Is it to be concerned about the cough along with breathlessness and chest pain?
Patient: I have a deep wet coughing fits that lead to shortness of breath and chest pain about once every 20 minutes. I am coughing up rusty green phlegm and can feel a lot congestion in my upper chest. When I breath normally with my mouth open I can hear and wheezing between my collar bone and my sternum. I've been running a mild fever for about two days now. Since this morning I've had shoulder blade pain on my left side and visible veins running across my chest and both shoulders. I have very mild nasal congestion and no soar throat.  I quite smoking cigarettes 4 weeks ago. I'm concerned about the visible veins. My fever hasn't been running high enough I don't think for that to be the reason for it. Any ideas? Should I see a physician? Doctor: Hi thanks for contacting HCM...Here according to history you have lower respiratory tract infection like bronchiolitis....Second possibility is about bronchopneumonia.....So here first chest x ray done.....to rule out cause...Sputum examination also done for gram stain and afb stain...Mostly it is bacterial infection....Take cefixime antibiotic for 5 days....More hot water as they help in expectoration to coughed out.....Excess fatty food and spicy food avoided as they aggravate phlegm...If needed decongestent like antihistaminic drug taken....Hope your concern solved...You can consult pulmonologist for auscultation...Take care.Dr.Parth