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Blood in mucus after cold with pain in chest.

Resolved Question:

Dear sir,

I have a problem that after cold i got very little blood comes with mucus(Bulgum) either from nose or mouth, blood quantity is very low and not frequent is there is any big problem please suggest me there is no cough, also there is a little pain on my left side of chest some time i feel that s on my chest and some time it is on back side. when i consult to a physician he said that s a muscular pain and he gave me a medicine i take only one tablet and feeling normal but after some day it again happen.

Thanking you


Category: Family Physician-GP

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Category: Diabetologist
Dr. Jaydeep Tripathy is online now

Expert:  Dr. Jaydeep Tripathy replied 4 Days.

Hello,
Thank you for your query at DoctorSpring.com
I am Dr. Jaydeep and I am pleased to assist you.
If you have blood coming out with sputum, it needs further evaluation. It could be due to a chronic pharyngitis ( if you have a history of recurrent cold ). Since it is also coming out of nose, sinus pathology needs to be ruled out. In chronic sinusitis cases, patients present with recurrent cold and throat infections, without headache or facial pain.
It will be really helpful if you can get the following investigations done and follow-up with me :
1) CBC with ESR.
2) X-RAY/ CT Para-Nasal Sinuses ( PNS ).
3) Sputum Culture.
Kindly get these investigations done and upload your results. I will guide you further.
Regards.


Patient replied :

Dear Sir,
Thanks for your response, sir i consult with ENT specialist on three days before he suggest me to do pranayam daily and use nosal drop two or three time on daily basis, now the blood quantity has been reduced but not eliminate, daily when i wake up in the morning and split there is small blood come out with spectrum(Bulgum) the colour of bulgum is yellow, also there is low headache when i move my neck.
Also there is a pain on left arm or chest side since one month even i consult with doctor then he suggest that is a musculer pain and he give me some tablets after using one day course pain is out but after some time it again start.
Age-26

Best Regards,
CA Ankit Gupta


Expert:  Dr. Jaydeep Tripathy replied 3 Days.

Hello,
Only Pranayam and nasal drop is not going to treat the infection.
Kindly get the investigations done as I mentioned and you also need an antibiotic like Cap. Augmentin 625 mg twice daily for 5-7 days. Yellow mucus suggests infection. The investigations will help us understanding the source.
Feel free to discuss further,
Dr. Jaydeep


Dr. Jaydeep Tripathy
Category: Diabetologist
Experience: 
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Senior Residency in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
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