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  5. 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.

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.

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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.

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.

Last updated on 04 Jul 2025

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I'm really worried about my wife's health. Her IgE level is over 3000, and I'm not sure what this means. Should I be concerned about this? What kind of specialist should I consult to understand whats going on and how we can address it?

Monitoring progress is crucial when treating lymph node tuberculosis (TB). Here are some indicators to assess your progress: *Clinical Indicators* 1. *Reduced swelling*: Lymph node swelling should decrease in size. 2. *Less pain*: Pain and tenderness in the affected area should subside. 3. *Improved overall health*: You should experience increased energy levels and a general feeling of well-being. *Laboratory Tests* 1. *ESR (Erythrocyte Sedimentation Rate) test*: This test measures inflammation. A decrease in ESR levels indicates improvement. 2. *CRP (C-Reactive Protein) test*: This test measures inflammation and infection. A decrease in CRP levels indicates improvement. 3. *Chest X-ray*: This test evaluates lung health. Improvement in lung condition indicates effective treatment. 4. *Sputum smear microscopy*: This test checks for TB bacteria in sputum. A negative result indicates treatment effectiveness. *Treatment Duration* Typically, lymph node TB treatment lasts for 6-9 months. Your doctor will assess your progress and adjust treatment duration accordingly. *Follow-up Appointments* Regular follow-up appointments with your doctor are crucial to monitor progress, adjust treatment, and address any concerns. After 2 months of treatment, you should start experiencing some improvement in symptoms. However, it's essential to continue treatment as prescribed and attend follow-up appointments to ensure complete recovery.

Last updated on 10 Jul 2025

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