Jun 19, 2013
My Husband was diagnosed wit HIV and his CD4 is very low it ws 19 problem he's been coughing before he started medication and the doctor offered him a cough syrup and TB test was done and came negative now he started taking his treatment a week ago but the coughing does not stop its a dry cough my sister who is a professional nurse suggested he takes Cold & sinus pills and he did but now once he takes them he sweats a lot the bed become wet and he becomes very weak when the medication is in his system and begin speaking slowly when the pill is out of his system he gets very cold please help what can he use to stop this dry cough which has been going on for a month now and he's loosing a lot of weights bt he eats a lot healthy food and lots of Vegetables and fruits
Response from Dr. Henry
Persistent cough with sweats in HIV patient with low CD4 count merits careful monitoring and evaluation. Chest X-ray (or CT scan), indiced sputum (looking for TB, penumocystis or other infection), blood oxygen level, careful examination and history, and other tests often warranted. Weight loss and increasing fatigue would further increase the importance of getting futher evaluation. Starting HIV medications with a low CD4 count can cause symptoms in some patients (IRIS or immune reconstitution syndrome) so can be tricky to sort out what is going on so close monitoring by HIV doctor is recommended. KH
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