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Suggest Treatment For Severe Lower Respiratory Tract Infection

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Posted on Tue, 2 Sep 2014
Question: Hi...i am suffering from severe cough and greenish thick mucus discharge all round the day. i have been taking levofloxacin 500 once a day(morning) and Diominic DCA (night) for last 3 days. But theres no relief. Please advice. Thanks
doctor
Answered by Dr. Anshul Varshney (16 minutes later)
Brief Answer:
I need few details.

Detailed Answer:
Dear Friend.
Welcome to HCM. I am Dr Anshul Varshney. I understand your concern.
The description given by you fits into infective lower respiratory tract infection. I don't think only levoflox would help you.
Provide me following details:
1. Since when are you having it?
2. Any breathlessness associated?
3. Any Fever , weight loss, night sweats?
4. Any history if diabetes?
5. Are you a smoker?
6. Any other past illness?
Revert with these details in point wise manner for a better help.
Stay Healthy.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Anshul Varshney (18 minutes later)
1.I m having it for last 5 days
2.No breathlessness
3.very mild fever sometimes , no weight loss ...no night sweats
4.No diabetes
5.I m not a smokerbut i do chew tobacco sometimes.
6. I have BP and i take amtas e daily + ecosprin 75....no other major past illnes

Thanks
doctor
Answered by Dr. Anshul Varshney (4 minutes later)
Brief Answer:
Detail follows

Detailed Answer:
Dear Friend.
In such situations I usually advise following:
1. Chest Xray
2. Sputum for Gram stain and fungal.
3. Hemogram with ESR.
After giving samples I start my patients on following:
1. A broad spectrum antibiotic like Augmentin or Cefuroxime.
2. An anti allergic like Levocetrizine.
3. A Bronchodilator syrup like Bromohexine.
I modify treatment according to reports.
You can discuss my opinion with your doctor. I am sure he would agree to it.
If you have any further query please ask me.
Stay Healthy.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Anshul Varshney

Internal Medicine Specialist

Practicing since :2009

Answered : 3071 Questions

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Suggest Treatment For Severe Lower Respiratory Tract Infection

Brief Answer: I need few details. Detailed Answer: Dear Friend. Welcome to HCM. I am Dr Anshul Varshney. I understand your concern. The description given by you fits into infective lower respiratory tract infection. I don't think only levoflox would help you. Provide me following details: 1. Since when are you having it? 2. Any breathlessness associated? 3. Any Fever , weight loss, night sweats? 4. Any history if diabetes? 5. Are you a smoker? 6. Any other past illness? Revert with these details in point wise manner for a better help. Stay Healthy.