Copd

COPD stands for Chronic Obstructive Pulmonary Disease, which is a group of chronic inflammatory lung diseases that obstruct airflow from lungs and cause difficulty in breathing. COPD is most commonly caused by emphysema and chronic bronchitis. The symptoms include dyspnea, wheezing, chest tightness, persistent cough, and cyanosis.

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Why do I get sudden shortness of breath with sharp pains?

Query: Hello doctor, I am a 24-year-old female. I am 185 lbs and 5 feet inches in height. I have never had allergies or asthma. About six months ago, I started having shortness of breath, wheezing and the feeling that my air was not catching. I have sudden sharp pains that feel like something wanting to b...  Read Full »


Dr. Parth R Goswami

Family Physician, General Practitioner, Hematologist, Pathologist

Answer: Hi, Welcome to the icliniq.com. Before labeling dyspnea from a panic attack (psychological cause), all organic causes need to be ruled out. Your chest x-ray (attachment removed to protect patient identity) and sputum examination are normal, hence, infective etiology is less likely. To rule out ...  Read Full »

Is it advisable for a COPD patient to fly?

Query: Hello doctor, This is regarding my father, 77 years old, is a patient of COPD. He is an ex-smoker for almost 40 years and has been suffering from a shortening of breath for the last few years but his situation got worse in the last year. He was prescribed with home Oxygen machine for at least 10...  Read Full »


Dr. Amolkumar W Diwan

Allergy Specialist, Pulmonologist

Answer: Hello, Welcome to icliniq.com. Thanks for writing your query to me. I can understand your concern about your father. I have seen all the reports attached herewith (attachment removed to protect patient identity). Considering his general condition now, your concern of air travel is very important t...  Read Full »

Is it safe to use Foracort inhaler along with nebulizer in a 76-year-old patient?

Query: Hi doctor,My mother is 76 years old and has Alzheimer's for the last five years along with ischemic heart disease, hypothyroidism, and type 2 diabetes. Recently, she developed COPD. The doctor recommended Foracort 400 inhaler twice a day and Foracort 0.5 mg respules through nebulizer once a day alon...  Read Full »


Dr. Kaushal Bhavsar

General Medicine Physician, Internal Medicine Physician, Pulmonologist

Answer: Hi, Welcome to icliniq.com. Thanks for your question. I can understand your concern. May I know her Alzheimer’s and IHD drugs. And, better not to take Foracort (Budesonide and Formoterol) three times a day. I will be happy to help you further. Wishing good health to your mother. Thanks.  Read Full »

Why am I having breathing difficulty on involving strenuous activity?

Query: Hello doctor, I am 35 years old. Before six years I have been using smoke-free tobacco less smoke and I was a heavy drinker and I quited it a year before. That is my story. My question is why can I not breathe as long as I feel normal I guess. But any strenuous activity brings my breathing down ...  Read Full »


Dr. Anshul Varshney

Criticalcare Physician, Diabetologist, General Medicine Physician, Internal Medicine Physician, Medical Gastroenterologist, Nephrologist, Pulmonologist, Rheumatologist

Answer: Hi, Welcome to icliniq.com. Yes, your symptoms are suggestive of chronic obstructive pulmonary disease (COPD). The diagnosis of chronic bronchitis is more likely. See you have been a chronic smoker and even smoking tobacco less smoke cause harm to your lungs. For the sake of your better health, yo...  Read Full »

Will Hydromorphone mask the recovery of an elderly patient with COPD?

Query: Hello doctor, Patient is 89 years old and unable to take medications orally. Patient has COPD (with a pacemaker), CCF, had two TIA's a few years ago and is type 2 diabetic, has delirium, and is in pain. Patient is on iv antibiotics, and diuretic. 1) Is it typical not to use Hydromorphone (or alter...  Read Full »


Dr. Ashok Kumar Choudhary

Andrologist, General Practitioner, Geriatrician, Psychiatrist, Psychologist Counsellor, Psychotherapist, Sexologist

Answer: Hello, Welcome to icliniq.com. It is not advisable to withhold pain medication while the patient is on multiple antibiotics for the treatment of sepsis. As the patient is suffering from COPD (chronic obstructive pulmonary disease), the use of Hydrocodone is not advisable as it causes respiratory d...  Read Full »

What is the exact issue of my health?

