Failing to cure a chest infection

I have just finished a course of antibiotics that failed to cure my heavy chest infection. I am reluctant to go on another course of medication. Is there anything else I can do?

>>Chest infections include a variety of illnesses ranging from mild, acute bronchitis to more serious conditions such as chronic bronchitis and pneumonia.

With acute bronchitis (the most common form of infection) the infection should clear up by itself if viral or with the help of an antibiotic, if bacterial.

Antibiotic drugs are used for suspected bacterial infections. It is important to complete the full course, and a different type may be needed if the initial course is not effective. Antibiotics are not routinely given as they once were because some bacteria are resistant to antibiotics due to their overuse.

It’s difficult to know if you were being treated for bronchitis or pneumonia with antibiotics as the symptoms are similar. I would advise you to return to your GP for advice. While I can understand your reluctance to take further medication, there are times when it is appropriate for a second antibiotic to be prescribed — it may be more effective against the bacteria that are causing the infection.

Anyone suffering with a chest infection needs to ensure they get plenty of rest and drink lots of fluids. The fluids help prevent dehydration and also thin the mucus, making it easier to cough up and clear the infection more quickly.

If you are a smoker, you need to stop straight away.

As bronchitis is usually caused by a virus, antibiotics rarely help with recovery, whereas pneumonia is often caused by bacterial infection and may need treatment with antibiotics.

Mild pneumonia can be treated at home but more serious cases will be hospitalised and antibiotics given intravenously through a drip into a vein.

Good hygiene is an aid to preventing some adult chest infections by helping to stop the spread of viruses and bacteria that cause infections.

Preventing infections:

*Regular hand washing will help decrease the spread of viral infections.

*Cover your mouth and nose when you cough or sneeze.

*Throw away used tissues immediately.

*Limiting exposure to crowds where possible (especially in winter) decreases the risk of picking up infections.

Q My 10-year-old son suffers from bad breath. He brushes his teeth morning and night but refuses to drink water. What can I do?

>>You need to bring your son to your GP to get an accurate diagnosis in case there is an underlying cause that is not of dental origin.

Here are some general suggestions while you are waiting for an appointment:

*Limit the sugary food and drinks (including fizzy drinks) that he has.

*Watch your son when he brushes his teeth to ensure that he is brushing correctly.

*He should have a soft toothbrush with a small head that can reach his back teeth.

I am sure your GP will be able to find a reason for his bad breath and reassure both you and your son.