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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Bronchitis, Been Off Antibiotics A Week, On Steroids, Chest Seems To Have Bunged Up Again. On Medicines For Graves Disease. Linked?

I have had bronchitis for three weeks, the first I had antibiotics which didn t work so the second week I had a second course doubled up this helped a phlegm was yellow again ur still struggled to breathe so been on steroids for week three and was feeling better, however this is now week four and I have been off antibiotics a week and on steroids only and chest is starting to bung back up. I have graves disease for thyroid on 150mg of levoroxine, could there be a link should I be this I ll after four weeks?
Thu, 24 Oct 2013
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Internal Medicine Specialist,  's  Response
Hi there,

Thanks for your query.

Firstly, there is no correlation between thyroid condition and lungs problem.

I fail to understand the reason for putting you on steroids. If you did have difficulty in breathing, drugs that open up the wind passages, would have sufficed. Was your phlegm/sputum sent for testing?

The commonest cause of recurrence of bronchitis symptoms is inadequate duration or dose of antibiotics given; or, the causative organism was resistant to the prescribed antibiotic. Also, steroids reduce the immunity of the body. Hence, while on steroids, the chances of recurrence of bacterial infection of the lungs are high.

Further, it is possible that it could have been fungal infection.

Further, you have not mentioned if a chest x-ray was ordered or not; what were the x-ray findings, if done.

Please consult your treating doctor and discuss your case with him. He knows what would be best for you.

Dr. Rakesh karanwal
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Bronchitis, Been Off Antibiotics A Week, On Steroids, Chest Seems To Have Bunged Up Again. On Medicines For Graves Disease. Linked?

Hi there, Thanks for your query. Firstly, there is no correlation between thyroid condition and lungs problem. I fail to understand the reason for putting you on steroids. If you did have difficulty in breathing, drugs that open up the wind passages, would have sufficed. Was your phlegm/sputum sent for testing? The commonest cause of recurrence of bronchitis symptoms is inadequate duration or dose of antibiotics given; or, the causative organism was resistant to the prescribed antibiotic. Also, steroids reduce the immunity of the body. Hence, while on steroids, the chances of recurrence of bacterial infection of the lungs are high. Further, it is possible that it could have been fungal infection. Further, you have not mentioned if a chest x-ray was ordered or not; what were the x-ray findings, if done. Please consult your treating doctor and discuss your case with him. He knows what would be best for you. Dr. Rakesh karanwal