Suggest treatment for bronchitis
Patient: I am being treated for bronchitis. I took a five course of arithromycin. I felt better and then worse again. My doctor prescribed Augmentin. After the third dose, I woke up with excessive saliva, eventually vomiting several times. Is this likely an intolerance to the Augmentin? Doctor: Hello.Thank you for asking at HCM.I went through your history. I would like to ask you a few more questions like: What is the total duration of your illness? Why did you need 5 courses of azithromycin? At what interval and for what duration did you take azithromycin? Did you have any blood reports? If yes, what were they? What are the other medications you are taking currently? Did you have fever? After antibiotic course, do you have fever at present? Did you have such complaints in past? etc etc.However, from your history, I would like to suggest you following:1. I would first think of gastritis as cause for excessive salivation and vomiting. It can be due to any antibiotics or some other medicines also. So it does not necessarily suggest intolerance to Augmentin. I would suggest you antacid like omeprazole or pantoprazole half-an-hour before meal for at least 7 days/as long as you are taking antibiotics/medications whichever later. 2. Please continue your other medications as prescribed by your doctor.3. If you have not had complete blood count, I would like to suggest to get it done. It may be helpful in deciding whether you need further antibiotics. Personally, if counts are normal and if you no longer have fever also, I would not prescribe antibiotics.4. Taking Augmentin after meals will also help. 5. Please try to avoid smoking, caffeinated beverages, hot & spicy meals.Hope this will be helpful to you.Wish you a quick recovery and the best of the health.Should you have any query, please feel free to ask at HCM.Regards.