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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Severe Dry Cough With ILD

am suffering from systemic sclerosis ,ILD(intestinal lung disease) a

auto immune disease ,its scarring(fibrous tissue replacing normal skin

tissues) of skin & internal organs



I started facing problem from feb 2008 in which my fingers were swollen &

difficulty in bending,the tips of fingers turns blue when temp drops

After test were conducted .The reports are as such



ANA-(+) VE

HRCT-GLASSY PATCHES AT THE BASE OF LUNG

ESR-35

MY doctor prescribed me to take methotrixate(in small dose) weekly.after

taking medicine for eight month.Following changes were observed even

condition worsens





Symptom-severe coughing at time of sleeping,not able to run,heavy

breathlessness,not able to climb stairs upto 1 floor,face skin

tightens(not able to smile),color of skin changing,difficulty in bending

fingers,difficulty in swolling food and reflux on lying down(GERD).





The reports are as such:(after eight month)



HRCT-honeycombing at base of lungs,dialated oesophagus

PFT-severly impaired DLCO,FVC-71 %

Pulse rate - 95/min

BP-130/90

ESR-40





After this they started corticosteroid(predisnolone),Azoran(immuno



supperesive),with lot of antacids medicine.these days they started



increasing doses of medicine(WHICH HAVE SEVERE SIDE AFFECT INCLUDING

INCRESE IN BLOOD SUGAR,DAMAGE TO KIDNEYS,INFERTILITY).





These days I m taking rituximab therapy to reduce lung fibrosis,hardening of skin of forearms, face



I have severe dry coughing all the time and it get worsrens while talking, exitement, stress , and sleeping.

Can u suggest some medicine so that dry coughing will be reduced??







Fri, 12 May 2017
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General Surgeon 's  Response
Respected user, hi I evaluated your query thoroughly.
* This much intensity of the cough with all underlying parameters need to be
assessed by thorough clinical examination by Physician doctor.
* Till you manage it can take Bromhexine containing cough syrup 5 ml every 8
hourly to get temporary relief & take general measures as follows :
- till possible try to relax in semi reclining position , head end of the bed
elevated for 30 degrees
- regular deep breathing exercises, YOGA are vital & most important.
- avoid smoking / alcohol if using .
- avoid exposure to noxious substances / fumes / chemicals / dusty
atmospheres ; if needed to go use face mask .
- maintain your hydration levels
- balanced nutritious diet to combat any external insult .
- avoid stress / anxiety
- regular sound sleep of 6-7 hours.
Hope this helps you.
Welcome for any further queries .
Thanks for using Health care magic & giving us an opportunity to assist you.
Regards dear take care.
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Suggest Treatment For Severe Dry Cough With ILD

Respected user, hi I evaluated your query thoroughly. * This much intensity of the cough with all underlying parameters need to be assessed by thorough clinical examination by Physician doctor. * Till you manage it can take Bromhexine containing cough syrup 5 ml every 8 hourly to get temporary relief & take general measures as follows : - till possible try to relax in semi reclining position , head end of the bed elevated for 30 degrees - regular deep breathing exercises, YOGA are vital & most important. - avoid smoking / alcohol if using . - avoid exposure to noxious substances / fumes / chemicals / dusty atmospheres ; if needed to go use face mask . - maintain your hydration levels - balanced nutritious diet to combat any external insult . - avoid stress / anxiety - regular sound sleep of 6-7 hours. Hope this helps you. Welcome for any further queries . Thanks for using Health care magic & giving us an opportunity to assist you. Regards dear take care.