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Why is there a severe cough after COVID recovery with no other associated COVID symptoms?

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

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Published At April 29, 2022
Reviewed AtAugust 30, 2023

Patient's Query

Hi doctor,

My family member is having a severe cough with thick mucous for the last 20 days, have tried different medications, but there is no significant improvement. The medicine includes; cough syrup containing Dextromethorphan three times a day, tablet Lysomucil 600 mg (Acetylcysteine) in the morning, and tablet Paracodine before sleep. Also have started with inhalation with the mix of Budesonide 0.5 mg and Atrovent 0.5 mg two times a day, for the past two days. blood pressure (BP), blood sugar level, cholesterol level, Body temperature, and respiratory rates are normal. She has iron and vitamin D deficiency. In childhood had an allergic reaction to cats and was diagnosed with allergic asthma. But, it got resolved in childhood, and she was never in need of asthma medicine. Was tested positive for COVID two months ago, and it got resolved, but this cough started approximately 20 days ago with no other associated COVID symptoms. Please help.

Hi,

Welcome to icliniq.com. I understand your concern. According to your statement, the patient has been suffering from severe cough for the last 20 days and has had childhood allergic asthma. As the patient has a history of allergic asthma, it will be wise to find out the triggering factors like dust, smoke, pollens, danders, mites, animal furs, food allergens, chemical irritants, and many more which may aggravate her cough status. In the case of triggering factors, removing triggering factors will improve her symptoms. Again, her severe cough may be derived from a side effect or consequence of her previous COVID infection. Vitamin D deficiency and low iron status may decrease one's body's immunity, delay recovery from diseases, and make one more prone to developing diseases. Therefore, correcting her deficiencies like vitamin D and iron may help to improve her cough status. Again, the color of her sputum is also essential. Yellowish, greenish, or rusty sputum may indicate the presence of respiratory tract infection. So, in such cases, antibiotics will be beneficial to subside the infection and improve cough status. I suggest the patient undergo some investigations like chest X-ray or HRCT (high-resolution computed tomography), chest, pulmonary function tests, skin prick test, or RAST (radioallergosorbent test) test, which help to find out the exact causes of her cough status and then treat them accordingly. In the meantime, I suggest she can take Levosalbutamol syrup, tablet Fexofenadine, tablet Montelukast, tablet Doxophylline and steroid to improve her present cough status. I hope this helps.

Patient's Query

Hi doctor,

Thank you for your reply. I have now consulted with the patient. She has yellowish-greenish sputum. Please suggest which antibiotics to take, their dose, and duration. And you wrote; In the meantime, she can take Levosalbutamol syrup, tablet Fexofenadine, tablet Montelukast, tablet Doxophylline and steroid to improve her present cough status. Should the patient take these medications, as mentioned earlier, in addition to antibiotics, or what is best to do? Please suggest a precise dosage of recommended medications and duration. Thank you

Hi,

Welcome back to icliniq.com. I understand your concern. According to your patient's statement, her color of sputum is yellowish greenish, which may indicate the presence of any respiratory infection. So, I suggest antibiotics like Azithromycin can be used to subside her present condition. I suggest the patient can take the medications as follows. 1. Tablet Zithrox 500 mg (Azithromycin 500 mg), once at night for seven days. 2. Tablet Allegra 120 mg (Fexofenadine 120 mg), once at night for seven days. 3. Tablet Singulair 10 mg (Montelukast 10 mg), once at night for one month. 4. Tablet Doxophylline 200 mg, once at night after meal for one month. 5. Tablet Prednisone 5 mg, once at morning after breakfast for five days. Hopefully, the treatment mentioned above will help subside her present cough status. Let me know if I can assist you further.

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

Dr. Muhammad Zubayer Alam
Dr. Muhammad Zubayer Alam

Pulmonology (Asthma Doctors)

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