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My mother-in-law has cough and breathlessness. Please help.
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 »
My diabetic mother is diagnosed with moderate obstructive lung disease. Kindly suggest treatment.
Query: Hello doctor, My mother is 62 years old. She is a diabetic on OHA and under good glycemic control. She weighs about 123.46 pounds. She is suffering from a dry cough for four months now. The chest X-ray is normal and the ENT consultation also ruled out any local cause. She complained of a tickling se... Read Full »
Dr. Amol Kumar Wasudeorao Diwan
Answer: Hello, Welcome to icliniq.com. I have seen the PFT (pulmonary function test) report of your mother. (attachment removed to protect patient identity). Let me tell you first that the PFT test is not done properly as the post-test is done immediately only after four minutes of the pre-test. Ideally, w... 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. Amol Kumar Wasudeorao 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 »
Are the antibiotics prescribed to my dad correct?
Query: Hi doctor, My father is 76 years old. He has been in intensive care unit (ICU) for two days as he was diagnosed with lower respiratory tract infection (LRTI) (CAP - community-acquired pneumonia). Four years back he had tuberculosis (TB). His vitals such as blood pressure (BP), temperature, renal and... 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 with the exacerbation along with i... Read Full »
Query: Hi doctor, My father has oxygen saturation (SpO2) level with oxygen is more than 95 and without oxygen is 75-80. He also has chronic obstructive pulmonary disease (COPD). But, all tests are normal like computed tomography (CT) scan, ultrasonography (USG) and x-ray. Please explain. Read Full »
Dr. Amol Kumar Wasudeorao Diwan
Answer: Hello, Welcome to icliniq.com. As you said your father has chronic obstructive pulmonary disease (COPD), low oxygen levels are expected when the disease is advanced. COPD is a chronic progressive disease. Inhaler medicines are only for the symptomatic relief. Smoking cessation is the best policy to... Read Full »