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Cough(suptum)
Sir, I had malaria (P. vivax) in September. After completing the treatment, I was tested again, and the results showed that the malaria was negative and my RBC count was normal.
However, I continued to experience significant dizziness and a sensation of internal body vibrations, similar to shivering. Around November, I also developed a persistent cough.
I became concerned and consulted a doctor. A chest X-ray was done, and it came back normal. The doctor suspected sinusitis and prescribed medications including levocetirizine, antibiotics, and a nasal spray. I took them for about 15 days, and the cough improved somewhat but did not completely go away, so I eventually stopped the medications.
Now it has been about 7–8 months, and I still produce mucus/phlegm regularly. I spit out mucus around 15–30 times a day. I often feel that the mucus is draining from my nose into my throat and then into my mouth.
Yesterday, I noticed blood in my sputum/phlegm, including a small clot-like structure
Answers (20)
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Can help you with the next course of action and treatment plan. Kindly consult via whatsapp at nine zero two nine six zero zero four seven zero.
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Get blood picture and consult for further evaluation
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Get t.b. gold antigen test done. Share results.
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Need few more details for proper understanding of your issue.
You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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SPUTUM COMPLETE N MICROSCOPIC ZEIL NELSON STAINING.
TAB AB PHYLLINSR200 TWO TIMES AFTER FOOD FOR FIVE DAYS OR AS REQUIRED.
AMBRODIL S SYR5 ML TWICE N 10ML AT NIGHT FOR 7 DAYS.
AUGMENTINE DUO625 THREE TIMES A DAY AFTER FOOD FOR 7 DAYS.
ZERODOL SP THREE TIMES A DAY AFTER FOOD FOR FIVE DAYS.
MONTEK LC ONE AT NIGHT AFTER DINNER FOR 7 DAYS. NO COLD THINGS.
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Immediately do a Sputum examination for AFB.
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Persistent mucus production for 7-8 months with post-nasal drip after a chest X-ray came back normal suggests chronic upper airway cough syndrome (post-nasal drip) or chronic sinusitis as the most likely cause. However, a productive cough lasting this long also warrants ruling out tuberculosis â TB can occur in people whose immunity was stressed by an illness like malaria, and a normal chest X-ray does not fully exclude it.
Next Steps
Please see a pulmonologist or ENT specialist. Get a sputum test for AFB/TB culture and a sinus CT scan done. Do not leave a 7-8 month cough undiagnosed. Please consult me directly on Practo for a detailed evaluation.
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The patient needs to understand that while his symptoms might still be caused by severe sinus drainage, spitting up blood clots is a symptom that cannot be self-managed or ignored. He should stop looking for over-the-counter remedies and present to a specialist clinic or hospital emergency department for an HRCT chest and sputum analysis to safely isolate and treat the source of the bleeding.
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Hi,
Proper evaluation and personalised advice are needed for your concern. A detailed consultation would be best to provide accurate guidance.
Feel free to consult me for further assistance.
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Sputum culture needed asap.blood in Sputum is not taking casually.you need to do test via cbnaat or general expert to ruled out any infection like TB.also caused by chronic bronchitis.
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Would have to take detailed history and evaluate to help further
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Take sputum culture and sensitivity
Sputum cbnaat
Chest x ray again
Do u have any symptoms low grade fever especially in the evening, recent weight loss
Needire relevant history
Next Steps
consult me through practo for proper evaluation and treatment
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Its infection
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal Walk
Do connect and consult
Will help you
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Dr. Sumit Verma
General Physician
5 yrs exp
Kanpur
For
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Sputum culture
Xray chest
Next Steps
Do consult
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