[47F] With moderate hacking cough and systemic symptoms

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

• Viral or Bacterial Infection: A persistent cough, fever, and other systemic symptoms like weight loss and pain could be due to an infection. Common infections include bronchitis or pneumonia. These conditions can cause a hacking cough that worsens at night.

  • Treatment: Viral infections often resolve on their own with rest, fluids, and over-the-counter medications like Tylenol for fever. Bacterial infections may require antibiotics, which a doctor can prescribe after a proper diagnosis.

• Asthma: Given that you are using an Albuterol inhaler, asthma could be a contributing factor. Asthma can cause a persistent cough, especially at night, and may worsen with respiratory infections.

  • Treatment: Continue using your Albuterol inhaler as prescribed. You may also need a controller medication, which a doctor can prescribe.

• Postnasal Drip: This condition can cause a chronic cough, especially at night, and is often associated with sinus infections or allergies.

  • Treatment: Over-the-counter antihistamines or nasal decongestants can help. A doctor may also recommend a nasal steroid spray.

• Gastroesophageal Reflux Disease (GERD): GERD can cause a chronic cough that worsens at night due to acid reflux irritating the throat.

  • Treatment: Lifestyle changes like avoiding late meals, elevating the head of your bed, and over-the-counter antacids can help. A doctor may prescribe stronger medications if needed.

• More Serious Conditions: Given your symptoms of weight loss, belly pain, leg pain, and pale skin, more serious conditions like tuberculosis or even certain types of cancer (e.g., lymphoma or leukemia) should be considered.

  • Treatment: These conditions require prompt medical evaluation and treatment. Diagnostic tests like blood tests, imaging studies, and possibly a biopsy may be needed.

What you can do

1. Consult a Doctor: Given the severity and range of your symptoms, it is crucial to see a healthcare provider for a thorough evaluation. They can order the necessary tests to determine the exact cause of your symptoms.
2. Stay Hydrated: Drink plenty of fluids to help thin mucus and keep your throat moist.
3. Use a Humidifier: Adding moisture to the air can help ease your cough, especially at night.
4. Rest: Ensure you get plenty of rest to help your body fight off any potential infections.
5. Monitor Symptoms: Keep track of your symptoms and note any changes or worsening conditions to report to your doctor.

What you should look out for

Seek immediate medical attention if you experience any of the following:

• Difficulty breathing or shortness of breath
• Chest pain
• High fever (over 100.4°F) that does not respond to medication
• Blood in your cough or phlegm
• Rapid weight loss or severe pain

Remember, this information is not a substitute for professional medical advice. Please consult a healthcare provider for a formal diagnosis and appropriate treatment.