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Suggest Treatment For Recurring Attacks Of Pneumonia
Question: I had pneumonia back in October then in December I had bronchitis was given antibiotics predisone and an inhaler I have previous Medical conditions including heart arteriosclerosis with 8 stints breathing issues arthritis and some others I have finished all meds for this bronchitis but am now in my 3rd week of coughing spasms choking on phlem very hard to get anything up I feel nauseated throw up phlem sometimes no appetite extremely fatigued cannot do much moving around increases cough what should I do or what does this sound like
Brief Answer:
Repeated lower respiratory tract infections (LRTIs)
Detailed Answer:
Hi,
Thank you for your query. I can understand your concerns.
Repeated attacks of pneumonias,persistent cough with expectoration in spite of courses of antibiotics points towards the possibility of Bronchiectasis as the underlying condition,which serves as the source of repeated infections.
Bronchiectasis can be diagnosed by High-resolution computed tomography (HRCT) chest.
Meanwhile you have to continue bronchodilators like oral theophylline and Beta 2 agonists (salbutamol or salmeterol) as inhalation. You can add oral N-Acetylcysteine which decreases thickness of mucous secretions in lung.
Regards
Dr. T.K. Biswas M.D. XXXXXXX
Repeated lower respiratory tract infections (LRTIs)
Detailed Answer:
Hi,
Thank you for your query. I can understand your concerns.
Repeated attacks of pneumonias,persistent cough with expectoration in spite of courses of antibiotics points towards the possibility of Bronchiectasis as the underlying condition,which serves as the source of repeated infections.
Bronchiectasis can be diagnosed by High-resolution computed tomography (HRCT) chest.
Meanwhile you have to continue bronchodilators like oral theophylline and Beta 2 agonists (salbutamol or salmeterol) as inhalation. You can add oral N-Acetylcysteine which decreases thickness of mucous secretions in lung.
Regards
Dr. T.K. Biswas M.D. XXXXXXX
Above answer was peer-reviewed by :
Dr. Raju A.T
My dr is not in favor of doing x-rays or tests should I go back to him with continued complaints or seek help at an ER someplace. The pain with cough is severe and I already live with chronic pain which I know has only complicated matters I feel I really need help and not getting it
Brief Answer:
Xray or Sputum culture
Detailed Answer:
Hi,
Thank you for your query. I can understand your concerns.
A chest X-ray is the common non-invasive investigation that helps in the diagnosis of respiratory disease .
Analysis of the chest X-ray is complimentary to the patient's physical examination.
Interpretation of a chest x-ray is practically an extension to clinical examination . The evaluation of respiratory system remains incomplete without radio-logical investigation.
Otherwise you can undergo sputum (early morning sample)for culture and sensitivity tests and Sputum for AFB (Acid-Fast Bacillus) for consecutive 3 days
Regards
Dr. T.K. Biswas M.D. XXXXXXX
Xray or Sputum culture
Detailed Answer:
Hi,
Thank you for your query. I can understand your concerns.
A chest X-ray is the common non-invasive investigation that helps in the diagnosis of respiratory disease .
Analysis of the chest X-ray is complimentary to the patient's physical examination.
Interpretation of a chest x-ray is practically an extension to clinical examination . The evaluation of respiratory system remains incomplete without radio-logical investigation.
Otherwise you can undergo sputum (early morning sample)for culture and sensitivity tests and Sputum for AFB (Acid-Fast Bacillus) for consecutive 3 days
Regards
Dr. T.K. Biswas M.D. XXXXXXX
Above answer was peer-reviewed by :
Dr. Raju A.T
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