Cough With Phlegm?

Illustration of Cough With Phlegm?
Illustration: Cough With Phlegm?

Hello, I cough up phlegm 4 months ago has not healed. Shortness of breath and sound, rotgen said asthma go back and forth to the doctrine of the month but also healed now even worse the coughing of the waist before the left hurts when I cough and sneeze, according to my doctor what pain do I have? Thank you

1 Answer:

Hello Monica Piipaw, thank you for asking,

The causes of chronic cough (prolonged cough) include: tuberculosis, asthma, chronic obstructive pulmonary disease (COPD), consumption of certain drugs such as ACE inhibitors (eg captopril, lisinopril) to lung cancer (low incidence).

Tuberculosis is a lung disease caused by the bacterium Micobacterium tuberculosis. Symptoms include coughing (can be mixed with blood)> 2 weeks, fever is not high, especially at night> 3 weeks, night sweats, body weight decreases, and there are risk factors to stay at home / long exposure to patients with pulmonary tuberculosis (TB). The diagnosis of tuberculosis requires sputum examination and is observed under a microscope for the presence of Micobacterium tuberculosis and chest X-ray. Patients with new pulmonary TB will be given anti-tuberculosis drugs for 6 months which is a government program drug.

Chronic obstructive pulmonary disease (COPD) is an inflammatory lung disease that develops in the long term. Most people with COPD are elderly and smokers / long-term cigarette exposure or long-term air pollution (for example cooking with firewood).

Asthma is a type of long-term and chronic respiratory disease, in the form of inflammation and narrowing of the lower airways, causing shortness and wheezing. Symptoms include: chest pain, coughing, wheezing. Asthma sufferers always have precipitating factors that cause symptoms to appear (allergens = substances that make allergies) and individual symptoms (eg dust, mites, animal hair, heavy activity, pollen, certain foods, cold air, viral infections, cigarette smoke, substances certain chemicals, etc.).

Asthma treatment aims to control symptoms and prevent attacks.

Basically, inhaler drugs used in asthma are twofold:

Reliever: functions to relieve attacks, generally containing drugs such as short-acting beta2 agonists (such as salbutamol, terbutalin) which have a rapid effect. The inhaler drug that you mentioned belongs to this category (the inhaler drug that you mentioned has no steroid content).
Inhaler prevention: serves to reduce inflammation and sensitivity of the airways. This inhaler is used routinely, whereas if there is an attack, a reliever inhaler is used. Generally contain steroids (such as budesonid, mometasone, fluticasone).

In the latest asthma guidelines, the use of low-dose steroid inhalers has been recommended since mild persistent asthma (symptoms> 1x / week but <1x / day, night symptoms> 2 times a month). Inhalation steroid preparations are combined with long-acting beta2 agonist (for example salmeterol), some are steroid only. The drug is covered by BPJS, so it is recommended that you go to your health facility I (if there isn't, if the doctor evaluates that there is an indication, then it will be referred to a hospital that has a more complete supply of drugs), because the drug requires a doctor's prescription.

In addition to using medication, you also need to avoid triggering factors, keep drinking warm water, and if you can tolerate, you can also exercise lightly (cycling, walking, jogging, swimming) to increase immunity. You can use a mask to reduce allergen exposure, but it would be better if completely removed.

At least once a year an asthma management plan needs to be reviewed for effectiveness with a doctor. If you do not feel comfortable with the treatment obtained, you can return to the same doctor for re-evaluation or request a second opinion from another doctor.

All of our suggestions and answers, hopefully useful, good afternoon

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