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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What To Do Continuous Cough, Fever And Back Pain?

doctor, please help me. i'm a 16 year old highschool student. i'm suffering from coughing for 2 weeks now and it's getting worse, i'm getting high fever it goes down but it comes back the next day and its been on for 5 days now. i also have back pain whenever i stand up too long. please help meee T_________T
Mon, 1 Sep 2014
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  User's Response
Hi, thanks for posting your concern in the HCM.
I think you have got lower respiratory tract infection or pneumonia.
This can be serious if prompt management is not done. Therefore, you should immediately consult a chest physicians for further evaluation and treatment.
I usually give following advice to my patients with pneumonia, without any complication-
Blood test for complete blood count, urea, creatinine, electrolytes, CRP
Sputum for gram stain and AFB
Chest Xray PA
Tab Paracetamol 500 mg SOS for fever, min. 6 hr interval between 2 doses
Tab Co-amoxyclav 625 mg twice daily for 5 days after sending sputum for examination.
Depending upon how complicated your disease is, you may need hospitalization and intravenous antibiotics.
Further medications may be needed depending upon the symptoms.
For cough, Syr Ambroxol 2 tar twice daily for 3 days.
Bronchdilators may be needed if there is severe shortness of breath and spasm.
You should also start having steam inhalation twice daily.
But, please consult your local chest physician at the earliest.
For any further questions, please write back.
Regards,
Dr. Kaushik
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What To Do Continuous Cough, Fever And Back Pain?

Hi, thanks for posting your concern in the HCM. I think you have got lower respiratory tract infection or pneumonia. This can be serious if prompt management is not done. Therefore, you should immediately consult a chest physicians for further evaluation and treatment. I usually give following advice to my patients with pneumonia, without any complication- Blood test for complete blood count, urea, creatinine, electrolytes, CRP Sputum for gram stain and AFB Chest Xray PA Tab Paracetamol 500 mg SOS for fever, min. 6 hr interval between 2 doses Tab Co-amoxyclav 625 mg twice daily for 5 days after sending sputum for examination. Depending upon how complicated your disease is, you may need hospitalization and intravenous antibiotics. Further medications may be needed depending upon the symptoms. For cough, Syr Ambroxol 2 tar twice daily for 3 days. Bronchdilators may be needed if there is severe shortness of breath and spasm. You should also start having steam inhalation twice daily. But, please consult your local chest physician at the earliest. For any further questions, please write back. Regards, Dr. Kaushik