Question 1

I'm really struggling with this issue and it's been over a year now. I've seen several doctors - 3 ENT specialists and 2 DTCD doctors. My main issue is this constant feeling of congestion and mucus in my throat. It doesn't bother me at night or when I'm sleeping, but during the day, it feels like I always need to clear my throat. A chest specialist recently prescribed me the Aerocart inhaler, which I used three times a day for 10 days, then twice daily, and finally once a day, but after 30 days, there was no improvement. They then suggested I try Theo Asthalin tablets twice a day, but it's been 2 days and still no change. What should I do next? This is really starting to worry me.

Accepted Answer

tab acetylcysteine

Question 2

I'm still dealing with a mild cough even after finishing 5 months of ATT treatment, and I've gained 7kg with a general sense of well-being. But I'm a bit concerned because my mediastinal lymph node is still somewhat enlarged and the cough hasn't gone away. Is it possible to take corticosteroids after finishing TB treatment, especially since they helped me with my cough before the TB diagnosis?

Accepted Answer

yes continue

Question 3

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.

This condition may require clinical evaluation to determine the exact cause and treatment. Some cases can be managed conservatively, while others may need surgical intervention depending on size, symptoms, and severity. Regular follow-up is important to monitor progress.

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