Hello, From Last 6 Weeks I Am Feeling Difficulty In
From last 6 weeks I am feeling difficulty in breathing like shortening of breath. I have this problem from childhood. Normally it goes away without any medicines or by intaking MOX500.
Please note I have not used MOX500 from last 2 years.
Salbutamol for difficulty in breathing
Detailed Answer:
Hello and welcome to Ask A Doctor service.
I have reviewed your query and here is my advice.
It seems that you have bronchoconstriction for some reason. It could be an allergy to some food or medicine or it could be asthma type condition.
If its been getting better previously with mox500, thenit might be an infection. Mox500 is an antibiotic, Doxy is also an antibiotic named doxycycline. In my opinion Mox500 would have better worked for you as it has previously worked. Do you have any other symptoms like sputum or fever etc? If sputum is present, I will suggest a sputum culture and sensitivity to isolate the organism. Also get a chest X ray PA view. and upload the reports here.
Meanwhile you can take Tab Salbutamol whenever difficulty in breathing is bad. It will open the airways. It can be taken upto 2 times a day in dose of 2 mg. Inhaler may also be tried. It will help you breathe better.
Hope it helps. Let me know if I can assist you further.
Dr Vaishalee
Yes, I had fever few times . It maximum I could record was 99.3 .
Mox500 didn't work this time. I will try to get chest xray asap and upload.
Regards XXXXXXX
Send sputum for culture and sensitivity
Detailed Answer:
Hi again
Please also send the sputum for culture and sensitivity. It will help decide whether you need antibiotic or not and which one. It will take 2-3 days for this report to come back.
Dr Vaishalee
Attaching Xray of my chest.
Didn't had enough cough( almost negligible today) may be due to medicines hence couldn't get sputum test. I would also like to mention that last night took ABD plus and there was some relief today after 3 pm and 7 pm.
Regards XXXXXXX
Chest X Ray is normal
Detailed Answer:
Hi again
This X ray is normal, so the pathology is not in lungs. The problem is just in throat or bronchi (windpipe).
You can bring the bottle for sputum from laboratory and take the sample when there is enough sputum.
I feel the throat or bronchi are constricting due to some allergen (possibility of parasite is also there). Rather than ABD plus, take only ABD when needed. Avoid the ivermectin as it can have side effects. We need to figure out the allergen also. If sputum, sneezing or runny nose is there then you can take tab cetrizine for relief. Its an anti-allergic. Also Syrup Salbutamol or an inhaler of salbutaml may be taken for shortness of breath when needed. These medicines may not be taken in a continuation. Take it on "as-needed" basis XXXXXXX 2 times a day.
Dr Vaishalee
Should I take ABD tonight?ABD plus was taken by me on 16th Night.
For sputum test I will follow as suggested by you.
I don't have sneezing or running nose.
Regards XXXXXXX
ABD is taken yearly
Detailed Answer:
Hi
ABD is taken yearly. If required, then one more dose maybe taken after 15 days of first dose.
Not having sneezing means that its not typical allergy, but it maybe related to IgE and may only be producing bronchoconstriction. More frequently such sensitivity is seen in food or medicine allergy or maybe asthma. You may check if its related to peanuts or eggs. Cetirizine maybe taken if symptom of bronchoconstriction is bad, otherwise not much needed.
Dr Vaishalee
Sputum test still not available as didn't get enough cough. Infact it's almost negligible these days.
My condition is also improved like 70% recovered. Right now my throat feel light burn and soreness. Please suggest further actions.
Regards XXXXXXX
Strepsil lozenges will be good enough
Detailed Answer:
It is good that the codition is getting better.
Mild soreness will also go away soon. You can take strepsil and warm fluids to help with it.
Otherwise nothing much needed now.
Hope you do not have acidity stomach.
Dr Vaishalee