I developed a cough with green phlemg last early August my GP thought it was a thing going around and treated me with antibiotics , however it's never cleared up . I do have asthma and lupus.After a winter and spring of being on and off antibiotics a visit to a ENT and pulmonary Dr. We can't get it to clear up. In april I developed pneumonia which did resolve but the cough & green stuff has continued. I have been on all the normal protocal for sinuitis nasal washes etc. I take a lot of meds due to lupus. My Rheumy thinks mayby it could be my lupus and is considering a plan of 40mg pred and 2.5 mg metotrexate 3 tabs weekly. I am very sensitive to pred and blow up fast so I am leary of doing this. I'm currently in the middle of a 30 d Zithromyacin 250 mg course and at first things were good and a few days ago it came back. I'm continuing it but wonder what to do next any suggestions or thought on what could be wrong? any help greatly appreciated. I take celebrex, plaquenile, advair 250/50, combivent, singular , loratadine, normadyne 200mg and norvasc 5mg for HBP.
Green phlegm usually, although not always, indicates infection. This phlegm could be coming from your sinuses and/or your lungs. It would be unrelated to your lupus. It may be a sign of a non-infectious, hypersensitivity or allergic problem such as allergic bronchopulmonary aspergillosis (ABPA).
To find out what could be wrong your phlegm needs to be carefully examined, both under a microscope and by culture. It should be cultured for bacteria, fungi and mycobacteria. A CT scan of your chest may show if there is another problem effecting your lungs.
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