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When compared to night shift, how is working in daytime better?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Hariharan

Medically reviewed by

iCliniq medical review team

Published At November 6, 2015
Reviewed AtDecember 14, 2023

Patient's Query

Hi doctor,

I am a 38 year old male. I am overweight. For past 10 days, I feel tiresome. I am taking tablet Nurokind-LC 1-0-0 and capsule Adliv Forte 1-0-1 for the past four days. Now, I am feeling better but not 100%. I suspect UTI, but not tested yet. I have asthma from childhood. Initially, I used Foracort 200 inhaler and now I am using nebulizer with Asthalin respirator solution. My wheezing is in control now. My lifestyle over last few years was not good. I missed sleep and slept whenever I had to. Please suggest ways to get better with or without tablets.

Thank you.

Answered by Dr. Hariharan

Hi,

Welcome to icliniq.com.

God created us in manner that we should work for 8 hours, rest for 8 hours and sleep for 8 hours. When we change this pattern it may lead to many diseases like migraine, hypertension, diabetes, obesity, etc.

  • Why you are not getting sleep on time? Are you doing night duties or sleep in daytime? How many hours you sleep at night? Are you the person who thinks much before sleep? Is there loads of stress at work?

    • Please answer my above questions. It will help me find out why you are not sleeping well. Kindly refer relaxation exercises and breathing exercises. Do it for 20 minutes before going to bed.

      • If your sleep does not become regular we can start with sleeping pills, which will greatly improve your sleep. My opinion is, when you sleep well, your increased weight and tiredness will go away. Anyway you are just 3 kg overweight. You can reduce it easily by going fast walking 40 minutes a day in the morning.

        • Nurokind-LC (Methylcobalamine) is usually given for cramps occurring at night. If you have that you can continue with Nurokind LC. Better health tablet is Zincovit. I have tried that with many patients and found it is one of the best drugs for tiredness.

          • What is the purpose of taking Adliv Forte? Is it like Liv 52 given for people with liver problems? Why your doctor has given that? Do you take alcohol regularly? Do you have indigestion or recent jaundice or any pain in right side of abdomen? If there is no need for taking Adliv, Zincovit is more than enough.

            • Eating a fruit as a whole everyday gives you all the vitamins you need and good amount of fiber. Eat one fruit everyday.

              • What about UTI? How long you suffer with pain during urination? Please explain the symptoms, so that we can analyze and prescribe any test (if needed) and treatment.

                • Thank you.

Patient's Query

Hi doctor,

Thank you for your thoughtful approach. Yes, I used to work various shifts and mostly night shift in the past three years. I was working for more projects and more clients and so I compromised with my sleeping hours. Yes, I used to think too much day and night and it disturbs my sleep pattern. I am in rest for past three weeks. I recovered 90% now, except for a mild tiredness when I try to concentrate heavily about any single issue.

I took routine urine test and attached the report. I did not have any symptoms of UTI now. I just stopped both tablets Nurokind-LC and Adliv Forte after your reply. Now I feel that my recovery is getting faster. I do not drink or smoke. I do not have any digestive problem or pain in my right lower rib area. I am suffering with wheezing from age 1 till now. I would like to know any advice for long-term prevention.

Answered by Dr. Hariharan

Hi,

Welcome back to icliniq.com.

  • According to your urine test (attachment removed to protect patient identity), only few extra pus cells are present which poses no problem at all.
  • Night duty will spoil our health. We will get accustomed to one shift for some time and get some sleep after duty. But they will change the shift before we get adjusted to it. It gives a big trouble. So, if you are going to do shifts again, please ask them to give you monthly shifts (regular night duty for a month and day duty the next month), so that the shifts will not cause any health problem.
  • You can take Zincovit tablets at morning everyday for a month for your tiredness.
  • Regarding wheezing, start with tablet Montair-LC (Montelukast Sodium). One tablet before sleeping for two months. It will prevent further episode of asthma. If your symptoms occur like once a month or rarely, then this tablet is not necessary.
  • In that rare case, you can take tablet Septilin which is an ayurveda tablet. Take one tablet at night daily. It will increase your immunity and will prevent asthma.

