Question 1

My dad's 66 and dealing with some BP issues  like today, it's at 170100. He's had asthma for a couple of years and some sleep issues, plus he gets shortness of breath when sleeping. He's been using a CPAP machine for about a year now, but it doesn't seem to be helping much. We started him on some medications like Sartel 40, Cinod 10, Rousuvas, Forocot, and Montair, which helped bring his BP to around 13080 or 14090 for a bit. But now, it's gone back up even after adjusting his meds. He's taking Sartel 80 and Ivabard in the morning and evening, and Rousvas at night. The BP readings improve by lunchtime, but soon after taking his meds, he feels dizzy, uncomfortable, and his BP goes up. He seems okay with his night dosage, though, and the CPAP reports show his AHI count is fine, but his sleep quality isn't great. He keeps coughing with the CPAP, and it doesn't seem like he's getting restful sleep. Could this be because of asthma or the dry air from the CPAP? What might be going on, and what can we do to manage his BP and improve his sleep?

Accepted Answer

It sounds like your father is experiencing difficulty in controlling his blood pressure and is also facing challenges with his sleep quality and asthma symptoms. The symptoms of dizziness, uneasiness, and elevated blood pressure after taking morning medications may be due to the side effects of the drugs or interactions between them. Considering his current medication regimen and symptoms, it may be beneficial to consult with his healthcare provider for a review and possible adjustment of his medications. In the meantime, it is important to ensure that he is taking his medications as prescribed and at the correct times. In addition, to address his sleep quality issues with the CPAP machine, he may benefit from using a humidifier attachment to the CPAP machine to help alleviate dry air irritation that could be contributing to his cough and disrupted sleep. For his asthma symptoms, it is important to continue using the prescribed inhalers and medications as directed by his healthcare provider. If he continues to experience asthma symptoms, a review of his asthma treatment plan may be necessary. Overall, it is important to closely monitor his symptoms and blood pressure readings, and communicate any concerns or changes to his healthcare provider for further evaluation and management.

Question 2

I'm really worried about my dad. He's been having this thick, yellow, milky mucus with a little bit of blood in it from his nose in the mornings. The rest of the day, there's no blood, just yellow-green mucus, even though it's been two weeks since he started antibiotics. He was prescribed Azithromycin for five days and Doxycycline twice daily. Twice he coughed up some blood, but it stopped on the same day. Now, he's mostly coughing up white, thick phlegm. This started after his fever went away. What do you think might be going on? Any advice would be greatly appreciated.

Accepted Answer

do chest xray

Question 3

It's been a year now on the anti-TB treatment, and I'm really hoping to understand how things are going. I've attached the chest X-ray report, and I'd love if you could take a look and let me know what it means. Do you think things are progressing well?

Accepted Answer

Pulmonologist opinion is advised to the patient.

check your hemoglobin levels once

More Pulmonology/ Respiratory Medicine Health Queries

It's been a year now on the anti-TB treatment, and I'm really hoping to understand how things are going. I've attached the chest X-ray report, and I'd love if you could take a look and let me know what it means. Do you think things are progressing well?

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