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What causes wheezing and cough in an asthmatic patient?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Divya Banu M

Published At June 17, 2020
Reviewed AtJuly 6, 2023

Patient's Query

Hello doctor,

Wheezing, mild sputum, cough for the last five days, asthmatic patient and weather change happening. Please advise.

Hello,

Welcome to icliniq.com.

I understand you have wheezing and a productive cough for the past 5 days. You are likely having an acute exacerbation of asthma. It could have been triggered by viral infection, cold environment, allergens such as pollen, dust, strong odor, etc. I would also love to know if you had a fever, runny nose or currently having chest pain or shortness of breath? Any contact with a suspected or confirmed COVID-19 positive patient? (due to the current pandemic), color of sputum, is sputum bloody? How many episodes of same complaints you have had recently? Kindly, revert back. Thank you.

Investigations to be done

Investigations to be done are Chest X-ray COVID 19 screening

Differential diagnosis

The differential diagnosis -Acute upper respiratory tract infection

-Community acquired Pneumonia

Probable diagnosis

The probable diagnosis is an acute exacerbation of asthma.

Treatment plan

I would suggest you use - Prednisolone tablets 10 mg, 3 times a day for a week - Continue with the Levolin inhaler 2 puffs whenever needed and Allegra M, 1 tablet per day - If symptoms persist, you will have to use a nebulizer if available or in a nearby hospital

Preventive measures

The preventive measures are to identify and avoid triggers like cold temperatures, pollen, dust, strong odors, etc.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Nnaedozie Umeani
Dr. Nnaedozie Umeani

General Practitioner

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