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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Bronchitis, Taken Z Pac, Coughing, Pain In Ears And Throat When Swallowing. Should I Be Concerned?

Hello, I had been diagnosed with bronchitis .. 2 to 3 weeks ago. I was put on z pac, steroids, and an inhaler . I am still coughing slightly but feeling better. Within the past few days however, I have had pain in my throat/ears when I swallow . Almost a tightness. Sometimes its one side, sometimes the other, sometimes both. I was wondering if this is something I should be concerned with or if there is anything I can do for it.
posted on Sun, 28 Oct 2012
Twitter Sun, 28 Oct 2012 Answered on
Twitter Mon, 29 Oct 2012 Last reviewed on
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Allergist and Immunologist,  's  Response
Hello,
You seem to be suffering from pharyngitis/otitis along with the bronchitis and hence the throat symptoms and the angioedema (swelling) of the throat is causing the tightness.
You will require a short course of antibiotics (not sure what z pac is) if there is fever as well.
Most of these are viral in nature but superadded bacterial infection tends to worsen the symptoms.
A short course (7-10 days) of long anting antihistamines will help.
If the sore throat persists, you may find it useful to get allergy tests (skin prick or specific IgE blood test) done. Once allergies are identified that are worsening the sinuses/chest, a combination of nasal steroids plus inhalers for the lung will be standard long term treatment.
Thanks.
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Allergist and Immunologist,  Dr. Sujoy Khan's  Response
Hello,
A CXR is an important investigation that must have been done and if not must be done to ensure you do not have a pneumonic patch. If you smoke, and aged >55years, it is a vital investigation and would urge you to stop smoking straight away.
The lump in your throat could be due to the sinus secretions causing the cough and post nasal drip and allergies such as house dust mite needs to be excluded to ensure that the rhinitis and bronchitis does not end up with chronic airways disease such as asthma.
Skin prick tests or specific IgE blood tests can help diagnose the allergies.
Long acting antihistamines with nasal steroids will lower the inflammation and cough/tightness in throat, so please see your doctor for a prescription.
Thanks.
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Bronchitis, Taken Z Pac, Coughing, Pain In Ears And Throat When Swallowing. Should I Be Concerned?

Hello, You seem to be suffering from pharyngitis/otitis along with the bronchitis and hence the throat symptoms and the angioedema (swelling) of the throat is causing the tightness. You will require a short course of antibiotics (not sure what z pac is) if there is fever as well. Most of these are viral in nature but superadded bacterial infection tends to worsen the symptoms. A short course (7-10 days) of long anting antihistamines will help. If the sore throat persists, you may find it useful to get allergy tests (skin prick or specific IgE blood test) done. Once allergies are identified that are worsening the sinuses/chest, a combination of nasal steroids plus inhalers for the lung will be standard long term treatment. Thanks.