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 feel tightness in the chest even after even after taking asthma medicines for the past two years?

Query: Hello doctor, I am frustrated with my asthma. I am 26 years old and developed asthma two years ago. It went untreated for almost a year, then I started taking Qvar (two puffs twice a day) and moved to Symbicort. I am currently on 180/4.5 of Symbicort, two puffs twice a day. While it helped a lot, I ...  Read Full »


Dr. Chandra Shekhar

Answer: Hi, Welcome to icliniq.com. There are two types of treatment for asthma control and relief. I would suggest you - Use Levolin (Levosalbutamol) metered-dose inhaler (MDI) two to four puffs per day. Take capsule AB Phylline (Acebrophylline) 100 mg twice a day. Use Symbicort (Budesonide-Formoterol) th...  Read Full »

Fever and breathing problems keep recurring after stopping steroids in COPD patient. Why?

Query: Hi doctor, My father is 70 years old and he has COPD, diabetes and high blood pressure. His blood pressure and diabetes are under control. Last year, he was affected by COVID-19 and recovered with no signs of lung damage in a chest CT scan. He had a mild fever (100 degrees Fahrenheit) two months bac...  Read Full »


Dr. Kaushal Bhavsar

Answer: Hi, Welcome to icliniq.com. I can understand your concern. I have gone through the reports (attachment removed to protect the patient's identity) you have attached. In my opinion, he should undergo CT (computerized tomography) of thorax, sputum culture, and sensitivity test. CT of thorax will be ...  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

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 »

Can tuberculosis infect organs other than the lungs?

Query: Hello doctor, My recent chest x-ray showed some suspicious infiltrates in the lung. I am currently under thyroid cancer treatment. I got two CT scans done for both neck and chest. I have attached both reports here. Please help me in clarifying few terms which I did not follow. I would like to know, ...  Read Full »


Dr. Amolkumar W Diwan

Answer: Hello, Welcome to icliniq.com.  I went through both your CT scan reports (attachment removed to protect patient identity). According to your CT report, there is no defect in the lungs. It only shows collapse in certain parts. As you have mentioned you are currently under treatment for thyroid canc...  Read Full »

Does smoking cigarettes cause shortness of breath and increased heart rate?

Query: Hi doctor,I suffered from bronchitis, four years ago. Since it got cured, I smoked cigarettes for two years and gradually stopped smoking. Recently, I have high blood pressure, increased heart rate, and I have shortness of breath. I started running 2 km daily. Why am I having all these symptoms?  Read Full »


Dr. Parth R Goswami

Answer: Hi, Welcome to icliniq.com. As you have a history of smoking, smoking-induced left ventricular hypertrophy, emphysema, bronchitis, pulmonary congestion, etc., can lead to such presentation. You need to do the following investigations: Auscultation. Chest x-ray. 2D echocardiography or...  Read Full »

Does low FEV in spirometry indicate COPD in a non-smoker?

Query: Hello doctor,I am a 32-year-old male and not a smoker. Recently I had trouble breathing and felt mucus stuck in my throat that I constantly had to clear up. My breathing problems come and go. Usually, it lasts for days then goes away. They do not get worse with exercise. The symptoms started at the ...  Read Full »


Dr. Muhammad Zubayer Alam

Answer: Hi, Welcome to icliniq.com. I can understand your concern. According to your statement, you have suffered from breathing difficulties and feeling mucus stuck in the throat. If your FEV 1 (forced expiratory volume) values are lower than average (average predicted values are more than 80%), suggest...  Read Full »

Does COPD cause pulmonary fibrosis?

Query: Hi doctor,Ten years ago, I was diagnosed with moderate to severe COPD. I am not on oxygen, and I remain active. My oxygen saturation stays around 95 percent. I am 60 years old. My height is 5 feet 10 inches, and my weight is 145 lbs. I am a nonsmoker. A recent CT scan of my back says scarring in my ...  Read Full »


Dr. Muhammad Zubayer Alam

Answer: Hi, Welcome to icliniq.com. Thanks for the query. I can understand your concern. According to your statement, you had a history of moderate to severe COPD (chronic obstructive pulmonary disorder) ten years back. Your recent CT scan (computed tomography) has suggested scarring in your lungs. Pulmon...  Read Full »

Why does my bedridden father cough even after giving nebulizer?

Query: Hi doctor,My father is 82 years old. Currently, he is in bed. We use pads for him. He eats well, but he has a cough. So we give him a nebulizer twice daily, but now while nebulization, we can hear the sound of his cough. Please advise.  Read Full »


Dr. Sanya Dhingra

Answer: Hi, Welcome to icliniq.com. This cough sound is not precisely cough but a wheeze (what we call it in medical language). Wheeze is a prevalent feature of COPD (chronic obstructive pulmonary disease- bronchial asthma). This could also be a sputum collection in the airway. Is there a previous histo...  Read Full »

What does pulmonary hyperaerated, bilateral, in a chest x-ray mean?

Query: Hi doctor, I am having a cough and a weird feeling while exhaling. I am experiencing this issue for more than a month now. Previously, I coughed out phlegm with blood. It looked like fresh blood. Currently, I have phlegm. I have pain while exhaling air. I have pain in my upper left-back. I have a h...  Read Full »


Dr. Muhammad Zubayer Alam

Answer: Hi,Welcome to icliniq.com.I understand your concern. According to your statement, you are suffering from a cough. You have a history of bronchitis and your recent chest X-ray shows pulmonary hyperaerated bilateral. It means that there is an abnormal increase in lung volume with an increased filling ...  Read Full »

Is hernia surgery advisable for a 73-year-old man with a bad medical condition?

Query: Hi doctor, I am a VA patient. I have a GFR of 27. I have polycystic kidneys, COPD, and emphysema with severe allergies. I have hiatal hernia for 15 years. Now I am 73 years old. In this bad health, my doctor advises me to have a hernia operation to rebuild the valve. In this bad medical condition, ...  Read Full »


Dr. Anushtup De

Answer: Hi, Welcome to icliniq.com. I do not understand the full form of VA. On considering your multiple comorbidities, surgery can be considered if you are severely symptomatic due to hiatal hernia. If you have minimal symptoms such as reflux or bloating, or heartburn, then surgery is not needed. Please...  Read Full »

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