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Joined: 11/21/2015 Posts: 237
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Not a success today. So much post nasal drip. Sooo frustrating. Not sure whether to take decongestant or antihistamine. Zyrtec didn't seem to help. Some help from saline spray. I feel like a science experiment.
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Joined: 12/15/2011 Posts: 18519
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Even though you begin to feel better, Step, you should continue the course of treatment as directed by the doctor. A decongestant should help with secretions. Does your health plan offer a call-in telephone line for questions that you have? It will take more than a few days to recover. Keep on the course. Keep healing!
Iris
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Joined: 11/21/2015 Posts: 237
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Thanks. The nurse practitioner advised against decongestants. Although she said try afrin, which I thought was habit firming. I guess too drying. Today I'm trying another one of their options, Allegra. I used to take claritan before getting ill but my body is not responding the same right now. Had a sample of zyrtec and it didn't work either. My brain is starting to go wacko on guifenison.
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Joined: 11/21/2015 Posts: 237
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She advised to take my medications "until symptoms resolve" so when I start to feel better I back off meds. And symptoms return. Understand my frustration?
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Joined: 11/21/2015 Posts: 237
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Iris, so sorry for being short on my post! I know you mean well and wish me well. I finally tried the Afrin and it sure opened my sinuses. I can see how it could be habit forming. Not sure that it helped the post nasal drip. The allegra may be helping Today I took the guifenison through the day, thinking it would help me tonight. But the throat phlegm is back tonight. I will try to work with what meds I have.
When I reached out to the insurance nurse line they wanted my entire health history before they would even help. That was too much for me to handle right now. Thanks for the idea.
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Joined: 12/15/2011 Posts: 18519
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Step, although you thought you were mostly cleared, you have continued to complain of persistent symptoms. That was my basis for suggesting that you continue the medications prescribed by your doctor. You are slowly improving. Again, it will take time to recover completely. Keep healing!
Iris
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Joined: 9/12/2013 Posts: 3608
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STEP!
how are you doing? breathing ok?
I finally woke up and could take deep breath without coughing up white woven matter.
seriously, hope you are doing better.
love and courage
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Joined: 2/26/2019 Posts: 172
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1 Step at a time: i had pneumonia 2 yrs.ago and thought i was going to die. Prednisone REALLY helped me, and if u feel it helped you, tell your doc that and ask for a little more.
Everyone on this site had GREAT SUGGESTIONS! I would add the following:
Drink LOTS of water as it thins down the mucous.
Ask the doc if u can hav a NEBULIZER at home? Tell ur doc how that helped and ask for one! It made a big difference for me. Alot of times docs are more than willing to giv u something, but u hav to ask (im sorry to say).
I slept propped up for months as it was lots easier and helped me with mucous issue.
I found myself really tired all the time, so i listened to my body and slept when i was tired. My doc said that EXTRA sleep was important for pneumonia! He also said to NOT do any kind of housework, so i had to giv that up. Found i didnt get as "DRAINED" if i just took it easy. That was VERY HARD for me to do as im a very active person. It DOES TAKE LOTS of ENERGY for our bodies to heal from pneumonia! So everything that others said, is correct! It took me 5 mos.to get rid of most of the coughing.
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Joined: 11/21/2015 Posts: 237
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Hi, thank you for asking!
Alz+ that is awesome. Vic, so sorry you were sick for so long! Just scary! I hope my cough doesnt last so long.
I think the sinus infection is what i have left. I am on a proper tapering prednisone now thanks to my PCP. A tip from a friend made me realize my really red face and maybe some added congestion was a reaction of prednisone. (ER was NO help!!! I even asked them if I was having a new food allergy. They said I was just having an anxiety attack, congestion, and irritated pharynx. Told me to try a sudafed...and that seemed worse. What a waste of monies. )
I was still struggling to breathe at night! My throat and airway felt like was closing up. Yes, I was scared, and had anxiety, being I live alone. Albuterol seemed to have minimal help anymore.
Last night, out of desperation finally put some time between the pred tablets and ......my sinuses finally started drain and the sinus started to open, and less red face! So that change, being back on that higher dose of mucinex (600mg) at night is helping, along with saline nasal irrigation. My lungs felt raw but seem open today, going to discuss at PCP appt tomorrow. I think I have more hope of recovery. Actually had an hour of sleep tonight. Yeahhh!
