If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at nine one one nine two five five six nine nine. Alternatively, you can connect with me through the Practo app for a detailed consultation
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Hello,
Take Balanced diet which is mentioned below,
1/3 of food plate should contain bread ( or 4 roti ), pasta, potato and rice.
1/3 of food plate should contain fruits and vegetables.
1/9 of food plate should contain fish, meat, egg, beans and other non dairy sources of protein.
1/9 of food plate should contain milk and dairy foods.
1/9 of food plate should contain food and drink high in fat and/ or sugar.
plus a glass of milk daily.
For prescription contact me at WhatsApp at +91959508739nine or consult by practo app.
In future if consultations are required than contact me at WhatsApp at +91959508739nine or consult by practo app.
Thanks.
> Hello,
> For further consultation, detailed discussion and to share your reports / follow-up queries, you can consult me directly on my WhatsApp at *Nine Zero Four Four Five One One Two Nine Nine*.
Dry cough for two months needs evaluation, first don't take antibiotics.
Next Steps
do cbc esr chest xray sputum gene x pert and afb smear if at all you have sputum,
or else get sinusitis checked out, don't lie down after food for 2 hrs
Hello,
I am Dr. Romain Rajan, General Physician (Ex Govt Medical Officer at RML Hospital, New Delhi), and your case has been allotted to me.
Thank you for sharing your concern. A cough persisting for 2 months needs proper evaluation rather than repeated courses of antibiotics or cough syrup. Since azithromycin provided temporary relief but the cough has returned, an underlying cause may still be present. Common causes include post viral cough, allergy or post nasal drip, asthma, acid reflux and, depending on symptoms and risk factors, infections such as tuberculosis.
What you should do now
⢠Avoid taking another antibiotic without medical evaluation.
⢠Since the cough has persisted for around 8 weeks, a chest X ray and clinical examination are reasonable, with spirometry if asthma is suspected.
⢠Continue adequate hydration and avoid smoke, dust, perfumes and other obvious triggers.
⢠Grinlinctus may provide symptomatic relief, but it will not treat the underlying cause if one is present.
Consult a doctor promptly if
⢠Blood in sputum
⢠Breathlessness or chest pain
⢠Persistent fever or night sweats
⢠Unexplained weight loss
⢠Recurrent vomiting or worsening symptoms
Please share her age, whether the cough is dry or with phlegm, any fever, wheezing, acidity, weight loss, smoking exposure and any previous chest X ray reports. This will help narrow down the cause.
For personalised one to one consultation, you can reach out to me directly on WhatsApp at 80762047 three eight.
Wishing her good health and a speedy recovery.
Dr. Romain Rajan
General Physician
A cough persisting for 2 months despite a course of azithromycin should not be treated by repeatedly changing antibiotics without identifying the underlying cause. It can occur due to allergy/post-nasal drip, asthma or cough-variant asthma, acid reflux, post-infectious airway sensitivity, smoking/environmental exposure, or other respiratory conditions.
A detailed consultation with chest examination is advisable, and depending on the history, investigations such as chest X-ray and spirometry may be required. �
AAFP
Please consult me with details of the cough (dry or with sputum), whether it is worse at night or early morning, presence of wheezing/breathlessness, fever, acidity, nasal symptoms, smoking history and previous reports. This will help identify the likely cause and plan appropriate treatment rather than simply repeating antibiotics.
A kind request to you Ma'am, kindly restrain from self prescribing repeated antibiotics.
Since you are having cough for 2 months it is highly suggestive of some pulmonary pathologies and hence you need further evaluation. You have to run some tests like CXR, Sputum cultures (both bacteriological and fungal), Sputum for CBNAAT.
Kindly consult any general physician or pulmonologist after all the tests are done.
Next Steps
CXR PAV, Sputum for C/S, AFB, CBNAAT
CBC with ESR
Health Tips
Avoid Self prescribing any medicines without experts opinion
2 months of dry cough is a chronic cough. Consider post-nasal drip, asthma, or GERD. Chest X-ray and spirometry may be helpful. Avoid repeated antibiotics without evaluation.
Next Steps
Clinical examination followed by chest X-ray + spirometry.
Cough lasting longer than 2 months is chronic cough,causes are upper airway cough syndrome, reactive airway disease, gerd .Get your CBC,lung function tests chest x-ray, consult a pulmonologist in your area
If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at eight six one nine six six nine nine zero six. Alternatively, you can connect with me through the Practo app for a detailed consultation
Dont take those antibiotics unnecessarily
Would be better if u consult and let me know if there are other symptoms as well like acid reflux or nasal blockage/ discharge , or weight loss ,or breathless ness or any other triggers like exercise, cold ,night time etc
As the cough has persisted for 2 months and keeps recurring, I would recommend that you consult me once. We can discuss your symptoms in detail and decide whether you need any tests such as a chest X-ray/PFT and what treatment would be appropriate.
Next Steps
You can continue Grilinctus for symptomatic relief.
Health Tips
TB has to be ruled out by taking a detailed history.
LONG DURATION DRY COUGH.
ADVISE
XRAY CHEST PA VIEW DIGITAL WITH REPORTING.
THROAT SWAB TEST.
RULE OUT SWINE FLU.
TAB CEFEXIM O200 TWO TIMES AFTER FOOD FOR FIVE DAYS.
ZERODOL SP THREE TIMES AFTER FOOD FOR FIVE DAYS. MONTEK LC ONE AT NIGHT AFTER DINNER FOR 5 DAYS.
CONTINUE GIRILINCTUS SYR 5ML TWICE N 10ML AT NIGHT.
Cough since months in this era is probably due to post infection brinchitis or cough variant asthma. Needs detailed history, place of living, occupation n labs
A cough recurring for 2 months needs evaluation, not repeated antibiotics or cough syrup. I would assess you for asthma/allergy, post-nasal drip, reflux and other chest causes, with examination and tests if needed. Please avoid self-medication and note any fever, breathlessness, wheezing, weight loss or smoking exposure. You can book a Practo consult with me or visit me at Synergy Multispeciality Hospital, Miraj.
Next Steps
Please arrange a clinical evaluation soon; seek urgent care if breathlessness, chest pain, high fever or blood in sputum develops.
8 weeks is considered chronic and should be evaluated properly
If you tell me whether the cough is dry or with sputum, any fever/weight loss/night sweats, wheezing, acidity, nasal symptoms, I can narrow down the most likely cause and further management
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
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