HomeAnswersGeneral Medicinedry coughI have a tickly dry cough and nasal congestion. Kindly help.

I have tickly dry cough and nasal congestion. Please suggest a medicine.

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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.

Medically reviewed by

iCliniq medical review team

Published At February 17, 2018
Reviewed AtFebruary 12, 2024

Patient's Query

Hello doctor,

I have a tickly dry cough since yesterday and some nasal congestion. Please suggest me a suitable medicine as I have to go for a vacation.

Hello,

Welcome to icliniq.com.

It is likely a viral infection of the throat and nose. At present, you should have betadine gargles four times a day and tablet Allegra (Fexofenadine) 120 mg once a day for three to four days for nasal congestion. For cough, you can have syrup Alex (Chlorpheniramine, Phenylephrine, Paracetamol, and Caffeine) two teaspoons whenever needed up to three times a day. Avoid cold food items.

If you develop fever or body aches I suggest you can have tablet Paracetamol 500 mg whenever needed up to three times a day. If your problem persists more than two to three days, then you should also have antibiotics like tablet Azithromycin 500 mg once a day along with some antacid like tablet Pantoprazole 40 mg before breakfast once a day for five days. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent.

Hope this helps you and get back if you have any doubts.

Patient's Query

Thank you doctor,

The fever started the same night when I messaged you around 99.5 to 100.5 range and it is not breaking. Cough and cold are worse. Should I start with the antibiotic today or continue with just Crocin and Allegra? Please suggest me an antibiotic which does not lose my stomach as this happens with me generally when I take an antibiotic.

Hello,

Welcome back to icliniq.com.

Yes, you should begin now. You can have the tablets Azithromycin and Pantoprazole, which I suggested in the previous discussion. Also, do gargles as advised. All the best.

Patient's Query

Hello doctor,

After the first dosage of Azithromycin today within two hours I have started getting loose watery stools two to three times. Please suggest me some other alternative antibiotic which does not cause diarrhea.

Hello,

Welcome back to icliniq.com.

I suggest having tablet Cefuroxime 250 mg twice a day for five days. You may also have capsule Vizylac thrice a day which is probiotic to prevent diarrhea till you are on antibiotics. Continue having Pantoprazole with this also. This diarrhea should settle after you stop the antibiotics, it stimulates bowel receptors and increased bowel movements in some patients.

All the best.

Patient's Query

Hello doctor,

I am continuing with Azithromycin third day today. The day before yesterday fever was around 101-102.5. Yesterday it improved to 99-100.5. Taking three Crocins doctor. My nose is heavily blocked. So, using Otrivin SOS. Cough is still there. Should I go for some blood tests tomorrow or just continue with the antibiotic. Total fever days five to six days.

Hello,

Welcome back to icliniq.com.

I personally do not think any need of blood test as of now as we already know the cause of fever, that is, upper respiratory tract infection, and also it is improving. I suggest Crocin if fever is above 100. You can use Otrivin. So just continue antibiotics for a total of five days. All the best.

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

Dr. Sagar Ramesh Makode
Dr. Sagar Ramesh Makode

Cardiology

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