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COPD with bronchitis

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I am 64 years old. I have COPD and I am out of state on vacation. I realized last night that my constant coughing is bronchitis and it isn't going away. I have had it for 5 days. At first I thought it might be an allergy because it is high in my throat - from the clavicles up - and there is postnasal drip. I have never had allergies though. I left the cabin for a couple of days, and it didn't go away.
Almost every year I get this and the Pulmanologist gets me to take a Z-pack. He wants me to use antibiotic because the bronchitis doesn’t go away unless I do. The last Z-pack was probably a year and a half or more ago.
I take Symbicort every day.
I have constant copious phlegm from the back of my throat. It is kaki color. I don’t usually have this.
What should I do?

Category: Pulmonologist

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Category: Allergy and Immunologist
 28 Doctors Online

Dear patient,

Thanks for your query at DoctorSpring.

Your symptoms are suggestive of an exacerbation of COPD. These exacerbations are usually due to bacterial infection, hence a course of antibiotics are warranted.

A course of azithromycin must help. Along with it, do take a cetrizine for reducing the post nasal drip.

I'd urge you to continue your daily dose of symbicort. Being copd, do enquire with your physician/pulmonologist regarding a vaccination for pneumococcal and influenza vaccines. These are the most common cause of exacerbations for copd patients. I'd strongly recommend you to take both before influenza season.

I too concur with your doc that these infections warrant antibiotics for resolution.

Wishing you a speedy recovery, I would be glad to answer any follow-up queries.
Regards, Dr. Jacob George P. MD, FCCP

Patient replied :

I need a prescription for the azithromycin. Can you call it in To the local Rite Aid here in Manchester Vermont. (802) 362-2230.
I have already had the vaccination for pneumococcal and influenza. I always take my daily dose of symbicort.
What I need is The prescription so I can get started.

Hello again,

As per our terms, I am not allowed to prescribe. Being an online platform we are restricted by law to to advice, information and suggestions. Please connect with your local GP and discuss my recommendations.


Dr. Jacob George Pulinilkunnathil
Category: Allergy and Immunologist
Residency, Post Graduation: MD, Respiratory Medicine, J L N Medical College, Ajmer, Rajasthan (2012).
Medical School, Internship: MBBS, Government Medical College, Kottayam, 2001-07 
Indian Diploma in Critical Care Medicine (IDCCM) - Medical Trust Hospital, 2013-2014.
Dr. Jacob George Pulinilkunnathil and 4 other Medical Specialists are ready to help you

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