For further information consult a family physician online -->  https://www.icliniq.com/ask-a-doctor-online/family-physician

Patient's Query

Thank you doctor,

I will follow your advice and will let you know how things go. I stopped working in night shifts after this health disaster. As of now, I am self-employed and have the freedom to choose my work hours. Did you say working in daytime is best compared to night-time? Please let me know.

Answered by Dr. Hariharan

Hi,

Welcome back to icliniq.com.

  • There is no doubt that day duty is the best. We are made up for that only. Since you have started your own setup, it is very good.
  • There are two kinds of people. One wakes up early in morning like 6 or 7 AM and goes to sleep by 10 PM. Another type person who is comfortable waking up by morning 11 AM and goes to sleep by 2-3 AM. Both are normal only.
  • I think you are type 1. So, day time work is better. Night duty is always harmful. Please find some relaxation exercise and do it at night. You will get good sleep. Once you start sleeping well, all your problems will fade away.
  • Also start doing pranayama. Close right side of the nose and take deep breath using the left nostril. Hold breath for few seconds. Now open the right side and close left. Exhale via right side. Again start inhaling by right side. Proper practice will make you do that easily. Do pranayama for 5 minutes three times a day and before sleep.
  • Again there are different timings of sleep. Some people feel better if they sleep for 8 hours a day. Some needs only 5 hours. You have to find out the timing which works for you and follow the same timing. For example, if you sleep for 6 hours and feel fresh the next morning then it is the correct time. But if you feel tired you may need more time.
  • Never have hot drinks like coffee or tea at night. Similarly please avoid spicy masala food at night. Both will impair sleep.

For further query consult a family physician online -->  https://www.icliniq.com/ask-a-doctor-online/family-physician

Patient's Query

Hi doctor,

With regards to pranayama effort, sometimes either one side of the nose is partially or fully blocked. So, I get little bit discouraged whenever I try to do this exercise as suggested by some of my college seniors when I was an UG Student. Please let me know if there is anything I can do about it to rectify that issue. 

Often my sleep used to get disturbed either due to wheezing or due to other issues such as phone. Now I have learned to switch off all those gadgets three hours before sleeping time. After using Montair-LC I am not getting disturbed much except for a slight discomfort of breathing when I wake up. I was using Asthalin respiratory solution in nebulizer from my age of 28 to 37 and moved to Foracort inhaler 200 for almost a year back. At present, I am using only Montair-LC every night before sleep and Asthalin respiratory solution without diluting for a few seconds whenever I feel difficulty in breathing. 

I took blood test just to see how things are with my general health. I am attaching my CBC (complete blood count), LFT (liver function test) and urine routine test reports here for your review. I am 99% alright now and my weight is 74 kg now. I am not feeling energetic to go for a morning tennis which I have started recently for having some fun out of work.

Answered by Dr. Hariharan

Hi,

Welcome back to icliniq.com.

  • Your blood and urine reports (attachment removed to protect patient identity) are normal. Even eosinophil count is normal.
  • Regarding pranayama, do it whenever your nose is not congested. If nose blockage is present, you cannot do it.
  • Also I suggest lung exercises to increase your tidal volume. This will increase exercise tolerance. So, you will not feel breathless or tired when playing tennis. Just buy some balloons and blow 10 balloons a day. How much ever you do is fine.
  • You can start tablet Roflair (Roflumilast) 500 mcg at night. It works for 24 hours and reduces wheezing. It is like Deriphylline (Theophylline) which dilates air passages. Slowly you can stop Foracort when you use Montair and Roflair.
  • Tennis is a game which requires lot of energy and stamina. So start playing lightly for a month and gradually increase speed.

