Dr. Kaushal Bhavsar
Pulmonology (Asthma Doctors)
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I have suffered from COVID-19. My sequence of actions are as below. I had a fever (103 F). the next day, I had a computed tomography (CT) scan of COVID-19 reporting and data system (CO-RADS) 3. Fever was not decreasing, and I got admitted to the hospital. Oximeter reading coming around 90. After two days, my body temperature was normal, and about to discharge. The next day a little fever was there, and breathing problem started. Treated on oxygen and computed tomography (CT) were done. The infection was increasing, and I shifted to another hospital for better care. Injection, anticoagulants, and steroids were also administered. The oxygen requirement gradually decreased, and I became normal the next day. Now the latest condition. Everything is normal. Oximeter reading is around 95, 96. Dabigo, Predisilone, Mucinex, calcium supplement, D vitamin supplement is getting used. Latest CT scan shows multiple pleural bands, and the doctor told fibrosis is there and may become permanent. Can you suggest me about this? I am stressed. Please suggest. Can I go for medicine that can stop progressing this? Any side effects that I cannot tolerate? Which level of scaring do I have?
Hello,
Welcome to icliniq.com. I have gone through the reports you have attached (attachment removed to protect patient identity). Yes, it is post-COVID fibrosis. Honestly speaking, there is no treatment at present for this. Data suggests that this fibrosis is not progressive like IPF (idiopathic pulmonary fibrosis) disease. So the best treatment at present would be regular chest physiotherapy, deep breathing exercise, monitoring of oxygen saturation, and repeat computed tomography (CT) scan after three months. We are giving Perfinex in such patients, but it is not proven for post-Covid fibrosis.
Patient's Query
Thank you doctor,
Any side effects for Perfinex? Can I use some days and stop it? What will be the dosage?
Hello,
Welcome back to icliniq.com. I can understand your concern. Yes, this drug has side effects. No, it has to be taken for a longer duration, at least six months. Have you met any pulmonologist for this fibrosis?
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