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Suggest Treatment For Severe Bronchitis

Posted on Thu, 23 Jun 2016

Question: I'm suffering from severe bronchitis n under treatment. I nebulize but in a few few hours l become breathless. Please advise me. Thanks.

Answered by Dr. Drkaushal85 (17 minutes later)

Brief Answer:
Do you smoke?

Detailed Answer:
Thanks for your question on Healthcare Magic.
I can understand your concern.
I gave gone through the drug list you have mentioned.
These drugs are appropriate for your disease.
Please let me know
1. Do you smoke?
2. Since how many days you are suffering from this?
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. Chakravarthy Mazumdar

Follow up: Dr. Drkaushal85 (1 hour later)

I was in the habit of smoking in my prime years but stopped it for the past two years. I developed this disease of ( bronchitis ,asthma,copd )breathlessness around 8yrs back .It started when I got stressed due to family reasons. I got admitted in a hospital in 2014jan.n Feb.2015 due to difficulty in breathing. I got ATT. from March.2015 toNov.2015 .I feel helpless now.pl.advise n help me live a better life.

Answered by Dr. Drkaushal85 (4 minutes later)

Brief Answer:
What is your last PFT report?

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
So you are a past smoker and having history of tb in the past.
All these make your lungs weaker and more prone for bronchitis.
Please let me know
1. Have you ever undergone PFT (pulmonary function test) report?
2. If yes then what were the values?
Please reply me answers of above asked questions, because treatment of bronchitis is based on these values only.
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 (54 minutes later)

PFT done in SGPGI Lko.in Feb 2014. Values XXXXXXX metry Ivc pred.3.45 Pre 1.30. Pre/pred. 38%. Post 1.45 Diff 11%. Flow/Volume Fvcex 3.32 ,1.39 ,42% ,1.49 ,7%. .FEV1 2.71 ,0.75 ,28% ,0.78 ,4%. FEV1/FVCex%. 78,54, 69%,52, _3%. MEF25 1/s 1.56,0.23,15%,0.21 ,_7% MEF50. 4.22, 0.39, 9%. ,0.34 ,-13%. MEF25-75. 3.63. ,0.39 ,11%. 0.36 ,-9%. PEF. 7.94. 3.22 , 41% ,3.47. ,8%.

Answered by Dr. Drkaushal85 (21 minutes later)

Brief Answer:
You are having very severe obstructive Airway defect.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
By your spirometry report, it is obvious that you are having very severe obstructive Airway defect.
And this report is of 2014. So your current PFT will even much worse.
In my opinion, you are not doing regular follow up with pulmonologist because PFT is required every six monthly in such cases.
You are also having cor pulmonale mostly.
It is right sided heart failure seen in very severe bronchitis.
This can also add to symptoms.
So please let me know
1. Do you follow up regularly by pulmonologist?
2. Have you ever undergone 2d echo for the diagnosis of cor pulmonale?
3. What is your oxygen saturation in resting as well as exertion?
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. Chakravarthy Mazumdar