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What is causing cough with heavy chest and raised platelets?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I am a 30-year-old female (weight 143.30 lb, height 5’4"). I was having a cough with heavy chest (possibly due to sputum as I threw up with sputum a couple of times also). I was prescribed Co-amoxiclav 375 mg TID but as it did not help in three days, the doctor switched to Zinacef for seven days. My erythrocyte sedimentation rate (ESR) was 60 in the first five days and today it is the tenth day and ESR is 98. Also, my platelets have risen to 457, monocytes 19 % and WBC 13.2 %. Also, I get fever occasionally and I am taking Paracetamol which works. The cough is a bit better but I feel too down and tired. Please guide.
Answered by Dr. Prabhu Prasad N C

Education:

MD Pulmonary medicine DNB(Respiratory medicine)Fellowship in pulm/crit care(CMC,Vellore)

Professional Bio:

Dr. Prabhu Prasad N. C is a Consultant Pulmonologist with a decade of wide-ranging experience in Pulmonology. He has expertise in treating critically ill patients with Acute and Chronic Respiratory Failure, including patients with Non-Invasive Ventilation and Patients with Diffuse Parenchymal Lung Disease, with extensive years of clinical experience. He is well-experienced in Interventional bronchoscopic and Thoracoscopic procedures and real-time ultrasound-guided pleural interventions. He specializes in Interventional Pulmonology, Respiratory Critical care, Respiratory Sleep Disorders, and Respiratory Allergy.

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Hello,

Welcome to icliniq.com. Looking at your complaints and reports, you might be suffering from lower respiratory tract infection (attachment removed to protect patient identity). Kindly do the following tests and do get me back with chest X-ray posteroanterior (PA) view sputum for acid-fast bacillus (AFB), gram stain and culture. The medication that you received looked very small dose for your age. You might start tablet Amoxiclav 1 gm twice daily for seven days, tablet Levoflox 500 once daily for seven days till you get the reports. Get well soon.

Medically reviewed by iCliniq medical review team
Published At February 11, 2019
Reviewed At July 6, 2023

Education:

MD Pulmonary medicine DNB(Respiratory medicine)Fellowship in pulm/crit care(CMC,Vellore)

Professional Bio:

Dr. Prabhu Prasad N. C is a Consultant Pulmonologist with a decade of wide-ranging experience in Pulmonology. He has expertise in treating critically ill patients with Acute and Chronic Respiratory Failure, including patients with Non-Invasive Ventilation and Patients with Diffuse Parenchymal Lung Disease, with extensive years of clinical experience. He is well-experienced in Interventional bronchoscopic and Thoracoscopic procedures and real-time ultrasound-guided pleural interventions. He specializes in Interventional Pulmonology, Respiratory Critical care, Respiratory Sleep Disorders, and Respiratory Allergy.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

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

Dr. Prabhu Prasad N C
Dr. Prabhu Prasad N C

Pulmonology (Asthma Doctors)

Education:

MD Pulmonary medicine DNB(Respiratory medicine)Fellowship in pulm/crit care(CMC,Vellore)

Professional Bio:

Dr. Prabhu Prasad N. C is a Consultant Pulmonologist with a decade of wide-ranging experience in Pulmonology. He has expertise in treating critically ill patients with Acute and Chronic Respiratory Failure, including patients with Non-Invasive Ventilation and Patients with Diffuse Parenchymal Lung Disease, with extensive years of clinical experience. He is well-experienced in Interventional bronchoscopic and Thoracoscopic procedures and real-time ultrasound-guided pleural interventions. He specializes in Interventional Pulmonology, Respiratory Critical care, Respiratory Sleep Disorders, and Respiratory Allergy.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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