I have been sleeping propped up on sofa arm with pillows for over a month. Some new cricks in the sofa from tossing. Oh well. To rest and breathe are more important.
Thank you all for the support and feedback!
Hope this dont jinx my progress.
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Joined: 11/21/2015 Posts: 237
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I still have random swallowing problems. Got to remember to tell my PCP tomorrow. It would be nice to have an advocate to go with me to the appointments. ER acted so surprised that I was there alone. I think being alone is a negative experience.
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Joined: 12/9/2011 Posts: 13612
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Hello Step . . . . sure hope that your doctor was able to be helpful to you. It may be that when you are able to be tapered off the prednisone which is a steroid, your insomnia may be much better.
One of the most common side effects of prednisone is very intense insomnia. My son and DIL had it when they were ill at different times, and both said they did not sleep at night because of the insomnia side effect and were exhausted. Once the physical condition is stable and the physician has deemed it the right time to taper the steroid, your ability to sleep may well be much better. Of course, Prednisone is not a pill to be taken now and then; it is something that must be taken on a firm, fixed schedule just exactly as the doctor orders it until it tapers off and is done.
It does take time, a couple of months or so to get over a cough that comes with pneumonia. Do you think that if you propped yourself up with pillows in bed or got one of those reclining bed wedges, (seen them on Bed, Bath and Beyond and Amazon mail order sites), that you would be able to sleep in your bed and perhaps be more comfortable? Perhaps the sofa feels best at this time though; just thought I would bring it up.
Hope things begin to improve for you very soon.
Best wishe are being sent your way,
J.
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Joined: 12/15/2011 Posts: 18519
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Step, I keep a notebook in which I note my medical appointments, because once I leave the office, I forget what was said. I write down my questions and concerns for the appointment. I write down new prescriptions and any other change in treatment.
I hope the doctor was able to address your swallowing problem. Be sure to remain hydrated.
Iris
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Joined: 11/21/2015 Posts: 237
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Jo and Iris thank you for the information. My body stopped congestion recovery. Although I still have have another couple days of prednisone taper. Doctor sending me to GI specialist but i think I will also ask for ENT. My throat and sinuses has a gradual swell starting at 10pm and is at worse at like 6am. Right before sun comes up. Prednisone not draining as before. Unfortunately allergy season is also starting up. The decongestant the ER doc recommended made me worse so I have avoided decongestants.
II take doctors notes as best i can. Once they give me more than three things to remember my brain go blank on overwhelm. They say they have instructs on the patient exit paperwork but it is not usually detailed. The nurse line has been helpful. Been taking notes as i take my meds and even with food items. No consistent results when I think I have a schedule setup.
I would like to know why my throat airway closes up most at 6AM. CLonopin helps relax and open sinus area. But lower part of throat is swellon. Albuterol does not work. Sometimes more gauifenesen works, most time not. Doctor office approved trying additional mg.
I am grateful I am not worse at least not yet. But i write off nighttime sleep cause of airway problrms. Maybe i am developing sleep apnea, dont know. Sometimes i get an hour in. When Awaken to need to cough the drying phlegm.
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Joined: 12/15/2011 Posts: 18519
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Hello Step. Although you are complaining of persistent phlegm and congestion, I can't say that this is unusual. It can take a while for symptoms to resolve, especially if there is a co-morbidity, such as allergy.
The questions you asked above should go into your notebook, because if you are like me, you will forget once you reach the doctor's office. This is true for all patients, not just PWDs. Make sure the doctor answers all of your questions. Get the nurse to review everything with you before you leave the office. This is not being a bother; doctors want patients to be clear on what is happening with their bodies.
Good hydration is still important, both orally and in the air around you. Are you eating well? If you are not sleeping well at night, are you able to get a nap during the day?
It may take a while, Step, but I anticipate you will be feeling better and back to your usual activities.
Iris
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Joined: 11/21/2015 Posts: 237
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Thanks Iris. I am keeping notes as best I can. I have gone to ENT. He prescribed azelastine which has helped nasal congestion but now I am getting migraines. At first I wasnt sure, but I am starting to get them everyday. Of course today it happened after the doctors office was closed. maybe I try to go without the nasal spray tonight. I hate to give up something that was helping. The 5/6am throat swell has not fully resolved but seems better.
