Question 1

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 2

I'm really worried about my dad; hes been in the ICU for 12 days now with this new type of pneumonia the doctors mentioned. There's still no improvement in his condition, and hes on a ventilator to support his breathing. It all started with a cough and a fever, so we thought it was swine flu and took him to the hospital, but the swine flu test was negative, and his heart seems fine. But hes still struggling to breathe normally. They said something about fluid in his oxygen pathways or possibly ARDS. Im really confused and unsure of what to do next, and I could send you his medical reports and prescriptions if that helps. Any advice would be really appreciated.

Accepted Answer

Pulmonologist opinion is advised to the patient.

Question 3

I've been dealing with this annoying issue for quite a while now. Whenever I go to bed and try to fall asleep, my throat starts itching and I begin coughing. It's definitely a dry cough. What's weird is that as soon as I stop trying to sleep, the coughing just goes away. What could be causing this and how can I fix it?

Accepted Answer

Expectations After Medication Insertion*

1. *Bleeding*: You can expect bleeding to start within 2-7 days after the medication insertion. However, this timeframe may vary.
2. *Expulsion of Retained Products*: The retained products (measuring 9cc) may be expelled during the first menstrual cycle, but it's not guaranteed.

*Factors Influencing Expulsion*

1. *Size of Retained Products*: The size of the retained products (9cc) is relatively small, which increases the likelihood of natural expulsion.
2. *Effectiveness of Medication*: The medication inserted by your doctor is designed to help expel the retained products. Its effectiveness may influence the timing and success of expulsion.

*Monitoring and Follow-up*

1. *Track Your Symptoms*: Keep a record of your bleeding, cramping, and any other symptoms.
2. *Follow-up Appointment*: Schedule a follow-up appointment with your doctor to assess the progress and determine if further intervention is needed.

I've been on montair fx for about 6 years to help with my asthma and rhinitis symptoms. Should I still be taking it or think about cutting back or stopping? Would really appreciate some advice on this.

Those are the common side effects of Ipill, due to excess hormonal content. Take rest. Drink plenty of oral fluids and focus on a good balanced diet.

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