Query: Hi doctor, I am an 18 year old female. I am suffering through a number of physical issues since two years. At first, it all started from sudden loose motion. I often got admitted in hospital for this reason. I visited many reputed doctors, but none of them was able to reach any conclusion. At last I...  Read Full »


Dr. Sadaf Mustafa

General Medicine Physician, Internal Medicine Physician

Answer: Hello, Welcome to icliniq.com. I am so sorry to hear all that you have been going through and here is my thought process. I think you have an autoimmune disease; most likely SLE (systemic lupus erythematosus) or mixed connective tissue disorder or myositis. Did you have any work up for that? Also, w...  Read Full »

Can difference in PaO2 affect pneumonia patient?

Query: Hello doctor, My father-in-law, 86 years old, has been on O2 for some time, but recently had a third bout with pneumonia. With each event he comes home sustained and comfortable on about 4 LPM, but six months prior to his most recent bout we changed the location and he has come down from 4 LPM O2 t...  Read Full »


Dr. Sunil Kumar Nookala

Allergy Specialist, Pulmonologist, Sleep Medicine Physician

Answer: Hello, Welcome to icliniq.com. Your relative is now in long-term oxygen therapy, the reason for that may be an acute exacerbation of COPD with pneumonia. He had around three bouts in six months indicates most probably type D COPD and he may require long term controlled oxygen therapy to further no...  Read Full »

What causes involuntary puffing?

Query: Hi doctor, I am a 45 year old male. A month back, I was diagnosed with sleep apnea. I have enclosed my report here. I feel breathless at night while lying down and I was advised it as because of sleep apnea. I have been trying to use a CPAP. For past two months I am experiencing breathlessness on...  Read Full »


Dr. Vivek Chail

Family Physician, General Practitioner, Radiodiagnosis Physician, Radiologist

Answer: Hi, Welcome to icliniq.com. I have read through your query and reports (attachment removed to protect patient identity) in detail. Please find my observations below. There is a probability of having a parasomnia which is defined as sleep disorders that involve abnormal movements and features like...  Read Full »

What causes flattening of the diaphragm?

Query: Hi doctor, My husband is 52 years old. He has never smoked and is currently training for a half marathon. He is very fit. For a couple of years, he is suffering from mild asthma and using Ventolin inhaler. For the past few months, he is suffering from chronic cough and that sounds like an asthmatic ...  Read Full »


Dr. Divakara P

Diabetologist, Endocrinologist, General Medicine Physician, Internal Medicine Physician, Pain Medicine Physician, Pulmonologist

Answer: Hello, Welcome to icliniq.com. Well, your husband's x-ray (attachment removed to protect patient identity) shows stable hyperinflation. It means his lungs are over distended (mildly) with air. This is the result of his asthma. More than asthma, chronic obstructive pulmonary disease (COPD) is a bett...  Read Full »

Is bronchoscopy and tube necessary in a pneumonia patient with COPD?

Query: Hello doctor,My father is in the hospital fighting pneumonia and has COPD. His latest X-ray has shown some improvement. The X-ray shows he has an extensive airspace and interstitial opacities in the left lung and patchy opacity in the right lower lung. The plan is to do a bronchoscopy and use a tube...  Read Full »


Dr. Harsha D S

Pulmonologist

Answer: Hello, Welcome to icliniq.com. I have gone through the history of your father's illness you have provided (attachment removed to protect patient identity). The X-ray reports are suggestive of pneumonia. At this stage, on initial antibiotics and supportive treatment, if he has not improved, broncho...  Read Full »

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