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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Bullous Emphysema

I have recently been diagnosed with bullous emphysema, just lately i have been getting some angina pains ...its a squeezing pain in the centre of the chest, which radiates up to a tightness in my throat.. its spreads to my left arm and under that arm pit!...This pain came on upon rest last night while just laying in bed
Mon, 25 Aug 2014
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Pulmonologist 's  Response
Thank you for your question in HCM. In my opinion you should first undergo ecg to rule out cardiac cause for your pain. Bullous emphysema can be due to smoking habit or may be congenial. If you are smoker than stop smoking and enroll in smoking cessation center. Also get done pulmonary function test to see your FEV1 and FVC and quantify the severity of the disease . Following are treatment option.
1. If localised bullae and you are quite symptomatic with this than surgical removal is needed.
2. Avoid smoking.
3. Pulmonary rehabilitation with chest physiotherapy.
4. Adult vaccination with h.influenza and pneumococcal vaccines.
5. Start inhaled treatment in the form of long acting beta 2 agonist with corticosteroids and anticholinergic drugs.
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Suggest Treatment For Bullous Emphysema

Thank you for your question in HCM. In my opinion you should first undergo ecg to rule out cardiac cause for your pain. Bullous emphysema can be due to smoking habit or may be congenial. If you are smoker than stop smoking and enroll in smoking cessation center. Also get done pulmonary function test to see your FEV1 and FVC and quantify the severity of the disease . Following are treatment option. 1. If localised bullae and you are quite symptomatic with this than surgical removal is needed. 2. Avoid smoking. 3. Pulmonary rehabilitation with chest physiotherapy. 4. Adult vaccination with h.influenza and pneumococcal vaccines. 5. Start inhaled treatment in the form of long acting beta 2 agonist with corticosteroids and anticholinergic drugs.