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Joined: 9/12/2013 Posts: 3608
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worried about you becoming so drained from handling the battle to breathe
I know the medical people here will keep you going and you are doing as much as you can where you are with doctors. Migraines added onto this is too much.
sending you strength - when it goes on and on and on a body get worn down in new ways, are they certain it is nasal fluid?
hope this isn't really weird to share
https://www.webmd.com/brain/news/20180509/womans-runny-nose-actually-a-brain-fluid-leak
Keep questioning.
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Joined: 9/12/2013 Posts: 3608
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Step - any healing happening yet?
I can't recall the mental list I had about meds not to take with ALZ but Benadryl is one, even spraying it on an itch causes a mental cognitive slump that is pretty severe in me.
If anyone knows a list of meds to avoid I wish they would post it. I was on a few before I was diagnosed.
really hard to recover on your own, please share when you are up to it. I posted a link about a woman with runny nose who sought help for months and it was brain fluid. Not suggesting that is what you have but sometimes your gut tells you when doctor picks right or wrong diagnosis.
be careful of med reactions. sending you love and healing power
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Joined: 11/21/2015 Posts: 237
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Hi alz+, thank you for your concern. Sorry for the delay. Lots happening in life at the same time. The azelastine helped but still had tight throat at night and then some day hours. Had a referral to get scopy video of throat. Now telling me I have silent reflux. Was taking omeprazole with some success but I had random pains on my upper left side and felt totally lousy today. Worried about possible heart problems. Today They gave me Rx for protonix (they said works differently), I took 6 hours ago but I think the acid is now increasing. I guess give it a few days. Im still struggling to get quality sleep. Been so fatigued.
I need to read up on the posts. I hope you are well!
Thanks again!
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Joined: 12/15/2011 Posts: 18519
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You've been dealing with this for a long time, Step. G-E reflux can be serious. You will need to adjust your diet. I was told I had severe G-E reflux over ten years ago. Don't lie down after eating. I hope you will be able to get a handle on this, Step.
Iris
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Joined: 9/12/2013 Posts: 3608
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STEP -
If you took antibiotics recently you may ease acid pain by taking probiotics. I learned about this use from a Costco product review people said it helped their digestive problems and they noticed acid reflux stopped a couple days after starting to use this brand. I realized I had not had burning throat or acid issues in awhile, since I started taking it. I forget I ever had a headache when it disappears, forgot I had acid reflux when it stopped hurting.
I always take probiotics after antibiotics or antiviral meds, I found florastor brand worked better than others
How are you holding up? This feels like a long time to endure. I know what it's like to battle body events, we have enough to deal with. exhausting.
probiotics are really safe to try, and fairly cheap.
(when they kick in the live bacteria rebounds and might flush out intestinal stuff that smells like it needed to be flushed out - smell goes away in couple days and symptom relief comes within a week or less)
just another idea.
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Joined: 11/21/2015 Posts: 237
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Hi Iris and Alz+
I no longer take, much if at all, of azelastine.
The doctor had me taking clonopam but I switched back to more gauifenesen. Felt like my body was starting to need more clonopam. Having more of the recommended cepocal lozenges. I also went to OTC omeprazole. Seems to help. And been slowly trying more of old foods like milk and yogurt and cheese. And Been decreasing gauifenesen and clonopam. Every once in a while I have coughing but it is also allergy season. I hope the improvements continue. Yes, this feels like it has been a long journey.
Alz+ I will look for that probiotic. Good point!
My nails started to grow back healthy when on the prednisone, but now they are starting to peel and break again. Darn!
Something is triggering RLS. Maybe because I have been trying to build my exercise back up. Overall, beyond a few down days and easy exhaustion, I am better.
Thank you again!
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Joined: 11/21/2015 Posts: 237
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And an FYI to anyone else getting constipated from PPI medications. Milk of magnesia seems to help me the best. I take child dose since I am sensative to meds.
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Joined: 12/15/2011 Posts: 18519
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Your recovery has been slow, Step. You probably are sick of being sick! Hang in there! I'm wishing you continuing improvement.