For further information consult a family physician online -->  https://www.icliniq.com/ask-a-doctor-online/family-physician

Patient's Query

Hi doctor, 

Yesterday, I had a wheezing attack after longtime. It was a gradual discomfort started from evening. I stopped taking Montair for few days. Also for the past ten days, I am coughing regularly in the morning. I am getting light yellowish color phlegm regularly but no difficulty other than that. The chest congestion is a bit high now and I feel there is a lot of phlegm around my chest. I am a bit concerned about using Montair regularly. Yesterday night, I took Betamethasone 0.5 mg one at 8 PM and one at 2 PM with Asthalin respirator solution in nebulizer and my wheezing was controlled. Please advice.

Answered by Dr. Hariharan

Hi,

Welcome to icliniq.com.

  • Stopping Montair is fine. Usually I prescribe it when a patient had wheezing episodes once to thrice a week. It is an on and off tablet. If wheezing comes, we can take for a week and stop. If the wheezing happens occasionally like once a month, then regular use is not recommended.
  • Are you still using Foracort? If so, you please take up to four puffs per day for next two to three days.
  • Please take the following tablets for severe phlegm. Tablet Azee (Azithromycin) 500 1-0-0, tablet Deriphylline (Theophylline 300 mg) 1-0-1, tablet Cetirizine 0-0-1 and syrup Tusq-X (combination of Terbutaline Sulphate, Bromhexine Hydrochloride and Guiafenessin) 10 ml-10 ml-10 ml.
  • It is good to have black coffee without sugar two times a day for asthma. Drink hot water for few days.
  • Betamethasone is a steroid. It is fine to take one or two times. Please stop that and take above drugs. Also take Montair-LC for 10 days and stop.

For further information consult a family physician online -->  https://www.icliniq.com/ask-a-doctor-online/family-physician

Patient's Query

Thank you doctor,

I am not using Foracort now. Because I do not feel good with the medicine like earlier. I just keep Asthalin inhaler in my car and a few Montair tablets for emergency when I go out in two wheeler or car. When I feel slight breathing difficulty, I am just inhaling one or two breaths of Asthalin respirator solution without dilution.

I am not going for any sporting activity yet as I feel little weak when I do something physically. Thought of continuing sports after two months. I am just taking rest at home now for past two months doing mild stuff at home and engaging in mental work for about three to four hours per day. Once I stopped Montair after a day or two, I am getting discomfort. So I got scared whether my body is going to get addicted to this medicine. Your response makes me feel better.

Answered by Dr. Hariharan

Hi,

Welcome back to icliniq.com.

The main thing is that the wheezing is usually seasonal in many patients. Like autumn or in rainy seasons. So during that time Montair-LC is good.

  • When a person takes Montair for two months, that whole two months he will not have any wheezing episode. Even after stopping the tablet, he will not get symptom for another two months. In few patients it may prolong up to six months. So most of my patients take Montair for two months continuously per six months.
  • Another set of patients respond well to Montair-LC but after stopping it they may have wheezing. We do not know why this tablet works differently for different sets of patients. I think when there is severe asthma Montair works only when it is being taken and wheezing comes back after stopping it. It will be better if you try two months per six months of Montair LC. I guess you already had this tablet for 50-60 days.
  • As I have already mentioned, tennis is a rough sport. Constant running triggers asthma. Walking, yoga, cycling, volleyball, cricket are best. Since they are light, we can take rest at times.
  • Swimming is the best, since it gives workout to all your muscles and being in water every day may make you resistant to cold and may reduce episodes.

For further information consult a family physician online -->  https://www.icliniq.com/ask-a-doctor-online/family-physician

Patient's Query

Hi doctor,

Thank you for the good explanation and right reasoning about Montair. I understand your point here. I took Montair about 30 tablets till now in the past two months. Will continue Montair for one more month and then will review from there as per your advice.

Earlier, I was playing badminton (shuttlecock) in the night-time around 8 to 10 PM for few months. It was too tough for me as we played only doubles and it requires swift movements consistently. I use to get one episode of wheezing almost every day which gets controlled when I take two puffs of Foracort 200 with around few breaths break. If I play for another 2 to 3 hours even I do not get any wheezing the rest of the day. 

