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  5. I'm really worried about my loved one who's dealing with advanced chronic obstructive pulmonary disease and now also has acute congestive heart failure. His wheezing cough seems to be getting worse and he can't get any sleep because of it. Right now, he's using Combimist L respules with a nebulizer, but his LVEF percentage is down to 10. I'm really anxious to know if there are any medications or treatments that could help control his wheezing cough better. What would you suggest?

I'm really worried about my loved one who's dealing with advanced chronic obstructive pulmonary disease and now also has acute congestive heart failure. His wheezing cough seems to be getting worse and he can't get any sleep because of it. Right now, he's using Combimist L respules with a nebulizer, but his LVEF percentage is down to 10. I'm really anxious to know if there are any medications or treatments that could help control his wheezing cough better. What would you suggest?

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I'm really worried about my loved one who's dealing with advanced chronic obstructive pulmonary disease and now also has acute congestive heart failure. His wheezing cough seems to be getting worse and he can't get any sleep because of it. Right now, he's using Combimist L respules with a nebulizer, but his LVEF percentage is down to 10. I'm really anxious to know if there are any medications or treatments that could help control his wheezing cough better. What would you suggest?

To help control his wheezing cough, I recommend adding a long-acting bronchodilator such as Formoterol (brand name: Foracort) to his treatment regimen. The recommended dosage would be 1-2 inhalations twice daily. Additionally, a corticosteroid inhaler like Fluticasone (brand name: Flohale) can be added to reduce airway inflammation. The usual dosage would be 2 inhalations twice daily. These medications can help improve his symptoms and quality of life.

Last updated on 04 Jul 2025

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I'm feeling really anxious because I've been having some breathlessness and gastric issues. I had an ECG done and it showed sinus tachycardia along with a small inferior wave. The report mentioned something about a borderline ECG and that an infarct ...

"Based on your ECG report showing sinus tachycardia with a small inferior wave, along with concerns about borderline ECG and the possibility of infarct not being excluded, it is important to further evaluate your cardiac health. Sinus tachycardia is often a normal response to various factors such as stress, anxiety, or caffeine intake. However, in some cases, it can be related to underlying heart conditions. To assess the situation further, I recommend additional tests such as a cardiac enzyme test to rule out any potential heart damage, a stress test to evaluate your heart's function under exertion, and possibly a coronary angiography to assess the blood flow to your heart. These tests will provide more information about your heart health and help determine if any further treatment or monitoring is necessary. In the meantime, managing your gastric symptoms and acidity is important. You can take medications like omeprazole for acidity relief. Additionally, lifestyle modifications such as avoiding spicy foods, eating smaller meals, and avoiding lying down after eating can help alleviate gastric issues. It's essential to follow up with your doctor for a comprehensive evaluation and to discuss the results of these additional tests."

Last updated on 04 Jul 2025

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