Iris
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Joined: 11/21/2015 Posts: 237
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Hi, so i was on the way to almost full recovery and been hit with a virus 2 days this week. A cold and cough again. Sometimes the phlegm is discolored... how do i know when to visit the doctor so it doesnt settle into my lungs?? I feel so stupid not knowing how to care for myself.
Im back on guifenison... and tried xyzal and felt like the antihistimine is holding on to the phlegm too much.
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Joined: 11/21/2015 Posts: 237
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This time I am trying a zinc tablet too.
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Joined: 11/30/2011 Posts: 4463
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If its
green for multiple days and not getting better. I also gargle with warm salt water
a few times a day when that happens and it usually clears up after a few days.
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Joined: 11/21/2015 Posts: 237
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Thank you Michael
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Joined: 9/12/2013 Posts: 3608
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Step - living alone like this...been there. It is super draining, you have to sleep propped up and can never really cave in and rest deeply.
I have fought to figure out what is wrong when the doctors kept giving me drugs and then having to wait 3 weeks while they don't work, then my immune system weakens further and I get shingles, then the drugs for that leaves my immune system in shock, and on and on.
You may need a FRESH look at all this, A friend of mine was treated for "profound tiredness" and worked in medical field, had excellent doctors. After 3 years they found she was very low on Iron and she began over a year of infusions but her iron levels never increased. She went to an old holistic doctor who said, "What kind of vitamin C do you take with the infusion?" she said "none". He said it does n't work without some special kind of Vitamin C. She got it and the whole thing was over.
The head draining stuff - and the continuing battle plus after effects of drugs makes me really concerned for you.
I don't know your insurance but you need fresh eyes on this. People don't understand how it robs you of life, your body can't keep breaking down.
any sedative or anti-anxiety med is a muscle relaxant which can imitate or make reflux worse. Your esophagus is suffering, I don't know how to help you find a fresh look at this. This is too hard for too long. Below I pasted article on woman with runny nose search for help, I want you well asap. NOT suggesting you have brain fluid leaking but the story shows how a fresh look might help.
*****
posting this here:
https://www.webmd.com/brain/news/20180509/womans-runny-nose-actually-a-brain-fluid-leak
FROM THE WEBMD ARCHIVES
May 9, 2018 -- A Nebraska woman who sought care for chronic allergiesactually had a rare condition that allowed brain fluid to leak into her nose and mouth.
Kendra Jackson, 52, of Omaha, had coughing, sneezing, a chronic runny nose, and migraine headaches for nearly 2½ years. The symptoms started after she had a serious head injury in a car accident. Her doctors told her the symptoms were probably allergies or a bad cold.
"When it didn't go away, I kept going back and forth to the doctors, and they prescribed every kind of medicine you can think of, and my nose just kept on running," she told CNN.
This year, Jackson sought the care of doctors at Nebraska Medicine, who quickly realized her symptoms were likely due to something more serious. A CT scan revealed she had a rare condition -- a cerebrospinal fluid (or CSF) leak -- caused by a tiny hole in the thin bone that separates her brain and nasal cavities.
Christie Barnes, MD, a rhinologist at Nebraska Medicine who treated Jackson, says she knew just after examining her that a CSF leak probably was causing her to lose about a half-liter of fluid every day.
“Her description of the drainage that she had -- it’s not typical for allergies,” Barnes says. “She would wake up in the morning and the front of her shirt was saturated with fluid. And she would have a gush of fluid -- tablespoons of fluid -- from her nose. So it was not just a nuisance drip that you’d get from allergies.”
While the condition is rare, it is common enough that a patient advocacy group -- the CSF Leak Foundation -- has formed to raise awareness. Specialists estimate the condition affects about five of every 100,000 people worldwide each year, often because of a head injury, but it is often misdiagnosed.
A CSF leak usually comes from a small tear or hole in the thin outer membrane that contains the fluid that surrounds and protects the spinal cord and brain. Losing that fluid reduces its cushioning effect and causes pressure, headaches that are worse when you sit upright, nausea and vomiting, neck pain or stiffness, a sense of imbalance, sensitivity to light and sound, and drainage from the nose or ear.
