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Have had severe congestion, non- productive cough, stuffed…

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Have had severe congestion...

Have had severe congestion, non- productive cough, stuffed up nose and cannot breathe. Also chest tightness, sore throat and malaise. This has been going on for a week with no improvement. I’m taking a generic Mucinrx for these symptoms with no relief -any suggestions or advice? Had a flu shot app I week ago

Doctor's Assistant: How long have you had the symptoms? Do you have a fever?

Symptoms app 1 week. No fever that I know of but even with severe sinus infections I never have a fever

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

Have recently (last Wed) been put on FMLA for chronic migraines

Submitted: 6 months ago.Category: Medical
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Answered in 2 minutes by:
12/27/2017
Doctor: Dr. David, Board Certified Physician replied 6 months ago
Dr. David
Dr. David, Board Certified Physician
Category: Medical
Satisfied Customers: 49,910
Experience: Experienced Physician trained in New York City. I'm ready to help.
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Hello, this is Dr. David. I am reviewing your question now and will be with you momentarily.

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Doctor: Dr. David, Board Certified Physician replied 6 months ago

I am sorry you are having these symptoms.

how old are you?

have you tried any sudafed 30-60mg and benadryl 25-50mg at night time to help you sleep

you need to sleep to fight viral infections.

are you using things like afrin nasal spray?

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Customer reply replied 6 months ago
Can’t take Sudanese because of HBP. Take Benadryl every Night. Nasal spray has made sore throat worse because of drainage. I am 63 yrs old
Doctor: Vakul Aren, Doctor replied 6 months ago
Vakul Aren
Vakul Aren, Doctor
Category: Medical
Satisfied Customers: 4,618
Experience: MBBS,DTM&H,38 years of experience
Verified

Hello,I am Dr. Aren and i will help with your query.Chronic nasal congestion with post nasal drip(PND),chronic pharyngitis and blocked nose is quite commonin the lederly.This is usually secondary to-

1.Allergy to environmental pollen,pet dander,dust mites and other allergens.

2,vasomotor rhinitis.This is common in older patients and is thought to be secondary to autonomic disorders.

3.Gustatory rhinitis.Response to spicy foods ,alcohol,cold foods and food allergy.

4.Medication induced- drugs like alpha and beta-blockers ,ACE inhibitors ,antipsychotics and others..

Atrophic Rhinitis-thickened and persistent mucus with altered air flow secondary to age related changes.

Identification of the exact cause and a detailed examination andreview by your PCP/Physician and ENT specialist will be needed.

You may need to use a air purifier/humidifier around the house,avoid strong smells,pollen animal dander and smoke.Use of saline to irrigate and clear the nostrils will help.The use of nonsedating antiallergics like Fexofenadine/Allegra and Loratidine/Claritin ,use of nasal steroid sprays like Fluticasone and antihistamines like Azelastine and Cromolyn sodium will help.Useof leukotriene inhibitors like monteleukast /Montair will also be useful.Fibreoptic Endoscopic Sinus Studiies to assess the sinuses and clearing any blocked sinuses will help.Use of humidifiers ,local nasal moisturisers will help.Keeping a food diary and use of intranasal steroids and intranasal ipratropium may help.Immunotherapy may be needed.

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