Question 1

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.

Accepted Answer

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.

Question 2

I've been having this sharp, needle-like pain in my upper right chest near my collarbone, especially when I breathe or move my head sideways, and it's been going on for about three weeks now. Before this, there was a constant pain in my shoulder that just kind of disappeared on its own. I'm really wondering what this could be? Should I be worried about this?

Accepted Answer

Could be due to inflammation of the muscles or tendons in that area. This type of pain can sometimes radiate from the shoulder to the chest. To help relieve the pain and inflammation, you can try taking over-the-counter anti-inflammatory medications such as ibuprofen (e.g., Advil) at a dose of 400mg to 800mg every 6-8 hours with food. Additionally, applying a topical pain relief gel containing diclofenac (e.g., Voltaren) to the painful area can also help. It is important to rest the affected area, avoid activities that worsen the pain, and apply ice packs for 15-20 minutes several times a day. If the pain persists or worsens, it is recommended to follow up with a healthcare provider for further evaluation and management.

Question 3

I'm having a hard time figuring out the best way to use my rescue inhalers. I usually use Ventolin when my asthma acts up, but switch to Bricanyl when it's really bad since it has a higher dose. But then I get these side effects like a sore, irritated throat and coughing. I've tried using fewer puffs, but that doesn't seem to help with the asthma symptoms. Any advice on how to manage this better?

Accepted Answer

visit dermatologist for evaluation and appropriate management

patient is advised to Continue inhalers sos and montair lc for breathlessness.

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