Suggest treatment for cold with asthma and cough
Patient: I have had a cold for 5 weeks(also have asthma that flares up with colds). Have a bad cough & greenish yellow mucus in nose & cough. I also have occasional black flecks in my mucus....I have done a course of Cefdinir & now am on Augmentin. All this with neb treatments & a steroid inhaler. What to do next? Doctor: HelloYou are an asthmatic patient and taking many drugs like ( cefdinir, , now augmentine ) steroid and  nebulizer .In spite of  this all symptoms present with greenish phlegm with black flecks in mucus. The possibilities of these symptoms may be , these include:1 Bronchiectais , as this is most common cause . A physical examination and sputum culture examination is important.2 Asthmatic allergic bronchitis , as proper antibiotics is not working , so get in sputum culture and drug sensitivity test  to find out exact type of bacteria.3 Tuberculosis , as black flecks   may be due to tuberculosis . Diagnosis can be confirmed by  x ray chest as well sputum and blood examination.Since you are an old asthmatic patient and not responding to treatment so consult a PULMONOLOGIST and get his opinion as physical , clinical examination is important in this case.Hope this will help you.