That was my routine for about 3 months and in general most things were in control that time, then my health became so weak. So, I stopped playing badminton and tried tennis once or twice a week for about one month. After a month, I was bedridden with tiredness for almost 10 to 20 days and that is where I started to interact with you. Now I stopped all these and will try other things like cricket at home/walking/swimming etc as you suggested .Till I get a good health I will not go to racquet sports again.

I had fits once when I was around 20 years old and took Tablet Neptoin for two years and it got cured and never had fits again. Will it get triggered from my medication?

Answered by Dr. Hariharan

Hi,

Welcome back to icliniq.com.

  • Having one episode of epilepsy can be due to many causes. Let us not go deep into that, but taking Montelukast when you had one episode of seizure is not a worrisome issue. It will never cause or aggravate fits.
  • Swimming is also good for backbone. I had a friend who was diagnosed with lumbar disc prolapse and doctors advised him to go for surgery. He was 35 at that time. By swimming three to four days a week, he made all the symptoms disappear and is fit now. So, swimming is good for health.
  • Around 10% of olympic athletes have asthma. How about that? So, playing soft games are good entertainment and also it will increase your exercise tolerance which will reduce episode of asthma.

Revert back after a month for review to a family physician online -->  https://www.icliniq.com/ask-a-doctor-online/family-physician

Patient's Query

Hi doctor,

I am very thankful to you for the explanatory answers.

Answered by Dr. Hariharan
Hello Sir, Sorry for replying so late. I was terribly busy with classes since morning. Also i had to give a speech in a meeting today. For loose motion, you should take black coffee without sugar frequently. Also there may be a powder available in nearby provisional stores. Arrowroot powder. You can make kanji using that (just mix with water and boil). That will also reduce the loose stools. You have to take antibiotics or the diarrhea will be present for many days. The following tablets can be taken. T. Zenflox-OZ (Ofloxacin + Ornidazole) 1-0-1 after food for 3 days T. Eldoper (Loperamide) 1-0-1 after food for one day only If you also have abdominal pain or vomiting sensation please also take T. Pansec DSR (Pantoprazole + Domperidone) 1-0-1 before food for three days Electral powder 21g - two packets. Mix one packet with one litre of lukewarm water and drink in 12 hours (tonight to tomorrow morning). Open another packet and mix in one litre tomorrow morning and drink in another 12 hours. Hydration is more important. Drink plenty of fluids like home made juices. All my wishes for early recovery and Happy Diwali. Regards, Dr. Hariharan

Patient's Query

Thanks a lot Doctor. No worries about late reply, I also thought you might have had a busy schedule. My diarrhoea is in control now ( followed your coffee advice and it seems working very well, yesterday I missed out on black coffee and had diarrhoea yesterday badly, but today it's fine ) No other symptoms as of now , everything is alright now. Do I need to start with those tablets for diarrhea ? Please let me know . Thanks, Ben
Answered by Dr. Hariharan
Hahaha. Ok. If the symptoms comes back, take tablets. Otherwise no problem. That antibiotic I told, if we start that you have to finish three day course. So if you think you are getting well, no need for tablets. But if you have diarrhea today at least 2 times then pls start tablets. Regards Hariharan

