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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Chest Congestion And Crackling Breath Sounds Despite Taking Z-pack?

I m 38 yr old female with no previous medical history. Not on any medications. About 3-4 months ago I began having a random cough every so often along with crackling breath sounds (mostly at night). About 2 weeks ago I got sick....I went to the doctor after about 4 days of chest congestion, crazy cough, crackling breath sounds. No noticeable fever. Dr. Said I had severe bronchitis and believes I had it for awhile. My O2 sat at the appointment was 93%. He gave me ZPACK and albuterol nebulizer treatments for home. I finished the zpack....I feel much better. BUT the chest congestion and crackling breath sounds are still present. I can t sleep at night because of the sounds while breathing. I can occasionally spit up clear sputum. I have also taken mucinex without any notice of change. I finished the zpack about 3 days ago. What could this be? Do I need to go back to my doctor?
Wed, 4 May 2016
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General & Family Physician 's  Response
Hello,
Thank you for your query.

I've read through your query and believe that you still have some Residual bronchitis and bronchospasm.
I would :
-Clinical examine you for any crackles, chest Congestion
- get an x-ray of the chest
- treat you with Bronchodilator and relevant medications.

I recommend that you review with your physician to check for this.
If you are taking any other medications for other health issues, these need to be informed to your doctor to see if they cause bronchospasm (certain antihypertensive agents, for instance)

In the meantime, do steam inhalations thrice a day. Stay well hydrated. Drink an infusion of ginger, cumin, fennel seeds and honey (a teaspoon of each. And honey to taste. Have few sips every hour.

Hope this helps.
Please let me know if you have any further queries.
Wish you good health.
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What Causes Chest Congestion And Crackling Breath Sounds Despite Taking Z-pack?

Hello, Thank you for your query. I ve read through your query and believe that you still have some Residual bronchitis and bronchospasm. I would : -Clinical examine you for any crackles, chest Congestion - get an x-ray of the chest - treat you with Bronchodilator and relevant medications. I recommend that you review with your physician to check for this. If you are taking any other medications for other health issues, these need to be informed to your doctor to see if they cause bronchospasm (certain antihypertensive agents, for instance) In the meantime, do steam inhalations thrice a day. Stay well hydrated. Drink an infusion of ginger, cumin, fennel seeds and honey (a teaspoon of each. And honey to taste. Have few sips every hour. Hope this helps. Please let me know if you have any further queries. Wish you good health.