Since this cough and mucus have lasted for over two years despite using medications like Grilinctus and Montair FX, you should not ignore it. This is a common post-COVID issue, but it requires proper evaluation. I highly recommend scheduling an appointment with a pulmonologist (a lung specialist). They can check for airway sensitivity or post-nasal drip and guide him toward the right treatment.

I understand how worrying it can be to see blood in your phlegm. Yellow phlegm often points to a sinus or respiratory infection. Nasal sprays like Dounase (azelastine/fluticasone) can sometimes irritate the nasal passages, causing minor bleeding that drips down your throat and mixes with mucus. While Montair FX (montelukast/fexofenadine) is generally safe for long-term sinus care, coughing up blood is a symptom that always warrants a professional medical evaluation. I highly recommend contacting your doctor soon so they can examine your throat and sinuses, rule out any infections, and safely guide your next steps.

Typically, once you start your prescribed antibiotic, along with Montair FX (montelukast/fexofenadine) and Deriphyllin (theophylline/etofylline) to ease your breathing, you should begin to feel better. A low-grade fever usually starts to subside within 48 to 72 hours of starting effective antibiotic treatment. Please ensure you rest, stay well-hydrated, and take the medications exactly as prescribed. If your fever does not improve after three days, or if you experience shortness of breath, please contact your doctor promptly to ensure you are on the right path to recovery.

While a viral infection is possible, a fever not responding to Parasafe 650, Loxof 500, and Zostum O 200 warrants prompt medical attention to rule out a TB relapse or a resistant bacterial infection. Viral fevers typically resolve within 3 to 7 days, but given your history, you should consult your doctor immediately. They may recommend tests like a complete blood count (CBC), chest X-ray, or sputum tests. Please stay hydrated, rest, and contact your healthcare provider right away for an accurate evaluation.

Your shortness of breath is likely a combination of both your chest and your nose. Your lung test showing blocked airways suggests a chest issue, like asthma, while your deviated septum and allergies cause the nasal blockage. Your medications, Avamys and Montair FX, are excellent for managing these symptoms. You may not need surgery immediately; the priority is stabilizing your lung function first. I highly recommend discussing your lung test with a pulmonologist and visiting an ENT specialist to evaluate if correcting your septum is necessary.

Please do not stop Montair FX, which contains montelukast and fexofenadine, abruptly, as this could worsen your symptoms. Chest pain and heaviness require immediate medical evaluation by your doctor to determine the exact cause, as they are not typically treated with this medication alone. If montelukast is causing your bloating, your doctor can safely transition you to alternative treatments, such as inhaled medications, that do not affect your stomach. Please consult your healthcare provider before making any changes to your medication routine.