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Dr. D. Love
Dr. D. Love, Doctor
Category: Medical
Satisfied Customers: 17552
Experience:  Family Physician for 10 years; Hospital Medical Director for 10 years.
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I have had a cough on and off since December. Wheezes

Customer Question

Customer: I have had a cough on and off since December. Wheezes crackles heard on stethoscope -enough reduced air entry to warrant emergency nebuliser. Still have a sort of bronchial cough and severe left arm pain. Bleeding on blowing nose and when cough at times. 2 courses of doxycycline and steroids. Help,please
JA: Thanks. Can you give me any more details about your issue?
Customer: No-above is it I think Oh-have inhalers of 100 x2x2times a day
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Submitted: 11 months ago.
Category: Medical
Expert:  Dr. D. Love replied 11 months ago.

Hello from JustAnswer.

Did your doctor check a chest x-ray?

Were the steroids inhaled steroids or oral steroids?

Expert:  Dr. D. Love replied 11 months ago.

I had asked for some additional information and have not heard back.

Statistically, this is most likely a bronchitis, and possibly an asthmatic bronchitis. However, if a chest x-ray has not been done, it would be appropriate to do so to exclude any underlying pneumonia.

If it is an asthmatic bronchitis, there are a couple of options for treatment. It would be reasonable to try a different antibiotic than the doxycycline, and the most commonly used antibiotic would be azithromycin. If the steroids were inhaled steroids, it would be appropriate to use systemic steroids, possibly with an injection followed by oral steroids. If oral steroids have already been tried, then there are some other inhalers that can be added, such as tiotropium. It also would be reasonable to use a long acting beta agonist, such as salmeterol.

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