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Extreme cough n fever
Blood test shows esr 64 I have cough n fever since sat had to.spit bulgum with every cough fit n fever goes till 102.6 I am having Augmentin duo 625 and mefart forte along with Rapitus LS and montair and sporlac since Sunday 3 days have been completed but I am not finding any relief first two days I use to feel.shivers n chills which has stopped but cough n fever still persist malaria is not there as blood test already done n bulgum is green in colour what needs to be done now to get rid of cough completely i have been drinking turmeric milk did gargle with warm water n salt applied vicks vapour rub but nothing seems to be working please help no running nose it's just high fever n cough with bulgum which is not irritating me help me I want to join work asap
Answers (15)
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Hi — I’ve gone through your detailed description carefully. You’re clearly going through a bacterial lower respiratory infection (likely acute bronchitis or early pneumonia) that hasn’t fully responded to your current medicines. Let me explain step by step so you can recover quickly and safely
What’s happening
The high ESR (64) and green sputum both point toward bacterial infection rather than viral.
Since you’ve already completed 3 days of Augmentin Duo 625 mg, the infection may be partially resistant or deeper in the bronchi/lungs.
The persistence of high fever (102.6°F) even after 3 days suggests we need to reassess and slightly upgrade the treatment plan.
Next step in treatment
1. Change/upgrade antibiotic:
Switch to Levofloxacin 500 mg once daily after food for 5 days (if no history of allergy) — this covers the most common resistant strains causing bronchitis and atypical pneumonia.
→ Stop Augmentin if you start this.
2. Continue symptomatic medicines:
Tab Montair (montelukast) – once at night.
Syrup Rapitus LS – 10 ml thrice daily after meals.
Sporlac DS – continue twice daily for gut protection.
3. Add anti-inflammatory & antipyretic:
Tab Paracetamol 650 mg every 6 hours if fever >100°F.
Tab Acebrophylline 100 mg twice daily (to reduce mucus & inflammation).
4. Supportive measures:
Steam inhalation 3 times/day.
Drink plenty of fluids, especially warm soups and water.
Avoid dust, cold air, and talking excessively — rest your lungs.
Tests you should do now
If possible, get:
Chest X-ray (PA view) → to rule out pneumonia.
CBC with differential count → to check WBC pattern.
CRP → to assess severity of inflammation.
When to seek urgent help
Persistent fever >101°F after 48 more hours
Breathlessness or chest heaviness
Rust-colored or blood-streaked sputum
These would need evaluation for pneumonia or secondary infection.
Reassurance
You don’t need to worry — this is a treatable condition, and with the right antibiotic adjustment and proper follow-up, you’ll recover completely within 5–7 days. Once fever settles, the cough will gradually improve over the next week.
Since you’re eager to get back to work, I can tailor your antibiotic and supportive therapy exactly as per your latest reports and symptoms.
You can message me directly on WhatsApp at nine three two six zero two zero five three six — send a picture of your blood reports and medicines you’re currently taking. I’ll review them and guide you with a fast-track recovery plan so you can safely resume work within a few days.
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Need few more details
Kindly connect.
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Continue the same treatment for 7 days.
Get repeat complete blood count, ESR, X ray chest, sputum for AFB, sputum culture and drug sensitivity done.
Share results with me online..
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CBC, ESR Repeat, AEC
Chest X Ray.
Tab Monticope A can be tried
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Continue treatment for 7 days
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Is there any history of Weight loss or loss of appetite in recent?
This might be Pulmonary and Extrapulmonary tuberculosis. Because given symptoms with raised ESR. Evening rise of temperature. This all points towards tuberculosis. You need to be investigated further. Get a Chest X-ray PA view done and then book a consult. We can plan your further management protocol.
Next Steps
Get Chest X-ray PA view done
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Stop meftal., montair
Add Zerodol sp3 times a day after food for five days.
Tab montek lc one at night for five days.
Nebulization with duoline n budecort respule two times for 5 days.
Ambrodil s syr5 ml twice n 10ml at night for five days.
Add luck warm water.
No fried, oily food, no sweet.
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If you want to discuss your problem in more detail, feel free to message me on Whats App at nine one one nine two five five six nine nine for free detailed discussion
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Need more history and symtomatology to properly evaluate your problem
Connect online
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Urti
Steam inhalation
Salt water gargling
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Dr. Manoj Kumar
General Physician
10 yrs exp
Dehradun
Need few more details
Kindly consult
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Dr. Aparna Narayanaswamy
General Practitioner
1 yrs exp
Kottayam
Kindly consult need more details. Seven seven 36 two seven 6 four 6 two
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