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Family Physician
Family Physician, Doctor
Category: Medical
Satisfied Customers: 2592
Experience:  Emergency Medicine and Family Practice for over 26 years
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I have had this cough for almost 4 weeks and I have tried

Customer Question

I have had this cough for almost 4 weeks and I have tried many home remedies like lemon juice and honey, but nothing works. I am coughing up clear flym nothing yellow from my sinus or coughing.
JA: How long have you been dealing with the cough? Are you having any other symptoms?
Customer: I do not have a temp., my blood pressure is normal, and i"m just coughing up this clear stuff.
JA: Anything else in your medical history you think the doctor should know?
Customer: I do have high BP mostly in the 140/68 and pulse 68-80. I am 95 yrs old and very active - still driving - overall health good.
Submitted: 4 months ago.
Category: Medical
Expert:  Dr. Captain replied 4 months ago.


Welcome to the question/answer interface.

I am a Family Medicine doctor, board certified with active licenses and certification in Internal Medicine, Pediatrics, Obstetrics and Gynecology, as well as Integrative Medicine & Naturopathy, with advanced training in Neurology, Cardiovascular Medicine, Gastroenterology, Endocrinology, and Psychiatry. I am also well-trained in Functional Medicine. — For your review, here is my direct link with my current ratings:

— I have read your post and observations. Would you prefer a summary response to your question, or would you prefer more back-and-forth, where there will be a series of more questions and more details clarified? There is no difference in charges for your preference. You can continue to ask questions and receive answers without additional charges.

Either way, the goal is for your satisfaction, and I’ll do my best to take the appropriate time to help you.

— In case you were not aware, there is no charge for the time it takes for us to reach an answer that meets your satisfaction. I generally try not to rush any answers, and I hope you will not feel rushed either.

Expert:  Dr. Captain replied 4 months ago.

Is your preference for suggestions that may help you, with respect to medication options? Would you like non-medication options?

Customer: replied 4 months ago.
Expert:  Dr. Captain replied 4 months ago.

Anti-Inflammatories (treat pain and fever, systemic response)

  • ¥ Ibuprofen 200mg (Motrin, Advil, Ibuprofen); with food
  • ¥ Naproxen sodium 220mg (Aleve);
  • ¥ Acetaminophen 650mg, 500mg (Tylenol, Acephen, Pharbetol, Valorin, Q-pap)
  • ¥ Aspirin (Ascriptin, Bayer, Ecotrin)
Expert:  Dr. Captain replied 4 months ago.

Anti-Allergy Nasal Sprays (treat nose irritation/stuffiness)

  • ¥ Nasacort Allergy 24HR (triamcinolone acetonide 55mcg/spray) Two sprays (110 mcg) in each nostril once daily, reduce to 1 spray once symptoms controlled.
  • ¥ Nasalcrom (cromolyn sodium 5.2mg) 1 dspray in each nostril 3-4 times/day, up to 6 times/day. May require 2-4 weeks
Expert:  Dr. Captain replied 4 months ago.

Alpha-/Beta-Adrenergic Agonists (Treat congestion)

  • ¥ Phenylephrine (Non-Pseudo Sinus, Sudafed PE) 10mg; every 4 hr as needed for < 7 days (Max 60mg/24 hours)
  • ¥ Pseudoephedrine (Silfedrine, Sudafed, Zephrex); 60mg every 4-6 hours; Max 240mg/24 hours)
Expert:  Dr. Captain replied 4 months ago.

Antihistamines, Non-sedating (systemic treatment for allergic responses)

  • ¥ Loratadine 10mg (Claritin, Alavert) 10mg once daily or 5mg twice daily
  • ¥ Fexofenadine 60mg, 180mg (Allegra) 60mg twice daily or 180mg once daily
  • ¥ Cetirizine 10mg (Zyrtec) 5 to 10mg once daily; Max 10mg daily

Mucolytics, Expectorants (treat cough, thin mucous)

  • ¥ Guaifenesin/Dextromethorphan (Robitussin, Mucinex, Delsym, etc)
  • ¥ Acetylcysteine, Benzonatate
  • ¥ Lemon, Honey, Liquorice, Sage tea, Horehound, Eucalyptus, Cayenne, Garlic
Expert:  Dr. Captain replied 4 months ago.

Symptomatic Relief (treat throat irritation)

  • ¥ Lozenges (Vicks, Halls, Ricola, Vitamin-C, Cepastat, Menthol, etc)
  • ¥ Chloraseptic spray
  • ¥ Warm tea (Green tea, Throat Coat tea), Honey
  • ¥ Popsicles, ice chips, frozen smoothie drinks, cold liquids
  • ¥ Gargle mouth/throat with mouthwash x 2 minutes
  • ¥ Maalox, Mylanta, Tums; take 10-20 mL 4 times daily (Max 40mL per 24 hours)

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