HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Suggest Treatment For Asthma And Upper Respiratory Tract Infection

Posted on Tue, 25 Aug 2015

Question: Hello doctor,,,
I am 32/90 kg active male..I am childhood asthma patient..for last 15 years i don't have any ER visits or injections..I am on symbricot 160/4.5 long term preventer,,twice in Morning and night..it has been effective for 98% for last 4 years for me..I also use Asthalin for short term attack..and betnesol tablet only for emergency..I usually catch a cold..the it leads to upper respiratory tract infection..dats how my asthma usually triggers..my gp puts me on amoxicillin with potassium combo to treat the infection..which helps asthma eventually..recently in a similar episode..went to different gp..she put me on levoflaxcin for 5 days 1 a day..but from day 2 my chest congestion has got worse,,asthma is out in..bad shape..so I have started taking my betnesol tablets ..15 mg per meal..total 45 mg per day...usually I taper down them..once my asthma starts to get under control...still no respite from chest congestion..been 3 days..shd I start any new antibiotic..or any other medication..and suggest me for getting my lungs back under control..apology I due smoke 1 a day..but not when I get a attack..

Answered by Dr. Drkaushal85 (52 minutes later)

Brief Answer:
Better to get done chest x-ray first

Detailed Answer:
Thanks for your question on Health Care Magic.
I can understand your concern.
No need to take betnesol. It is steroid and should not be given in acute infection.
Also quit smoking as soon as possible. It damages lung defense system and makes you prone to infections.
Better to get done chest x ray first,to, rule out lung infection.
You may need new antibiotic, mucolytic and expectorant drugs.
Hope I have solved your query.
I will be happy to help you further.
Wish you good health.
Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Drkaushal85 (15 minutes later)

Thanks for the reply..
As of now ders no fever or chills..as it was b4 taking levoflaxcin. ..it's only chest congestion no infection..now....Also I take d betnesol just for broncho dilation..
I will also get a mucolite to get mucus out of d lungs..can you recommend me going back to amoxicillin with clavulanate..it's has worked with me b4.. If so what will be my dosage..coz I finished levoflaxcin today..

Answered by Dr. Drkaushal85 (1 hour later)

Brief Answer:
Mucolite is sufficient for you. No need to take antibiotics.

Detailed Answer:
Thanks for your follow up question on HCM.
I can understand your concern.
Since you are not having fever,no need to take antibiotics.
Mucolite is good for you and it will clear your congestion.
Also do warm water gargles 5-6 times a day.
Drink plenty of fluids and keep yourself hydrated.
if you still get fever than you should take amoxclav. You should take capsule Augmentin (625) thrice daily for 5 days.
Please let me know,if you had any vaccination.
I will be happy to help you further.
Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Drkaushal85 (5 minutes later)

I haven't had any vaccination in last 2 years..even for normal flu prevention..I will start with mucolite and agumentin..thanks..
XXXXXXX

Answered by Dr. Drkaushal85 (4 minutes later)

Brief Answer:
Get done influenza vaccination annually.

Detailed Answer:
Thanks for your follow up question on HCM.
I can understand your concern.
Get done influenza vaccine once you are out of this URTI episode.
It should be given annually. This will prevent recurrent viral infection and hence acute attacks of asthma.
Hope I have solved your query.
If you are not having further queries,than please close the conversation and rate my answer.
You can ask me directly on bi.ly/askdrkaushalbhavsar.
Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar