Can rhinosinusitis cause cold, cough, and voice hoarseness with green phlegm?

Question

Hi doctor,

I have been suffering from cough and cold for three days now. I have a clogged nose, watery eyes, and hoarseness of voice. My phlegm has turned greenish already. I have recently been diagnosed with LPR but have done with medications though I still feel phlegm down my throat. I took Alnix Plus yesterday as I have allergic rhinitis. I do not know what medications to take to make me feel better.

Please help.

Answer 1

Hi,

Welcome to icliniq.com.

I need more details before I can suggest a treatment. When were you diagnosed with LPR (laryngopharyngeal reflux), and what medicines were given to you? Do you have a fever? Are you asthmatic? Do you have allergies to food and medicines? Do you have any maintenance medications, especially with your allergic rhinitis?

My impression is upper respiratory tract infection, especially acute rhinosinusitis but, because of the pandemic, we also consider COVID. I may suggest an antibiotic once I get a response to my questions. In the meantime, you can continue your Alnix plus (Cetirizine and Phenylephrine) twice a day for five days. You may add NAC (N-acetyl cysteine treats acetaminophen) Exflem 600 mg (Acetylcysteine) sachet, dissolve one sachet in 3.25 tablespoons of water, and take it after dinner for one week to help with your phlegm. Did you have a swab test? I suggest you get an X-ray of the sinuses.

Please get back with the answers for further help.

Answer 2

Hi,

Welcome back to icliniq.com.

I suggest you start with an antibiotic Amoxiclav 1 gm (Amoxicillin and Clavulanic acid), one tablet twice a day for one week for rhinosinusitis, but continue the Alnix and Exflem. I suggest you add tablet Sinupret (Sambucus nigra, Primula veris, Rumex Crispus, Verbena Officinalis, and Gentiana lutea), one tablet two to three times a day for decongestion. If there is no improvement in three days, you should have a swab test.

I hope this was helpful.