Download FREE Practo app
Get ₹200 HealthCash
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 (10)
Get your queries answered instantly with Care AI FREE
20000+ health queries resolved in last month
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.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Didn't find the answer you are looking for?
Talk to experienced doctor online and get your health questions answered in just 5 minutes.
+157
Immediately do a Sputum examination for AFB.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
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.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
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.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
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.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
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.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
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
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Dr. Sumit Verma
General Physician
5 yrs exp
Kanpur
For
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Sputum culture
Xray chest
Next Steps
Do consult
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Bharath N
Internal Medicine
5 yrs exp
Kolar
Would have to take detailed history and evaluate to help further
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Articles you may like
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.
The question asked on this page is a free question. You can ask a free health question by downloading the Practo app.
Articles you may like
Tell us what's troubling you
Tell us what's troubling you
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.