Discussions By Condition: I cannot get a diagnosis.

Persistent cough for the last two weeks or so, with sputum and difficulty breathing

Posted In: I cannot get a diagnosis. 6 Replies
  • Posted By: xyz123
  • July 1, 2007
  • 05:10 PM

Any ideas? For the last 2.5+ weeks, I've had a productive cough (the sputum is clear) with difficulty breathing after I cough really hard.

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6 Replies:

  • A couple ideas come to mind. First you should find out the source of the cough, through diagnostic testing, doesn't sound like Strep, but maybe its bactrial or viral. As for symptom relief I would highly suggest benzonatate, knwn far better by its trade name "Tessalon Perles". One, two, or three at most of them should numb your throat enough to reduce coughing and perhaps even help breathing. Also you might want to consider having a peak flow test done to check your breathing to see if an inhaler (albuterol or similar) might help (albuterol WILL induce a cough at high enough doses, so if you already havea cough thats productive, its likely to exaggerate both of those symptoms). More simply I would reccomend starting out with Claritin (loratadine) at a dosage of 20mg per day, two pills per day, since Claritin is fairly innocuous and if the issue is allergens, or even if it isn't, the Claritin, or similar drugs (zyrtec etc. but claritin is cheap and over the counter) might be a good first line. Of course first get this checked out by a docotr before you start on any of these meds since it could be a very simple condition with an easy resolution.Teddy
    randomness 16 Replies Flag this Response
  • Tessalon pearls are mucho expensive. Just an FYI.
    rad-skw 1605 Replies Flag this Response
  • Its probably seasonal allergies.
    Anonymous 42789 Replies Flag this Response
  • This does not sound like allergies. I would get a chest x-ray to check for possible pneumonia.
    Anonymous 42789 Replies Flag this Response
  • Sounds to me like you have a viral Bronchitis. I would have this checked out.
    Anonymous 42789 Replies Flag this Response
  • Richard Irwin, MD is considered by some to the the "guru" of chronic cough (cough >2 weeks duration). Most common causes are allergic rhinitis (allergies) and gastroesophageal reflux (a.k.a. GERD or GORD if you're British), sometimes a combination of both.
    aquila 1263 Replies Flag this Response
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