Question 1

I've been noticing blood when I sneeze for a while now, and it's showing up in my sputum too. It started back in March 2016, and although I tested negative for TB, a doctor recommended a budamate inhaler and TelecastL, which helped stop the bleeding. I stopped the medication after a couple of months without consulting the doctor, and now the bleeding is back. The doctor suggested a bronchoscopy, but there aren't any available beds at the hospital, and now the doctor is on leave. I already had a CT scan done on my chest, but I'm really concerned about what might be causing this hemoptysis and what steps I should take next. Could you give me some guidance?

Accepted Answer

Pulmonologist opinion is advised to the patient.

Question 2

I'm a bit worried after my recent chest x-ray which showed prominent bronchovascular markings. I've been dealing with allergic bronchitis and I'm wondering if that's the reason behind these markings. Is this something I should be concerned about?

Accepted Answer

Prominent bronchovascular markings on a chest X-ray can be seen in various conditions, including allergic bronchitis, asthma, and chronic bronchitis; in your case, allergic bronchitis is a likely contributor, but it's essential to follow up with your doctor to monitor symptoms and adjust treatment as needed, and to rule out other potential causes

Question 3

I've noticed my wife has been dealing with breathlessness for the last 4 years. She often feels like she needs to take deep breaths just to feel comfortable, even when she's just sitting around doing nothing. Sometimes, these episodes of breathlessness disappear for days. What could be causing this, and should we be worried?

Accepted Answer

Pregnancy and Urine Infection

_23 Weeks Pregnant with Recurring Urine Infection_

_Test Results_:

1. _RBC (2-4)_: Slightly elevated, indicating some bleeding in the urinary tract.
2. _Epithelial cells (25-30)_: Elevated, suggesting irritation or inflammation in the urinary tract.
3. _Pus cells (10-15)_: Elevated, indicating a bacterial infection.

_Recommended Actions_:

1. _Consult your obstetrician_: Inform your doctor about the test results and recurring urine infections.
2. _Antibiotics_: Your doctor may prescribe antibiotics safe for pregnancy to treat the bacterial infection.
3. _Urinary tract infection (UTI) prevention_:
    - Drink plenty of water to stay hydrated.
    - Urinate when you feel the need, don't delay.
    - Wipe from front to back to prevent bacterial transfer.
    - Avoid tight-fitting clothing and wear cotton underwear.

_Follow-up_:

1. _Repeat urine tests_: Schedule follow-up urine tests to monitor the infection and ensure it's clearing up.
2. _Monitor for symptoms_: Keep an eye on symptoms like burning during urination, frequent urination, or abdominal pain.

For a nebulizer like Dr. Trust, the steam provided should be a fine, cool mist, not hot steam, as cool mist is more comfortable to inhale and helps prevent irritation to the airways, so the cold steam produced by your nebulizer is appropriate and effective for delivering medication.

More Pulmonology/ Respiratory Medicine Health Queries

I'm a bit worried after my recent chest x-ray which showed prominent bronchovascular markings. I've been dealing with allergic bronchitis and I'm wondering if that's the reason behind these markings. Is this something I should be concerned about?

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