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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Cold, Sinus, Congestion, Cough With Phlegm, Pain Under Breast, Asthma. On Advair, Ventolin, Omeprazole. Suggestion?

Hi Dr. I am 58,weigh 120 lbs..71/2" tall. i have been sick with a cold, sinus, cough for 4 wks. I also have asthma. I was taking all kinds of OTC for cold, sinus and conjestion. It has been a week since I quit all of that medication. However I still take my Advair, and use ventolin when needed. I also take Omeprazole for my gherd. I have coughing spells,with a lot of phlem at times. I can"t seem to get under control. Yesterday, I got a new pain under my left breast, it hurts more when I take a deep breath. Is this cause for alarm. I woould try going to my asthma Dr. but 3 times previous, I could not get in. It seems as though when I am sick she won"t see me, only when it is a scheduled appt.. I have gone to the walk in clinic, last Jan with bad cold. But I thought I was at the end of this after 4 wks. What do you think?
Fri, 26 Apr 2013
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Allergist and Immunologist,  's  Response
Hello,

I am sorry to note that you have been unable to get an appointment with your doctor when you were unwell.
Coughing spells can sometimes be due to reflux of stomach acid (GERD) so omeprazole is good to continue and see if that helps.
Pain under the breast, that increases on deep breath, is a sign of infection lining the lungs, called pleurisy. This can happen with viral infections, and you do seem to get a viral-infection induced asthma attack.
Please ensure you get a Chest X Ray done, increase the dose of the inhalers or switch to a combination inhaler (Seroflo 250 2 puffs twice daily), and antihistamines.

Testing to exclude house dust mite allergy would be important as specific precautions can then help.

Best Wishes.
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Cold, Sinus, Congestion, Cough With Phlegm, Pain Under Breast, Asthma. On Advair, Ventolin, Omeprazole. Suggestion?

Hello, I am sorry to note that you have been unable to get an appointment with your doctor when you were unwell. Coughing spells can sometimes be due to reflux of stomach acid (GERD) so omeprazole is good to continue and see if that helps. Pain under the breast, that increases on deep breath, is a sign of infection lining the lungs, called pleurisy. This can happen with viral infections, and you do seem to get a viral-infection induced asthma attack. Please ensure you get a Chest X Ray done, increase the dose of the inhalers or switch to a combination inhaler (Seroflo 250 2 puffs twice daily), and antihistamines. Testing to exclude house dust mite allergy would be important as specific precautions can then help. Best Wishes.