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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Low Blood Oxygen Level

My grandma is in the hospital in Knoxville, TN. Here is what I have been told: She was having coughing fits. Literally, every minute she would have a coughing fit and cough uncontrollably. Then she got weak and they put her in the hospital. Her blood oxygen level is low. Her blood work came back fine The 20 pulmonary specialist in this medical group have never seen this before and don t know whats wrong . They did a test today, went in to look at her lungs and didn t see anything. The doctor said that he didn t really expect to and would have been surprised if he did. They did a biopsy and are waiting until tomorrow or Friday for the results of that. They have called that biopsy the last hope because they don t know whats wrong . She is currently out and on a ventilator. They plan to remove that on Thursday or Friday when the results come back from the biopsy. Currently, she is stable and apparently her blood oxygen level has stabilized or even risen enough for them to lower the amount that they were giving her. Any ideas?!!??!
Mon, 25 May 2015
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Pathologist and Microbiologist 's  Response
Hi I did review your concern.
Excessive coughing fits which are dry and without sputum can be due to a medication like (ACE inhibitor) if she is on any of such antihypertensive drug, or cough variant asthma where even oxygen may go low and you may not finding wheezing. The treatment would be beta agonist drugs for cough variant astma.
Also it can be due to gastroesophageal reflux disease or an infection like pertussis which can rarely affect adults. treatment would be omeprazole and antibiotics with cough suppressant like dextromethorphan.
I hope this helps
Let me know if you have any more questions or concerns.
Wish you all the best.
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Suggest Treatment For Low Blood Oxygen Level

Hi I did review your concern. Excessive coughing fits which are dry and without sputum can be due to a medication like (ACE inhibitor) if she is on any of such antihypertensive drug, or cough variant asthma where even oxygen may go low and you may not finding wheezing. The treatment would be beta agonist drugs for cough variant astma. Also it can be due to gastroesophageal reflux disease or an infection like pertussis which can rarely affect adults. treatment would be omeprazole and antibiotics with cough suppressant like dextromethorphan. I hope this helps Let me know if you have any more questions or concerns. Wish you all the best.