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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I am a hospitalist and gave 100 % oxygen to a COPD patient. Is it fine?
Query: Hello doctor, I need help with a question. I was working as a hospitalist. A 67-year-old man had been admitted over the weekend for confusion and a high ammonia level. He had also fallen down five to six times before admission. He had a history of COPD with permissive hypercapnia and was on three to... Read Full »
Answer: Hello, Welcome to icliniq.com. Patients with long-standing COPD (chronic obstructive pulmonary disease) controlled oxygen therapy should be given to avoid suppression of hypoxic respiratory drive. So unless they are on BIPAP(bilevel positive airway pressure) or invasive ventilatory support, oxygen... 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 »
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 »
I have been having COPD, fatigue, cough and increased heart rate. What could be the reason?
Query: Hello doctor,I am feeling fatigued, have COPD, and cough. The heart rate is very high. What could be the reason?Kindly help. Read Full »
Answer: Hello,Welcome to icliniq.com.Thank you for your query.I understand your concern. Read Full »
I suffer from COPD and have a loss of appetite, a headache, and weakness. What should I do?
Query: Hi doctor,I am diagnosed with COPD. My symptoms include a loss of appetite, a headache, a lack of energy, and weakness. My water consumption is minimal, and I consume pepsi or cola. Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern. COPD (Chronic obstructive pulmonary disease) is composed of two parts. One with chronic coughing and phlegm, and the other with restrictive lung disease, where an interstitial lung disorder causes breathing difficulty. Her pulmonologist wi... 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 »
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... Read Full »
My mother in law is suffering from cough and breathlessness.What does her CT scan report say?
Query: Hello doctor, My mother in law is 75 years old and she is diabetic. She had been treated for ulcer one year back. She is suffering from cough and breathlessness for more than two weeks. Doctor advised for a CT scan. Please see the attached report and guide us further. What does the report say? How... Read Full »
Dr. Amol Kumar Wasudeorao Diwan
Answer: Hello, Welcome to icliniq.com. I have read the history and CT scan report (attachment removed to protect patient identity). Your mother in law is a known diabetic. Now, she is suffering from cough and breathlessness since last 2-3 weeks. This can be due to COPD which is chronic obstructive pulmonary... Read Full »
Are the antibiotics prescribed to my dad correct?
Query: Hi doctor, My father is 76 years old. He has been in ICU for two days as he was diagnosed with LRTI (CAP - community acquired pneumonia). Four years back he had TB. His vitals such as BP, temperature, renal and heart tests are fine. He is not responding to antibiotics and his condition is deteriora... Read Full »
Dr. Amol Kumar Wasudeorao Diwan
Answer: Hello, Welcome to icliniq.com. Your father is suffering from acute exacerbation of COPD (chronic obstructive pulmonary disease) with CAP (community acquired pneumonia) and sepsis. Currently he is on appropriate antibiotics. But, he needs systemic steroids to cope up the exacerbation along with inh... Read Full »
I have been prescribed Betamethasone Dipropionate for bronchitis, but I may have COPD or asthma. What is the ideal dosage of Betamethasone for COPD?
Query: Hello doctor, A doctor prescribed me Betamethasone dipropionate for two weeks, 50-mcg-per-metered-spray, two puffs two times a day, then he said he would reduce the dose after two weeks. But I am concerned, since I checked online about this medicine, that two weeks is a very short period for this m... Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through your symptoms and medication history. It possibly suggests allergy and asthma. I want a few clarifications and details to help you. 1. Do you get recurrent wheezing or whistling sounds from your chest or have chest tightness? 2. Do your symptoms... Read Full »
I have PBC and COPD. Should stay away from a person diagnosed with mono?
Query: Hello doctor,I have PBC stage 4, Gave, COPD, Hashimoto's, etc. I have been around someone who was just diagnosed with mono. I have used her water bottle. Should I be worried and, if so, what symptom could I develop? Do I have to stay away from this person now? I am currently under Urso 300 mg six pe... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to the icliniq.com. I can understand your concern. Do not worry, and I will clear your doubt. Infectious mononucleosis usually caused by EBV (Epstein-Barr), and it can spread through saliva mainly. So sharing of the objects like water bottle or glass object can spread infection. So yo... Read Full »
If I quit smoking, will my RBC, hemoglobin, and PCV levels come back to normal?
Query: Hello doctor, I am suffering from hypertension since few years, and I am currently on medication Telmisartan. I am an alcoholic and smoker, and I smoke approximately 15 cigarettes a day for the last five years. My current CBC report suggests high RBC, hemoglobin, and PCV. Though it reduced slightly ... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to icliniq.com. I have gone through your attached reports (attachment removed to protect patient identity). The diagnosis is polycythemia. Polycythemia can be secondary or primary. Secondary polycythemia occurs because of hypoxia, which activates the oxygen sensor and more erythrop... Read Full »