[63M] With persistent cough and gastrointestinal symptoms post-cold

Patient Description

A 63-year-old male has been experiencing a moderate, dry cough for two weeks, which worsens when talking. The cough began following a recent cold and has not improved. The patient also reports fatigue, loss of appetite, and a weight loss of 12 pounds over the same period. Additionally, he is experiencing frequent, watery diarrhea, occurring 3-4 times daily, without specific food triggers. Shortness of breath occurs when speaking, but there is no chest pain or wheezing. The patient has a history of acid reflux and exposure to secondhand smoke. A chest X-ray showed no abnormalities. He is currently taking Cephalexin 500mg daily. His medical history includes diverticulitis diagnosed six months ago and a prostate polyp diagnosed a year ago. There are no known drug allergies.

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Arora's Assessment

What might be happening

Based on your symptoms, here are some possible explanations:

  • Post-Viral Cough: After a cold, it's common to have a lingering cough due to airway irritation. This can last for weeks even after other symptoms have resolved.

    • Treatment often involves supportive care, such as staying hydrated and using cough suppressants.
  • Gastroesophageal Reflux Disease (GERD): Your history of reflux could contribute to a chronic cough, especially if acid is irritating your throat.

    • Treatment includes dietary changes, antacids, or medications to reduce stomach acid.
  • Side Effects of Antibiotics: Cephalexin can sometimes cause gastrointestinal symptoms like diarrhea.

    • If symptoms persist, consult your doctor about adjusting your medication.
  • Irritable Bowel Syndrome (IBS): Stress or dietary changes can trigger symptoms like diarrhea.

    • Management involves dietary adjustments and stress reduction techniques.

What you can do

  1. Stay Hydrated: Drink plenty of fluids to help with both your cough and diarrhea.
  2. Dietary Adjustments: Avoid foods that trigger reflux, such as spicy or fatty foods.
  3. Cough Relief: Use over-the-counter cough drops or suppressants to ease your cough.
  4. Monitor Symptoms: Use MDandMe to track your symptoms and any changes. This can help identify patterns or triggers.
  5. Consult Your Doctor: If symptoms persist or worsen, seek medical advice for further evaluation.

What you should look out for

  • Seek Immediate Care If:
    • You experience severe shortness of breath or chest pain.
    • You notice blood in your stool or have severe abdominal pain.
    • You develop a high fever or chills.

Remember, it's important to consult a healthcare professional for a formal diagnosis and treatment plan.

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3 mo ago

People Also Ask


What is a post-viral cough and how long can it last?

A post-viral cough is a cough that persists after a viral infection, such as a cold, due to lingering airway irritation. It can last for several weeks, even after other symptoms have resolved. Treatment typically involves supportive care, such as staying hydrated and using cough suppressants.


Can GERD cause a chronic cough and what are the treatment options?

Yes, GERD can cause a chronic cough if stomach acid irritates the throat. Treatment options include dietary changes to avoid trigger foods, antacids, or medications that reduce stomach acid production.


What are the common side effects of Cephalexin?

Common side effects of Cephalexin include gastrointestinal symptoms such as diarrhea, nausea, and abdominal pain. If these symptoms persist, it's important to consult a doctor about possibly adjusting the medication.


How can stress or diet affect symptoms of Irritable Bowel Syndrome (IBS)?

Stress and dietary changes can trigger or worsen symptoms of IBS, such as diarrhea. Management often involves dietary adjustments to avoid trigger foods and stress reduction techniques to help alleviate symptoms.


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