Patient's Query

Hi Doctor, Thanks, and hope you had a good Diwali. Diarrhea still continues for me once I stopped the 3 day course ( more than 3 times a day ) Do I have to continue with the coffee / arrowroot powder along with the antibiotics? Do I need to avoid spicy food ? Please advise. Thanks, Ben
Answered by Dr. Hariharan
Hello sir, Thanks for your wishes. Had a good diwali in my hometown. I wonder why this diarrhea didn't stop. Usually it goes away with three day course. Another thing that causes diarrhea is mild gastritis - acidity. If you are feeling like passing stools immediately after taking food and didn't have at other times, then it may be due to gastritis. Last time I prescribed pansec DSR. That is a great drug for acidity. If you have motion immediately after food, this tablet is enough for next five days. Along with that you have to strictly control oily and spicy food. Nothing else is needed. But if you are passing loose stools not related to time of food intake, then it is due to infection only. Have you took zenflox oz for three days regularly? Even if you took please take it for another three days. Even after that diarrhea still persists, we go for motion routine test. Stop with black coffee sir. Too much of it may cause gastritis. Arrowroot kanji is good only. If you like that take it once or twice a day for two to three days. Please also take probiotic like T. Prepro or T. Lacto-B thrice a day for next three days alongwith antibiotic. It is good fungus, which stops loose motion. Summary If it is gastritis - pansec DSR twice a day before food for five days is enough If it is not due to gastritis 1. Antibiotic 2. Pro biotic for three days 3. If still persists till Saturday, motion routine test. Bye sir. Dr. Hariharan

Patient's Query

Hi Doctor, Good to hear that you had a nice festive season in your home town. I took zenflox-200 ( mistakenly given by medical store and I also missed checking it ) for three days, and T Eldoper (1-0-1) for 1 day . Both tabs after food. May be this is a little lower in power than Zenflox OZ ? I neither had abdominal pain nor vomitting sensation . So did not had T Pansec . Had electral mixed with lukewarm water for two 12 hours . I was eating a bit spicy( Nattukozhi chicken kualambu and chicken soup as a continuation of my home remedy for phlegm issue. Now it's in complete control ) Btw, I am taking one to two puffs of Foracart 200 inhaler in day time when needed as my body is responding well to it nowadays and continuing on Montair in night. My wheezing is in good control now both in day and night. Also had home made oily vada today and that may have aggravated loose motion, along with spicy gravy. Not going to toilet immediately after taking food. The time is random. So I guess I need to take Zenflox OZ and any 1 Pro biotic for next three days along with Electral 2 more packets plus avoiding oily/spicy food. Is this the right drugs for my condition ? Please advise . Thanks, Ben
Answered by Dr. Hariharan
Zenflox is ofloxacin. Anti bacterial. Zenflox OZ is iflixacin plus ornidazole. Anti bacterial plus anti protozoal. Plain zenflox will not reduce diarrhea. You are correct. Antibiotic plus pro biotic plus electral sachet and diet. For three days.

Patient's Query

Hi Doctor, Hope you are doing good. My Diarrhea is controlled . I feel hungry by early morning sometimes , around 2 to 5 am not on all days though What I need to do on such days ? My stomach looks a bit big filled with more gas . Any life style changes/ home remedies please let me know . Thanks, Ben
Answered by Dr. Hariharan
Hello sir, I am on vacation and getting good signal strength is the most difficult part of a holiday. I think when we eat spicy food at night sometimes we have night sweats and may awoke us. It is just acidity. So if we eat spicy food, taking syrup gelusil after eating dinner will cure this. If you sleep in afternoon that may cause reduced night time sleep. These are the only causes I can think in last two days sir. Bye

Patient's Query

Hi Doctor, Hope you are doing good. This is a follow up after taking around 30 days of Montair LC for my wheezing . Stopped it now and not feeling too troublesome . I still have this minor breathing difficulty which gets controlled if I take a puff of Asthalin Inhaler or foracart 200 or Asthalin nebuliser for few seconds. My body is responding well to all of these drugs a lot better than six months ago. In lifestyle changes, I'm trying to reduce spicy food, avoided tea/ coffee for past few days. Activity side, I'm doing mild household activities plus an occasional 10 to 30 minutes mild badminton or soft ball street cricket with kids around. Just thought of updating you for your review and further advice if any on drugs / lifestyle . Thanks a lot for your timely help when in trouble . Thanks, Ben
Answered by Dr. Hariharan
Hello sir, My apologies for answering so late. Bought an apartment in Coimbatore and they are going to hand it over to us in few days. Last minute details have to be attended. Great to hear that you were doing good sir. To escape from frequent asthma attacks, you have to increase your tidal volume of lungs. By blowing balloon twice a day you can increase your lung volume and episodes of wheezing may come down. Also refer YouTube for exercises for asthma. Continue septilin regularly which improves the immune system. Bye sir Hariharan

