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 confused about my test results for TB. On December 27th, I got a sputum test, and it was positive. But then the next day, I did another sputum test, and that came back negative. The Truenat test on the 29th and the CBNAAT on the 30th were also negative. My chest X-ray is normal according to my local doctor, and some symptoms like weakness have gotten better, though I still have a mild chest pain. My blood report was normal except for ESR being 26, lymphocytes at 43, and cholesterol at 216. With my initial test being positive and all the following ones negative, I'm really unsure whether I have TB or not and whether I should start taking any medication. Could you help me figure out what's going on?

Accepted Answer

Pulmonologist opinion is advised to the patient.

Question 3

I'm back home from corona isolation because I tested positive for asymptomatic COVID-19. I've been isolating since July 28th and now I'm in home quarantine. While I was in isolation, my blood oxygen levels never dropped below 97, and I never had a fever, just a bit of tiredness. Since yesterday, I've noticed I need to take a long breath every 45 minutes, but then I'm able to breathe normally and can do pranayam exercises without a problem. After a 6-minute walk, my blood oxygen level is still 99 and I haven't felt any chest congestion or cough. I'm currently taking Pehist syrup and vitamin C tablets. The doctor at the quarantine center said I'd be fine, but I'm worried. Could this be just anxiety, or should I be concerned since I can't stop thinking about it?

Accepted Answer

anxiety and stress

Visit your Physician for appropriate management

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