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HomeAnswersPediatric Allergy/Asthma SpecialistnebulizationShould I take antibiotics for postnasal drip and tickle cough?

I noticed some soap residue in my nebulizer while using it. Should I be concerned?

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 July 11, 2017
Reviewed AtDecember 6, 2023

Patient's Query

Hello doctor,

I have been using a Levalbuterol nebulizer for a cough. I accidentally had some soap residue left in the nebulizer, and I used it for a minute before realizing this. Should I be very concerned?

Hello,

Welcome to icliniq.com.

I do not think you should be worried about it, if it would have been in more concentration, your body would have reacted in the form of sneezing as a protective mechanism. You can continue nebulization, but be careful in the future, if the cough does not subside in a week to ten days, or is associated with fever or abnormal colored secretions or mucous, try consulting your physician.

Patient's Query

Hi doctor,

Thank you for the reply.

Six weeks ago, I had a cold, congestion, facial pain, scratchy throat, and post-nasal drip (common for me), lasting about a week. It then turned into a persistent dry tickle cough. I had coughing fits about 10 minutes long, which would sometimes turn into a wheezing sound. I went to the primary doctor, and she thought I had a virus. A week later, I went back to another primary doctor since I was not feeling better, and she prescribed a nose spray that insurance did not cover, so I did not get it.

I went to my asthma specialist the following week. She did a breathing spirometry test (score of 88 % last year's score had been 96 %). She listened to my lungs, and she felt they were clear. She did nebulizer treatment in the office and her score on the breathing test improved. She recommended Xopenex nebulizer 3 to 4 times a day. I was not feeling hugely better with chest tightness although, the coughing has lessened, so I went back to the allergist. She had done a spirometry test before I did the nebulizer treatment, and it increased to 93 % with almost no Xopenex in the system. The doctor gave me another nebulizer treatment in-office and had me repeat the test again, and no change was seen. She wants me to continue the Xopenex nebulizer for 7 to 10 days because I still have a post-nasal drip.

She wants to treat me for a sinus infection, as I had sinus pain six weeks ago, but I no longer have it now. She gave me Amoxicillin 875 mg every 12 hours. I am sensitive to medicines in general, and I do not like taking antibiotics unless necessary. I have no facial pain, pressure, sore throat, fever, or congestion. I only have a post-nasal drip and cough, which seems to be improving. Do you think the symptoms of the post-nasal drip and tickle cough indicate a sinus infection and warrant taking Amoxicillin? I would hate to treat something when it does not feel like I have a sinus infection. She also felt like my chest sounded very clear.

Hello,

Welcome back to icliniq.com.

Yes, since your cough and cold are long-standing, and you also had this throat discomfort, it would be better to take an antibiotic course to resolve the issue. Nebulizer will not help to completely resolve the issue. Please go ahead and follow the doctor's advice and complete the course of antibiotic, as it seems to be an upper respiratory tract infection.

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

Dr. Prashant Kumar Singh
Dr. Prashant Kumar Singh

Pediatrics

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