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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Chronic Cough And Chest Pain Be Treated?

Hi, I ve had a harsh productive cough, congested sinuses with dark green snot and headache for almost a week. My chest feels achy and now my ears are starting to hurt and my eyes are irritated. When I woke this am my eyes were goofy. Do I need to see a doctor or just hydrate and rest?
Wed, 21 Feb 2018
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Ayurveda Specialist 's  Response
**
Thanks for contacting with your health concern

1. As the symptoms are there for a week [chronic], thus following should be your approach:

. because you are suffering from an upper respiratory problem [sinusitis] thus consultation with an ENT physician is essential.

PS. CT scan of the sinuses can help confirm the diagnosis.

2. It could be deduced that with symptoms of a headache and earache the pathology might have changed into chronic rhinosinusitis, so consultation with an otolaryngologist is essential, till then:

- steam inhalation to help loosen thick mucus.
- regular nasal rinses.
- Avoid heavy, slimy and acidic food, curd, mustard oil, excess physical exertion, sunlight-dust areas, exposure to strong winds, day sleeping, smoking, potato, green leafy vegetables. Cold water/food
-Take old brown rice, soup of moong dal, black grapes, cow’s or goat milk, garlic, lukewarm water to drink, black pepper, dried ginger, honey.

3. it could probably be a bacterial infection, seasonal allergy or acute bronchitis, thus following should be your approach:

i. check with a Chest specialist [pulmonologist] for necessary examination and investigations like
. Hb%, WBC for eosinophilia
. X-ray chest for TB, Pneumonia
. If other investigations are normal, HIV test [as routine]

ii. The choice of antibiotic will vary from doctor to doctor, and from locality to locality, till then

- maintain good oral hygiene, rinse your mouth after every meal, avoid smoking, tobacco chewing.
- Take mainly soft diet - rice, chapati, or phulka, with nonspicy vegetables.
- Avoid fried foods like wada, samosa, dosa, pakodas, papad,namkeen and potato chips, avoid hotel food.
. Do not take any cold drinks, cold water, ice cream, chilled food from the refrigerator.
. Avoid sour fruits like citrus fruits, grapes, take sweet fruits- bananas, papaya
. Steam Inhalation and warm salt water gargles.
. Cover the mouth while coughing (using hand or handkerchief) to prevent the spread of infection to other family members.
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How Can Chronic Cough And Chest Pain Be Treated?

** Thanks for contacting with your health concern 1. As the symptoms are there for a week [chronic], thus following should be your approach: . because you are suffering from an upper respiratory problem [sinusitis] thus consultation with an ENT physician is essential. PS. CT scan of the sinuses can help confirm the diagnosis. 2. It could be deduced that with symptoms of a headache and earache the pathology might have changed into chronic rhinosinusitis, so consultation with an otolaryngologist is essential, till then: - steam inhalation to help loosen thick mucus. - regular nasal rinses. - Avoid heavy, slimy and acidic food, curd, mustard oil, excess physical exertion, sunlight-dust areas, exposure to strong winds, day sleeping, smoking, potato, green leafy vegetables. Cold water/food -Take old brown rice, soup of moong dal, black grapes, cow’s or goat milk, garlic, lukewarm water to drink, black pepper, dried ginger, honey. 3. it could probably be a bacterial infection, seasonal allergy or acute bronchitis, thus following should be your approach: i. check with a Chest specialist [pulmonologist] for necessary examination and investigations like . Hb%, WBC for eosinophilia . X-ray chest for TB, Pneumonia . If other investigations are normal, HIV test [as routine] ii. The choice of antibiotic will vary from doctor to doctor, and from locality to locality, till then - maintain good oral hygiene, rinse your mouth after every meal, avoid smoking, tobacco chewing. - Take mainly soft diet - rice, chapati, or phulka, with nonspicy vegetables. - Avoid fried foods like wada, samosa, dosa, pakodas, papad,namkeen and potato chips, avoid hotel food. . Do not take any cold drinks, cold water, ice cream, chilled food from the refrigerator. . Avoid sour fruits like citrus fruits, grapes, take sweet fruits- bananas, papaya . Steam Inhalation and warm salt water gargles. . Cover the mouth while coughing (using hand or handkerchief) to prevent the spread of infection to other family members.