It can also cause blurred or double vision, eye pain, hearing problems, tinnitus, spasms, seizures, and other symptoms. In severe cases, it can be debilitating.
Often, a leak will heal on its own with bed rest, increased fluids, and caffeine. But other cases, such as Jackson’s, require corrective surgery.
Although CSF leaks were first documented in the 1930s, they are often misdiagnosed today -- particularly as migraine, sinusitis, or, as in Jackson’s case, allergies.
After examining Jackson, Barnes says, the clinic collected and analyzed her nasal fluids to confirm the diagnosis. A follow-up CT scan revealed a tiny hole in the potato-chip-thin layer of her skull -- probably caused or worsened by the accident, Barnes says, which allowed the fluid to drip into her nose and mouth.
To treat it, Barnes and another surgeon at Nebraska Medicine did surgery to plug the hole in Jackson’s skull on April 23, using tissue from her nose and abdomen.
“I went in through her nose, found the hole … and then I borrowed a small amount of abdominal fat and used that to create a fat patch to seal the leak, and over that I placed a piece of skin [from the] lining in her nose just to seal it,” she says.
Three weeks later, Jackson is healed and no longer has the chronic drip.
“She’s doing very well,” Barnes says. “She’s still having mild headaches, but she’s relieved not to have the drainage anymore.”
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Joined: 11/21/2015 Posts: 237
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Thank you alz+
I was actually pretty far along from recovering from my January cold virus (and past pnuemonia) . I was told by many that even 'healthy' people had the illness long time.
I suspected the antianxiety med was causing some issues. But guifenisen may also be causing reflux.......But since I acquired 2 viral hits ...last week! ... Im back to higher dose guifenisen, and Primary doctor office said use albuterol too, to clear the phlegm. I am much better than Friday when I had fear of getting pnuemonia again. Still some random coughing. Sometimes seems like metal. I hope I don't have a leaky brain.
Been a week since been on the antianxiety med. I have been obsessive about different things during this past week so I may eventually need that medication to calm down. 
Thank you for the info alz+

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Joined: 9/12/2013 Posts: 3608
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living alone with pneumonia and after, and all this other stuff is so hard. You seem to slugging it out.
You can count on me for WEIRD IDEAS on everything. The idea was/is sometimes the guessing and meds is because the doctors don't really know and we are guinea pigs.
I remember crawling up the stairs to my bedroom for months after pneumonia but I was down to 95 pounds and had been near death.
Just wish someone would have a light bulb go off and help you. The anxiety is another energy drain. You are always (here) so calm and patient with everyone. You have a good group watching over you and me second guessing.

Can't wait until you start feeling better, I want to know what finally worked.
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Joined: 9/12/2013 Posts: 3608
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thinking about you Step.
Sure hope you are getting some relief. It is incredibly hard to endure this stuff on your own. I had to deal with flu last winter and still care for dog 24/7. Having to go back to doctors is draining, trying meds, no sleep, always uncomfortable is super hard.
Highly likely when this clears up and the stress goes down you will be regain cognitive power. I am hoping you have problem identified by now.
love and courage
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Joined: 11/21/2015 Posts: 237
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alz+ thank you for checking back with me! I am 99% recovered. I think the remaining cough is something that I may have ongoing. It sometimes helps to be on on omeprazole but I still use guifenison to help mucus that builds at night. I take azelastine when needed in place of my old allergy medication. I have had some lift in my fatigue yesterday. I don't know what I am doing differently but I hope I keep doing it. I feel so susceptible to getting ill again, that I avoid anyone who coughs. LOL! You are right about fears of being alone.
Wishing you well! Hugs!
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Joined: 9/12/2013 Posts: 3608
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great news!
well done. Going through all of this on your own - what an achievement. Sometimes when the pain or condition stops or improves you forget how hard it was to cope with.
Give yourself time for the post pneumonia fatigue to pass. really glad you got help here, you were a champ about the whole thing.
love and courage
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Joined: 12/15/2011 Posts: 18519
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Recuperation after an illness takes time, because we don't have the bounce-back that we used to have. When we are recovered, for those of us who live alone, we have to put systems into place to prepare for the next illness. This is what I am doing.
Iris
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