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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Treatment For Chronic Obstructive Lung Disease?

Good day, I am a 60 year old woman, 1.68m height, 49kg weight. I recently had a bout of pneumonia, lost 5 kgs and had chest xrays taken. The consclusion is: The picture favors uncomplicated chronic obstructive lung desease and there is evidence of centrilobular emphysematous changes. My concern is, how severe is this? How life threatening is this at this stage? One of the points on the xray report also states: There is an increase in the bronchovascular interstitial markings in favor of fribrosis. Looking forward to your reply
Mon, 13 Oct 2014
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Pulmonologist,  's  Response
Thanks for your question. In my opinion you need PFT (Pulmonary Function Test) to know severity of COPD (Chronic Obstructive Pulmonary Disease).
And prominent bronchovascular marking is common finding in chest x ray of COPD patient. So no need to worry about it.
COPD treatment is as follows.
1. Avoid smoking if you are smoker.
2. Start inhaled medicines having long acting beta 2 agonist and inhaled corticosteroids.
3. Enroll in pulmonary rehabilitation where chest physiotherapy is done.
4. Vaccinate your self with pneumococcal and h.influenza vaccines to prevent future infections.
Application of all these togather is needed for better control of COPD.
And regular follow up with pulmonologist is needed and 6 monthly PFT is required.
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What Is The Treatment For Chronic Obstructive Lung Disease?

Thanks for your question. In my opinion you need PFT (Pulmonary Function Test) to know severity of COPD (Chronic Obstructive Pulmonary Disease). And prominent bronchovascular marking is common finding in chest x ray of COPD patient. So no need to worry about it. COPD treatment is as follows. 1. Avoid smoking if you are smoker. 2. Start inhaled medicines having long acting beta 2 agonist and inhaled corticosteroids. 3. Enroll in pulmonary rehabilitation where chest physiotherapy is done. 4. Vaccinate your self with pneumococcal and h.influenza vaccines to prevent future infections. Application of all these togather is needed for better control of COPD. And regular follow up with pulmonologist is needed and 6 monthly PFT is required.