Question 1

I'm a lifeguard and lately I've been having asthma attacks on days when the allergens are high and it's really hot. This happens even after I use my inhaler, which I do faithfully 30 minutes before my shift starts and again halfway through my 6-hour shift. I've already had two mild attacks and one severe one. The severe attack was so bad that I needed emergency oxygen. What should I do? Is there something more I can be doing to prevent these attacks, especially since I have to work under these conditions?

Accepted Answer

Salbutamol inhaler and budesonide 200 sos is advised for breathing difficulty.

Question 2

I'm having this on-and-off cough for a few weeks, and I'm really worried. I had an x-ray, and they saw some infection-like patches on my right lung, but my COVID test was negative. I took some meds like amoxicillin, montelukast, and clarithromycin for five days, then Allegram and Abphyllin SR for another week. The second x-ray looked okay, but I still have cough. Some days it's not so bad, but other days, I've got this chest congestion with white phlegm that's sometimes frothy, sometimes thick. My doctor wants me to keep taking Allegram and Abphyllin for three more weeks. I'm anxious about whether this is enough or if I should do more. Is using a nebulizer something I should consider?

Accepted Answer

continue as per doctor's advice

Question 3

My wife has been dealing with TB since February 2017 and she's been on 3 FDC treatment. A few months after starting, we went through a biopsy and she continued with medication. Now she's having some trouble with her legs. Have you seen something like this before or is it common for TB medication to cause leg issues? What should we do next?

Accepted Answer

Its important to inform her TB specialist about the leg symptoms. They can determine if the issue is a side effect of the medication or if it's related to something else.
Evaluate for Peripheral Neuropathy: If the leg pain or weakness is due to nerve damage (which is common with Isoniazid), they might consider giving Vitamin B6 supplementation (to help with neuropathy), or they might change her medication regimen.
Nerve or Bone Imaging: If there is suspicion that the TB has affected her bones or joints, further imaging (like X-rays, MRI, or bone scans) may be needed.
Blood Tests: To check for any liver toxicity or vitamin deficiencies (such as Vitamin B12, Vitamin D, or calcium).

I'm experiencing some pain in the center of my upper back whenever I breathe, and it occasionally moves to the front. I'm just wondering if you have any idea what might be causing this? Its been a bit concerning.

take one tablet. zerodol and tablet.pantoprazole

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