputum culture and pulmonary function test(PFT).
Sometimes a CT Chest is also procured in such patients.
He will treat you according to the investigation findings.

Time being...drink enough fluids/water and keep yourself well hydrated.
Use a humidifier and do steam inhalation.
Avoid exposure to atmospheric pollutants,pollen,dust and dander.
Quit smoking (if applies)
Avoid over-the-counter cough suppressants.
Learn pursed-lip breathing.

Hope that I have answered your query.

Stay healthy and stay blessed.
Regards.
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. AJEET SINGH (6 hours later)
So I have been sent for chest X-rays and a full blood count last trip to the dr and he said both cane back good so what does that entail?
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Follow up: Dr. AJEET SINGH (0 minute later)
So I have been sent for chest X-rays and a full blood count last trip to the dr and he said both cane back good so what does that entail?
doctor
Answered by Dr. AJEET SINGH (3 hours later)
Brief Answer:
You are very likely suffering from allergic bronchitis

Detailed Answer:
Welcome back.

That is also a supportive evidence of allergic bronchitis.

Chest x-ray findings in allergic bronchitis are non specific and are typically normal.
Occasionally,there are increased interstitial markings due to thickening of bronchial walls.
A chest x-ray is usually procured to differentiate and rule out consolidation and pneumonia.

Usually,CBC is also in a normal range with or without an increase in eosinophil count.
A bacterial superinfection may cause an increased blood counts and increase in neutrophil number.

Depending on the clinical examination findings,your clinician would decide about the need of further work up and other advance investigations.

Happy living.
Regards.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
doctor
Answered by Dr. AJEET SINGH (0 minute later)
Brief Answer:
You are very likely suffering from allergic bronchitis

Detailed Answer:
Welcome back.

That is also a supportive evidence of allergic bronchitis.

Chest x-ray findings in allergic bronchitis are non specific and are typically normal.
Occasionally,there are increased interstitial markings due to thickening of bronchial walls.
A chest x-ray is usually procured to differentiate and rule out consolidation and pneumonia.

Usually,CBC is also in a normal range with or without an increase in eosinophil count.
A bacterial superinfection may cause an increased blood counts and increase in neutrophil number.

Depending on the clinical examination findings,your clinician would decide about the need of further work up and other advance investigations.

Happy living.
Regards.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
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Dr. AJEET SINGH

General & Family Physician

Practicing since :1994

Answered : 2151 Questions

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So I Have Been Sick Since January On And Off.

So I have been sick since January on and off. I have been to two different drs and they tell me I have strep the I have bronchitis then I have allergies and I’ve been on all kinds of meds but I continue to get sick and can’t get better. I cough up thick usually clear phlegm daily well tonight it has a few bright red blood streaks in it and I’m concerned but I don’t really feel bad my chest just feels tight. I’m not really having a cough either just making my self hack it up. So any advice on what I need to do? I’m 19 years old and male and otherwise healthy until January.