Hi,
Welcome to icliniq.com.
I do understand your concern.
After reviewing your case history. Given that you have been on Wegovy for a few months if your cough were related to GERD or LPR, it would likely have been more chronic rather than a recent onset over the last two to three months. Despite your current anti-allergic and acid suppression medications, the presence of green mucus may indicate an infection. It is essential to note that not every respiratory tract infection will be evident on a chest X-ray.
Conducting a sputum or phlegm examination and culture can provide insights into potential upper respiratory tract infections or sinusitis, which may not be detectable via a standard chest X-ray. Based on the information provided, I suspect the symptoms may be due to consistent exposure to allergens, changes in weather, recent travel, or other upper respiratory tract infections. The likelihood of it being related to GERD or LPR seems lower, especially considering your use of Wegovy for probable weight reduction. If GERD or LPR were the culprits, symptoms typically manifest over more extended periods, months, or even years.
While I agree with your ongoing trial of Zyrtec (Cetirizine), Flonase (Fluticasone Propionate), and Prilosec (Omeprazole), if symptoms persist, a short course of antibiotics might be beneficial. I recommend obtaining an X-ray of the paranasal sinuses and a sputum sample if feasible. Alternatively, you might consider a trial of tablet Azithromycin 250 mg, taken twice daily after meals for three to five days, provided you have no known allergies to this antibiotic. In the interim, consider protective measures like wearing a mask and assessing your environment for potential allergens such as curtains, carpets, dust, and pollen. While rare, it is worth noting that Wegovy can occasionally lead to a sore throat. I wish you the best of health.
If you have any clarifications, doubts, additional questions, or follow-up inquiries, please feel free to ask again at icliniq website. Wishing you better health.
Thank you.