Tight Chested Coughing Wheezing And Bringing Up Green Phlegm

Posted on Sat, 4 May 2019

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Sat, 4 May 2019 Answered on

Last reviewed on

Question : tight chested coughing wheezing and bringing up green phlegm

Answered by Dr. Drkaushal85 (52 minutes later)

Brief Answer:
Possibility of bronchitis is more likely.

Detailed Answer:
Thanks for your question on Ask a doctor forum.
I can understand your concern.
By your history and description, possibility of bronchitis is more likely.
Another possibility is lung infection because of green phlegm.
So in my opinion, you should get done PFT (Pulmonary Function Test) and chest x ray.
PFT is must for the diagnosis of bronchitis and chest x ray is needed to rule out lung infection.
Please let me know if you have
1. Asthma
2. Smoking habit.
I will be happy to help you further. Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Drkaushal85 (25 minutes later)

Yes I am a smoker and I've had a chest x-ray and my doctor said it came back normal. Yes I do have asthma

Answered by Dr. Drkaushal85 (2 minutes later)

Brief Answer:
Possibility of asthma exacerbation is more likely.

Detailed Answer:
Thanks for your follow up question on Ask a doctor forum.
I can understand your concern.
Possibility of asthma exacerbation is more likely.
In my opinion, you should quit smoking as soon as possible.
When have you consulted your doctor last time?
I will be happy to help you further. Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Drkaushal85 (7 hours later)

I last saw my doctor on Monday and he said i had a slight wheeze and gave me a salbutamol (blue inhaler)

Answered by Dr. Drkaushal85 (8 hours later)

Brief Answer:
Which other medicines you are taking?

Detailed Answer:
Thanks for your follow up question on Ask a doctor forum.
I can understand your concern.
Salbutamol is short acting beta 2 agonist (SABA).
It is given in the asthma exacerbation.
Please let me know which other medicines you are taking.
I will be happy to help you further. Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Drkaushal85 (18 hours later)

I havent been given any other medications to take.

Answered by Dr. Drkaushal85 (8 hours later)

Brief Answer:
You should start antibiotic and other supportive treatment.

Detailed Answer:
Thanks for your follow up question on Ask a doctor forum.
I can understand your concern.
In my opinion, you should also start antibiotic, oral bronchodilator and oral corticosteroid for faster relief.
Please let me know your weight so that I can guide you better about dose of these drugs.
I will be happy to help you further. Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Drkaushal85 (5 hours later)

I weigh 7 stone 4 ounces

Answered by Dr. Drkaushal85 (2 hours later)

Brief Answer:
Start Azithromycin, Medrol and Acebrophyllin.

Detailed Answer:
Thanks for your follow up question on Ask a doctor forum.
I can understand your concern.
In my opinion, you should start
1. Tablet Azithromycin 500mg once a day after breakfast.
2. Tablet Medrol 4mg once a day after breakfast
3. Tablet Acebrophyllin 200mg once a day at night before going to sleep.
Take for 5 days.
Your treating doctor will know about these medicines.

Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Prasad