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Suggest Treatment For Interstitial Lung Disease

Posted on Thu, 5 Mar 2015

Question: DO YOU HAVE PROPER TREATMENT FOR ILD. WILL THE PATIENT BE COMPLETELY ALRIGHT?
ONLY STERIODS ARE TO BE GIVEN? CAN WE GO TO HOMEO?

Answered by Dr. Drkaushal85 (46 minutes later)

Brief Answer:
Antioxidant and anti inflammatory drugs can be given.

Detailed Answer:
Hello dear,

Thanks for your question on HCM. I can understand your situation and problem.

Need to know few things first.
1. Have you undergone bronchoscopy and XXXXXXX (Bronchoalveolar lavage) analysis.
2. Do you have any occupational exposure?
3. Are you having pets at home?
4. Have you ruled out sarcoidosis?

In ILD newer guidelines suggest following medications along with steroids.
1. Antifibrotic (anti TNF alpha) -perfinodone.
2. N -acetyl Cystiene (NAC). It is anti oxidant, anti inflammatory, mucolytic and expectorant.
3. Proton pump inhibitors to control GERD (gastroesophageal reflux disease) because uncontrolled GERD can worsen ILD.
4. Calcium and multivitamin tablet, to improve the immunity.
So along with steroids, these drugs can be given.
Since all these are prescribed medicines, you need to consult pulmonologist first.

About progression, it is very early to predict its progression. We need to get done repeat CT thorax after 3 months to see its progression.

And with proper treatment, ILD can be completely alright.

I am sure regarding homeopathy. Better to start above mentioned drugs as their role in ILD is proven through large trials.

So better to consult pulmonologist and discuss all these.

Please reply me answers of above asked questions, so that I can guide you better.

I will be happy to help you further.
Wish you good health.
Thanks.

Above answer was peer-reviewed by : Dr. Ashwin Bhandari

Follow up: Dr. Drkaushal85 (1 hour later)

DOCTOR, FOR ALL YOUR FOUR QUESTIONS NO IS THE ANSWER. SHE IS HOUSEWIFE. NO PET ANIMAL. NO OCCUPATIONAL EXPOSURE. BRONCHOSCOPY AND XXXXXXX NOT DONE. SARCOIDOSIS .. NOT RULED OUT. LET ME SUGGEST UR ADVISE TO MY SON WHO IS A UROLOGIST.

Answered by Dr. Drkaushal85 (10 minutes later)

Brief Answer:
get done bronchoscopy &BAL first.

Detailed Answer:
Hello dear, thanks for your follow up question. And thanks for the information.
In my opinion you should consult pulmonologist and get done Bronchoscopy and XXXXXXX analysis.
Because this will be needed in differential diagnosis of your ILD. XXXXXXX analysis will rule out infection, tuberculosis, sarcoidosis, hypersensitive pneumonitis, NSIP etc.
So better to get done bronchoscopy and XXXXXXX analysis.
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. Bhagyalaxmi Nalaparaju

Follow up: Dr. Drkaushal85 (25 hours later)

DOCTOR ONE SCHOOL OF THOUGHT SAYS EVEN AFTER DOING THIS WE ARE GOING TO PRESCRIBE ONLY STERIODS. WHY CANT WE NOW STRAIGHTAWAY GO IN FOR STERIODS AND TRY FOR 3 MONTNS AND SEE THE IMPROVEMENTS AND THEN DECIDE TO GO IN FOR FURTHER INVESTIGATION OF BRONCHOSCOPY AND XXXXXXX
I AM UNDER CONFUSION. MY WIFE IS UNDER FEAR ANXIETY AND DEPRESSION.

Answered by Dr. Drkaushal85 (3 hours later)

Brief Answer:
need to know few things before answering this.

Detailed Answer:
Hello dear, thanks for your question on HCM. XXXXXXX understand your situation.
I want to know few things first, before answering this query.
1. What are her symptoms at present?
2. Do these symptoms limit quality of life and daily activities?
3. Is she taking steroids at present and does she improved with symptoms?
You are talking about empirical steroid treatment in her and wait till 3 months.
I need to know the answers of above questions first, to comment on this query.
Hope you will understand my point.
I will be happy to help you further.
Wishing good health to your wife.
Thanks.

Above answer was peer-reviewed by : Dr. Vaishalee Punj