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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Cough, Tightness In Throat, Chest And Popping In Ears?

Hi, I was given a zpak and gnereic equivalent of cheratussin for an upper respiratory infection I have one day left for my zpak and the cough is still insane and there s a tightness in my throat/chest my ears re still popping it doesn t seem that the meds are working I took the cheratussin but I can t sleep because when I lay down everything gets tight and I begun to uncontrollably cough. Should I go back to the doctor s? And right now to sleep could I take Benadryl eventhough I just took 5ml of the cheratussin.
Mon, 29 Aug 2016
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General & Family Physician 's  Response
Hi welcome to HCM...

You are according to history having URTI like infection ...
But here bronchitis chance are more .

Your Work up needed with .....
-auscultation
-physical examination
-CBC (for eosinophila )
-Chest x ray (to look for consolidation )
-spirometry (for assessing severity of bronchitis if present )
-ASO titre
-sputum examination only if needed
-throat swab only if needed

Here in your case decongested can be given like benadryl..
Steam inhalation done three times a day

If pneumonic consolidation present suitable antibiotic needed

If bonchi constriction present from allergy than short term steroid or bronchodilator needed

Take care

Advise : Pulmonologist consultation for examination

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What Causes Cough, Tightness In Throat, Chest And Popping In Ears?

Hi welcome to HCM... You are according to history having URTI like infection ... But here bronchitis chance are more . Your Work up needed with ..... -auscultation -physical examination -CBC (for eosinophila ) -Chest x ray (to look for consolidation ) -spirometry (for assessing severity of bronchitis if present ) -ASO titre -sputum examination only if needed -throat swab only if needed Here in your case decongested can be given like benadryl.. Steam inhalation done three times a day If pneumonic consolidation present suitable antibiotic needed If bonchi constriction present from allergy than short term steroid or bronchodilator needed Take care Advise : Pulmonologist consultation for examination