Question 1

I've been dealing with this morning cold that lasts for 12 hours every day for about a year now. Initially, I thought it was just a dust allergy, but it's been getting worse. Could it be something else? What should I do?

Accepted Answer

You may be experiencing allergic rhinitis. I recommend trying an antihistamine such as Cetirizine (brand name Zyrtec) 10mg once daily in the morning to help alleviate your symptoms. Additionally, using a nasal corticosteroid spray like Fluticasone (brand name Flonase) 1-2 sprays in each nostril daily can also be beneficial in reducing nasal congestion and inflammation. If your symptoms persist or worsen, it would be advisable to consult with an allergist for further evaluation and management.

Question 2

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?

Accepted Answer

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.

Question 3

I've been having some trouble with my breathing for the last couple of months. It feels like I'm trying to take deep breaths, but the oxygen isn't reaching my stomach, and this happens all day long. Usually, my SpO2 level is above 98, but when I'm having this issue, it drops by about 12 points. However, when I wake up in the morning and check with an oximeter, it shows 99 or 100 for about a minute. I do brisk walking for an hour every morning, and while I feel a bit short of breath, its not too bad. I dont have a fever, and an HRCT scan only showed a tiny linear fibrotic band in my right lung, which my doctor says isnt anything serious. All my tests like CBC, Lipid Profile, ECG, LFT, KFT, CRP, ESR, Thyroid, and Urine Examination are normal. My Spirometry test was normal too. I do tend to have high blood pressure, and my fasting glucose level was 107, but my HbA1c is 5. I'm really worried. What should I do?

Accepted Answer

it might be because of anxiety, try doing some yoga kind of exercises

I'm a TB patient and I've been on government-prescribed medicine for 22 days now, but I haven't noticed any improvement. Should I consider switching to a private treatment option?

Continue same treatment for 6 months ATT is advised to the patient.

More Pulmonology/ Respiratory Medicine Health Queries

I've been dealing with this morning cold that lasts for 12 hours every day for about a year now. Initially, I thought it was just a dust allergy, but it's been getting worse. Could it be something else? What should I do?

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