Patient's Query

Hello Doctor , How are you doing ? Three days back I got a quick wheezing attack which needed immediate hospitalization I'm ok once I'm given treatment in hospital Yesterday afternoon I am discharged from hospital after being there one day for observation I'm given the following drugs for 5 days ( Attaching the prescription ) I feel very tired at times after taking these drugs Any thoughts on this ? Should I continue with this or go back to just one montair per night for another one month or any other drugs Please let me know
Answered by Dr. Hariharan
Hello sir, Very glad to hear from you. Sorry about your hospital admission. Get well soon. They have given very powerful antibiotics. .the tablet glevopod is not required. It may cause that tiredness. Some are low quality too.Stop them and take the following. 1. T. Mahacef plus 200mg 1-0-1 2. T. Montair LC 0-0-1 3. T. Deriphylline retard 300 mg 1-0-1 STP. Asthalin 10ml-10ml-10ml For three days. Continue montair for a month. Don't worry sir. God will help you to get well soon. Regards Hariharan

Patient's Query

Thanks Doctor, I guess STP you indicated is Syrup And one more question . I'm using nebulizer at home with Asthalin Respirator solution to treat minor difficulties as and when it arises. They suggested using Firacart .5 mg or 1 mg solution . Which one to use in nebulizer ?
Answered by Dr. Hariharan
Hello Ben sir, You re mentioning forocort I guess. In present status 1mg seems ok. Trying to contact for one hr sir. Net connection s very poor. Yes. Sorry its syrup, not STP. please take syrup also. Hariharan

Patient's Query

Thank you Doctor, no worries. Yes I was mentioning Foracart . Foracart vs Asthalin for nebulizer . Which one you suggest sir ? Please reply tomorrow , no hurry today. Started using the drugs you prescribed. Feel less tired now. Thanks Ben
Answered by Dr. Hariharan
Hello sir, Asthalin is short acting and it is a bronchodilator. So when you have acute wheezing, Asthalin will be ok. Forocort is steroid and is used to prevent occurence of wheezing episodes. So, when your wheezing is controlled and if you want to prevent attacks, use forocort. My suggestion is, Use Asthalin only if you have a wheezing episode. Use Forocort now for few days. You can use both on same day also, no problem. Dr. Hariharan Sorry. poor net connxn. that's why answered late

Patient's Query

Thanks for your response Doctor I was given primacort 100 few injections in nerve and maczone plus while I was admitted in hospital in addition to Deriphylline plus betnasol injection to calm down the vigorous attack Next time, if such vigorous attack comes what's the best response ? I struggle too much for breath till I reach hospital and the nervousness till reaching hospital from my house is too high Please suggest any ideas / prevention techniques Thanks, Ben
Answered by Dr. Hariharan
hello sir, its called status asthmaticus. it cannot be controlled at home. but there is one way. but i dont know how much feasible it is. Enquire local surgical shop (where u bought nebulizer) or search in net about oxygen cylinders. you can buy one and keep at home. They are saying that breathing oxygen everyday for 10 minutes is great for health. When you have an big attack, put nebulizer solution and connect the tube with cylinder and turn on the cylinder in full speed. That s what we give in ICU. also Betnesol or Dexamac tablet can help. These are all according to my experiences with patients. I dont know about practical problems in doing this at home. Dr. Hariharan

