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Suggest Treatment For Nasal Discharge And Productive Cough

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Posted on Mon, 23 Jun 2014
Question: I have what seems like a head/chest cold/Alergy. Blowing out my nose tellow phlegm and coughing up the same. I get tired easy also. I have had this 2 weeks now and drags on
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Answered by Dr. Michelle Gibson James (17 minutes later)
Brief Answer:
infection most likely

Detailed Answer:
HI, thanks for using healthcare magic

Infections and allergies are the most common causes of nasal discharge and productive cough.
Since your symptoms have been occurring for a few weeks and there is a slight colour to the discharge, then infection is more likely.

The infection can be viral or bacterial Viral is more common but if you continue to have symptoms for an additional week then your doctor may consider adding oral antibiotics in the event that there is a bacterial aspect.

In terms of current treatment , you may want to consider: (1) mucolytic- this would break up the mucus in the chest ,nasal passages and sinuses.

Examples are bisolvan, mucomyst, robotussin

In the initial stages of a mucolytic the coughing may increase as the mucus breaks up and starts to be expelled more

(2) oral and topical decongestants to reduce any nasal congestion. Topical decongestants such as otrivine can be used for 3 to 5 days.
Oral deccongestants are pseudoephedrine or phenylephrine.

(3)anti histamine- this can also be helpful, there are some medications that may have a combination of all of the above

These are available over the counter

(4)steam inhalation would also be effective in helping to treat the nasal secretions.

(5) if the coughing is very disturbing then you can also obtain a cough suppressant over the counter

If with treatment, there is no improvement of symptoms after 1 week to 10 days, then your doctor may consider adding antibiotics to this regimen.

I hope this helps, feel free to ask any other questions
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Michelle Gibson James

General & Family Physician

Practicing since :2001

Answered : 16808 Questions

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Suggest Treatment For Nasal Discharge And Productive Cough

Brief Answer: infection most likely Detailed Answer: HI, thanks for using healthcare magic Infections and allergies are the most common causes of nasal discharge and productive cough. Since your symptoms have been occurring for a few weeks and there is a slight colour to the discharge, then infection is more likely. The infection can be viral or bacterial Viral is more common but if you continue to have symptoms for an additional week then your doctor may consider adding oral antibiotics in the event that there is a bacterial aspect. In terms of current treatment , you may want to consider: (1) mucolytic- this would break up the mucus in the chest ,nasal passages and sinuses. Examples are bisolvan, mucomyst, robotussin In the initial stages of a mucolytic the coughing may increase as the mucus breaks up and starts to be expelled more (2) oral and topical decongestants to reduce any nasal congestion. Topical decongestants such as otrivine can be used for 3 to 5 days. Oral deccongestants are pseudoephedrine or phenylephrine. (3)anti histamine- this can also be helpful, there are some medications that may have a combination of all of the above These are available over the counter (4)steam inhalation would also be effective in helping to treat the nasal secretions. (5) if the coughing is very disturbing then you can also obtain a cough suppressant over the counter If with treatment, there is no improvement of symptoms after 1 week to 10 days, then your doctor may consider adding antibiotics to this regimen. I hope this helps, feel free to ask any other questions