24 female C/o- dry cough for last 6 weeks present only at night just after going to bed when she coughs vigorously about 20 times ....absent thoroughout the day.. No h/o - fever She is on OCP after consulting gynaecologist for excessive menstrual bleeding Cough not releived by - SYR. LEVOCLOPERASTINE 10 ml tds Syr. Brozedex Tab cefuroxime 500bd for 5 days Pan 40 Tab montelukast + fexofenadine for 14 days Following are the reports Chest xray is awaiting...how to proceed further?

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Treat as GERD. Advise about diet.

Nocturnal cough dry in and hectic Two possibilities looks 1 it may OCP induced just have consultation with gynaecologist for the concern and ask for change better go for IUD 2 stress induced cough consider tranquillisers or antidepressants

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autoimmune diseases

? Allergic reaction ?? Gastro oesophyeal reflux E N T surgeon opinion and other relevant test to conclude. Under present circumstances covid virus Infection must be ruled out.

Thanks dear Hussain
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?gastro esophageal reflux Rx PPI with prokinetics

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Ask for history of gastro oesophageal reflux. Do RT PCR. ENT consultation to rule out post nasal drip. Start tab Pan 40 mg od. Continue Montek LC. Deworm her with Albendazole 400 mg HS single dose

Thank you doctor
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Under strict supervision of Doctor

Needs counselling calmness symphony music lime juice pineapple with black pepper sprouts kalijeeri alkaline diet no sugar no nonveg diet no eggs no mushrooms no fried foods no processed or fermented foods and beverages.. ginger....kadha of haldi,honey..saunth.. Sendha namak...jeera... pomegranat es... ajwain dhoop.. steam inhalation of lemongrass ginger haldi crushed pepper ajwain...

Doctor with the ongoing pandemic please Get RT-PCR test done And Direct the treatment towards COVID till you get the X-rays and RT-PCR

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Start anti allergic steroidscan b

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