Patient's Query

Thanks Doctor, After 3 days of tablets, I am improving very well, and almost never had any symptom of having even small difficulty of breathing in the past few days. hopefully I can start work from today. Please advise. Oxygen is a good idea. I am researching on that to keep a small handy oxygen or the usual one in the hospital at home for emergency help. My Dad had these kind of attacks too many times and we have seen our regular nurse in the hospital injecting Deriphyline + betnesol in nerve and it calms down in 10 minutes 99 percent if we take him to hospital within 15-20 minutes. we usually come home after 30 minutes in the midnight without admitting him in the hospital most times. So with that background, now, this has happened for me 2 times in 2 years, may be after a stress / loss of sleep etc. Irrespective of reasons, I am starting to think about prevention / managing it better . My wife knows to take blood, as a lab technician she worked in a blood testing lab, but she has never worked as a nurse. My question is, if she gets trained as a nurse in some hospital for few months/years will she be able to do the vain injection for me at emergency times. in that case, we will be able to buy some time and go to hospital with more assurance than big tension/fear. Please let me know if this a feasible option. I asked this with the local hospital nurse, she said its difficult to get nerve at those times even for experienced nurse, so its not feasible. But still thought of asking you. Can injecting betnasol / Deriphylline in body help at those times ? Please take your time to reply. No hurry for this. As I am discussing long term things and not urgent issues. Thanks, Ben
Answered by Dr. Hariharan
Its great that you are getting well sir. Since your wife was a lab technician, she can give IV injections. Instead of drawing blood, just pushing drugs. If she ties a torniquet, and you pump your wrist, vein will be clearly seen and she can inject. Its not a difficult job. Just ask her to train one day in injection room in a hospital. Just give the nurse some money and she will allow you wife to give IV. If she puts IV for 10 patients, thats enough. Training for one day is more than enough. Inj. Deriphylline and Betnesol are the commonest injections we use. I am using it for 10 years and they are the first line of choice even now for acute ashtmatic attacks. So I suggest strongly that whenever you have an acute attack, You can use your wife's help in getting an injection. There is no harm in that. If the vein is not available, then go to a doctor Regards Dr. Hariharan

Patient's Query

Thanks Doctor, big relief after seeing this message. Most of my stress regarding status asthmaticus reduced. That itself will help me come out of this better. What's your thoughts about Pankajakasthuri Breath easy granules ? Can I try that simultaneously with allopathic drugs like foracart inhaler / montair Or Try that once I stop taking English medicines ? What's your advise about using this Ayurvedic supplement. Please let me know Doctor Thanks, Ben
Answered by Dr. Hariharan
Hello sir, Of course Pankajakasthuri is good, but I did a detailed search but couldn't find that it can be given with allopathic medicines. Nobody knows because nobody ever did a research of combining this too and studying side effects. I will do one thing. First i will try pankajakasthuri in one of my patients for two months who is having mild allergy/asthma. If it really benefits, then Will try along with allopathic medicines and will tell you in two to three months. Since you have moderate to severe asthma if not on allopathic drugs, you cannot stop our medicines and just start them. I suggest you to consult an ayurvedic physician that whether you can start allopathy and start with these drugs. Tell him that you are on nebulizers and Montair. Since they would have seen much more patients, they may tell whether stopping allopathy and starting ayurveda has much help or not. Usually they treat chronic patients. Also you can do one thing. Start pankajakasthuri along with our medicines and we will do some blood tests every week whether it is causing any damage or not. Take care Regards Dr. Hariharan

