I'm really concerned about my dad. He's been dealing with COPD after smoking for 35 years, but he quit cigarettes three years ago. He also had CAD and underwent CABG three years back. He's on medication for his heart, and all his tests are coming back normal now. For COPD, he used to take Fluticasone, Salmeterol, and Tiotropium Bromide but these days, he's just on Seroflo 250 BD. The issue we're having is with nighttime as soon as he lies down to sleep, he starts producing sputum and has to cough it up. He doesn't have problems sitting up, and there's no orthopnea or nocturnal apnea, just sputum, so he's been taking Levocetirizine and Montelukast for that. I'm wondering if we should add back TIOVA? Also, is it okay for him to use Monticope daily? And with his substernal hernia, is it still safe for him to do his breathing exercises by lifting the ball? Would really appreciate some guidance.

Answered by 1 Apollo Doctors

Dr Ibrahim Salah

General Practitioner

MBBS
2+ Yrs

Consult Now

You are recieving right treatment no need to worry give some time rest your voice untill you recover consume warm foods,visit ENT doctor for evaluating further.

Dr. Ibrahim Suggests...

Consult a Pulmonology Respiratory Medicine Specialist

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Answered 04/07/2025

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I had TB twice, first in 1997 and again in 2012, with surgeries both times. I completed a 2-year course of meds like T.combutol, T.monopass, and others. Now I'm fine, but my weight has gone up to 89 kg. Recent tests show uric acid at 8.1, total cholesterol 207, HDL 35, LDL 139, triglycerides 125. My doctor suggested losing 17 kg in 2 years through gym. Do you think I really need to lose that much weight, given my medical history?

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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.