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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.

Hello!

Welcome to the JustAnswer.com 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: http://www.justanswer.com/medical/expert-familydoctor/

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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.
medications
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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