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Question for OT docs, PAs, NPs and Nurses (NSFW)

Posted on 10/10/18 at 8:43 am
Posted by Will Cover
St. Louis, MO
Member since Mar 2007
38511 posts
Posted on 10/10/18 at 8:43 am
My friend, Phil was recently diagnosed with acute bronchitis. He's been to the doctor twice since last Thursday. He told me that he has already taken one round of antibiotics, cough suppressant (at night to help sleep - you can hear his breathing), breathing treatment, air inhaler and a steroid shot.

He went back to the doctor (different one) on Monday. She gave him a breathing treatment, told him to continue using air inhaler, cough suppressant (at night to help him sleep - you can hear his breathing), cough expectorant, and a steroid pack (to be taken over next 6 days).

His symptoms include, coughing (obviously), ears popping, congestion, dripping like a faucet (when not congested) and sneezing. Here's his question.

When he coughs, it continues to be "dry" as in not productive. At what point, if any, should he start to see any phlegm or mucus? By seeing this, would this indicate that the infection is breaking up -- and thus his coughing is then more productive? Or can it just go away without having to see the green? I told him to ask his doctor but he is very shy, similar to Punxsutawney Phil.

Phil thanks you. Here is his gift to you for helping.






This post was edited on 10/10/18 at 8:45 am
Posted by Hawgnsincebirth55
Gods country
Member since Sep 2016
16009 posts
Posted on 10/10/18 at 8:45 am to
That's all suitable for work. Do better
Posted by Will Cover
St. Louis, MO
Member since Mar 2007
38511 posts
Posted on 10/10/18 at 8:49 am to
quote:

That's all suitable for work. Do better




Posted by Nado Jenkins83
Land of the Free
Member since Nov 2012
59599 posts
Posted on 10/10/18 at 8:52 am to
LINK

Only fix I know
Posted by LSUwag
Florida man
Member since Jan 2007
17319 posts
Posted on 10/10/18 at 8:59 am to
Quit smoking and that shite will go away.
Posted by Will Cover
St. Louis, MO
Member since Mar 2007
38511 posts
Posted on 10/10/18 at 9:05 am to
quote:

Quit smoking and that shite will go away.


Phil doesn't smoke.
Posted by LSU alum wannabe
Katy, TX
Member since Jan 2004
26964 posts
Posted on 10/10/18 at 9:11 am to
It lingers and doesn’t produce sputum, sounds viral.

Or he has asthma? History of asthma even as a child? How old is he?
Posted by CoachChappy
Member since May 2013
32510 posts
Posted on 10/10/18 at 9:13 am to
Has he tried mucinex? That stuff works for me every time.
Posted by Will Cover
St. Louis, MO
Member since Mar 2007
38511 posts
Posted on 10/10/18 at 9:19 am to
quote:

It lingers and doesn’t produce sputum, sounds viral.


I believe it initially started as a sinus infection or something similar that wasn't addressed, with the exception of taking Mucinex (OTC) and a nasal spray. This was approximately 4 to 5 weeks ago. I think it evolved into bronchitis. But I am not a doctor.

quote:

Or he has asthma? History of asthma even as a child? How old is he?


No asthma. No history of asthma. Lower 40's but has a birthday coming up, which reminds me I need to make a note on my calendar.

Posted by Happygilmore
Happy Place
Member since Mar 2009
1810 posts
Posted on 10/10/18 at 9:20 am to
she's always reminded me of ali landry
Posted by LEASTBAY
Member since Aug 2007
14263 posts
Posted on 10/10/18 at 9:20 am to
Gonna take a month total or so. The cough will gradually get better over time. Now take steroid pack and cough syrup to help with symptoms and wait it out.
Posted by Will Cover
St. Louis, MO
Member since Mar 2007
38511 posts
Posted on 10/10/18 at 9:21 am to
quote:

Has he tried mucinex? That stuff works for me every time.


Yes, see previous post. Went through an entire bottle (OTC).

He tells me it never "broke" up anything when he took it.

FWIW, he says his cough is "deep" inside his chest / lungs. To the point, where he aches from coughing so much --- and it continues to be dry. Even when blowing his nose, it is clear.
Posted by Will Cover
St. Louis, MO
Member since Mar 2007
38511 posts
Posted on 10/10/18 at 9:22 am to
quote:

ali landry


Beautiful lady.

Didn't she date or marry this guy?


Posted by CoachChappy
Member since May 2013
32510 posts
Posted on 10/10/18 at 9:23 am to
quote:

FWIW, he says his cough is "deep" inside his chest / lungs. To the point, where he aches from coughing so much --- and it continues to be dry. Even when blowing his nose, it is clear.


He needs a specialist. He might have pneumonia
Posted by Will Cover
St. Louis, MO
Member since Mar 2007
38511 posts
Posted on 10/10/18 at 9:23 am to
quote:

Gonna take a month total or so. The cough will gradually get better over time. Now take steroid pack and cough syrup to help with symptoms and wait it out.


It sucks that what started out as something simple --- can be such a PIA. But, by comparison to other worse infections or diseases, this is simple as well.

Just really a big inconvenience.


Posted by Will Cover
St. Louis, MO
Member since Mar 2007
38511 posts
Posted on 10/10/18 at 9:24 am to
quote:

He needs a specialist. He might have pneumonia



Is there a certain person that one would recommend in the BR area?

And for those of you who have had it, how does one diagnose pneumonia? Is the treatment the same, i.e. antibiotics and steroid pack?
Posted by whoisnickdoobs
Lafayette
Member since Apr 2012
9352 posts
Posted on 10/10/18 at 9:25 am to
Posted by hob
Member since Dec 2017
2126 posts
Posted on 10/10/18 at 9:28 am to
quote:

Didn't she date or marry this guy?


Mario Lopez. Stupidest Man on Earth.
Posted by High C
viewing the fall....
Member since Nov 2012
53717 posts
Posted on 10/10/18 at 10:23 am to
quote:

sputum


Posted by Coatesbathroom
Baton Rouge
Member since Dec 2012
131 posts
Posted on 10/10/18 at 10:47 am to
The difference between pneumonia and bronchitis is on a chest xray there is a consolidation in the lung fields. Without a chest xray pneumonia cannot be diagnosed. A change in the type of cough does not necessarily correlate with pneumonia vs bronchitis.
Do you know what type antibiotic was started? Was it a macrolide or doxycycline?
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