hi

[rajan213]

hai doctor.... i am 24 years old.. i have habit of smoking from my age of 18. and i have health of observing the smell of the place and other...... so sensitive skin..... having ulser, migraine... at present past twenty days i have consulted doctor, he has informed like i have alergy at lungs due to that i have swelling on the neck... he was also stating that i have severe cold on lubgs..... i have stopped smoking.. now i am facing the problem of breathing and pain is also continuing even after taking anti biotic medicines..... my food apetite is good... normal as usual food i am taking.... also, i am having dry cough.... kindly advice

[Dr Rajput]

Hi, respiratory allergic conditions respond quiet well to asthalin. As the sputum is positive of infection. You need to take a broad spectrum antibiotics or culture sensitivity can be done. Appropriate antibiotics is important in this setting. You will feel better as infection subsides. Take care.

[rajan213]

dear doctor,

thank you so much for your valuable advices.... i have been adviced to do sputum and blood test for further check up.... it has come as negative on AFB test.....but my ESR rates are 31mm in half an hour and 64 mm in one hour... and in grams staining they found few epithelial cells contains - gram - Negative Bacillii ++ gram - Positive cocci arranged in chains ++...... doctor is informing me i have lungs alergy..... he asked me to use the inhalers for the alergy.... that is asthalin and forminde 400 only in the morning... but still breathing problem is there.... kindly advice asap......

look forward to your valuable advice and assuring of our best possible services at all times.

thanks an Regards,


Rajan

[Dr Rajput]

Hi, it is better you get a sputum culture done from any of the good hospital in your locality.

[rajan213]

hello doctor,,,,

thx for the suggestion and advice... i would like to know should i need to give my sputum for test even today consulting with physician. kindly advice any specaial doctor r hospital is available in tuticorin in connection with this forum...

regards

rajan

[Dr Rajput]

Hi, welcome to the forum, your symptoms are suggestive of acute bronchitis and cough. The probable pathogens are Influenza virus,  Mycoplasma pneumoniae, Chlamydophila pneumoniae and Bordetella pertussis.

Other possibilities of neck mass are Reactive viral lymphadenopathy, Bacterial lymphadenopathy or Noninfectious inflammatory disorders like sarcoidosis, Kawaski's disease which is connective tissue disorder which can be a part of your former disorders.

If cough is associated with sputum, sputum should be sent for bacterial culture, gram and ZN staining and as well as serological test for influenza virus. Appropriate antibiotics with anti tussives and mucolytics should be taken only after consultation from physician. Take care and regards.