Patient's Query

Thanks doctor for your frank answers :) . It helps a lot. Even I thought the same, that you are doing some research on that. I dont mind waiting for clarity on this with some factual evidence . Agree with your thinking in this. I will try to get back to you after 2-3 months on this pankajakasthuri issue. But as an information for you , I already used pankajakasthuri for about 2 months now,, ( but stopped after status asthamaticus recently ) My doubt is that, Allopathic medicines work temporarily stopping phlegm obstruction in airways. so allopathic medicines kind of make them stick wherever they are. On the other hand, Pankajakasthoori, being ayurvedic, and it may work on the opposite, to loosen it up and get out of the body, so,, I had a doubt, whether my recent status asthmaticus was due to this... I did spit a decent amount of phlegm once I was in hospital and on the betnesol,deriphyllene injection for about 5 minutes while I had high difficulty breathing. then both wheezing came down.. and spitting of phlegm also stopped.. So I got a bit confused about using Pankajakasthuri or Homeo medicines like Blatta Orientalis Q which some say.. would cure asthma completely.. ( for bulky individuals) On Blatta, I tried it along with Foracart inhaler / Asthalin Nebulizers.. no big complications.. Wheezing definetely came down from daily wheezing difficulty to about weekly once kind of . So it worked well for me.. but whenever I get stuck.. with a severe attack I use to fear.. and stop that for a few weeks.. till I become a bit normal.. without frequent breathing difficulties. I got stuck about a year back with status asthamaticus and stopped using after that with the doubts of combining both allopathy and homeo together in same time. I am trying to find the long term solution.. so asking a lots of questions may be a little out of your specialty ( allopathy),, but,, being a doctor and an south indian. I guess you understand these issues better.. and my concerns.. and I hope you know the abilities of Ayurveda / Homeo etc.. on specific chronic illness .. for permanent cure. I hope you dont mind these questions.. I dont want immediate answers to this. All I am trying is to some how find a long term solution for preventing one more status asthmaticus in my life.. I appreciate your help a lot in this which you are already doing. So, as of now,, I will stop thinking of all other medicines( Ayurvedic / Homeo) for the next 25 days.. I am on Montair every night 1, and if needed I am taking a Foracart inhaler Puff,, if i feel there is a need. After the recent status asthmaticus, I never felt any breathing difficulty so far.. not even once.. its about 8 days now. Thanks, Ben
Answered by Dr. Hariharan
very sorry for answering so late sir. Poor net connection, other works made me unable to reply soon. Please stop pankaja kasthuri and other drug and please do the following blood tests Blood Urea Serum Creatinine Liver Function tests Urine- Microalbuminuria You should not have taken them. Please stop. Nobody knows whether combining these drugs are safe or not. Because no study has been done regarding that yet. I will tell you an alternative solution, Which may be permanent. I dont know whether it will work for or not. But no harm in trying. There is one injection called Inj. Histoglob which i started using recently. It is an allergy breaker. It contains many stuffs like mite, house dust, pollen, etc., which causes allergy and asthma to many people. By giving this injection repeatedly, our body may become bored of this allergens and won't create wheezing or allergic attacks. Please try. No Side effects (May be some pain and redness in injection site). This injection should be given in buttocks Inj. Histoglob 1 vial, costs Rs. 90 Dosing info: First week-Three injections (alternate days) Second Week (Two injections) Third week to seventh week - once a week. Total 10 injections. This may or may not work for u sir. Thank you Dr. HAriharan Ps: Today is my birthday

Patient's Query

Many More Happy Returns of Day Sir. Have a Great Day. Yes, I have stopped all those drugs ( Pankajakasthuru and Blatta ) I am continuing on Montair LC now. When I use Montair, I get very good sleep compared to when I am not taking it. So I guess one of my major reasons for my wheezing is allergy. May be. I lived in Kotagiri for about one year. During that time, I never had any big wheezing problems. Both frequency and depth of problem. But this place, where I live, Gobi town is surrounded by villages, most villages have this parthenia in large. And even around my house there is a huge amount of parthenia. Thanks about your idea of vaccination. Thats a good idea. my doubt is if we use that, will I get moderate or severe wheezing? Should I do that in a hospital getting admitted? Please let me know. Recently when I was admitted in March 3, I was given the following drugs. I am attaching those drug bills which has all the names for your review. The doctor told me that he is injecting a vaccine, and it may prevent wheezing for next one to one and half year. I dont know the name of that vaccine. Please review doctor Thanks.
Answered by Dr. Hariharan

Hello,

Welcome back to icliniq.com.

They have given you just drugs to control the symptoms nothing else.

Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Hariharan

Dr. Hariharan

Diabetology

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