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Chronic cough and breathing trouble - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Ear, Nose and Throat Problems
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1758 Questions
Doctor :   hi
Doctor :  
how i help you?
User :   good morning
Doctor :  
please proceed with your health query
User :   i had discussed my case with a doctor last time n depth and its better if same doc is assigned, pls check from my record who was the last doc?
Doctor :  
ok just give me a moment
Doctor :  
do you want to caht with the same doctor?
Doctor :  
*chat?
User :   yes indeed what was the name of doctor?

User :   yes but which one was the last time spoke to?
User :   last conversation

Doctor :  
ok
Doctor :  

User :   yes
Doctor :   ok
Doctor :  
you can discuss your problem now.
Doctor :  

User :   thanks
Doctor :  

Doctor :  
How you are doing?
User :   hi doctor, thanks for taking my call
User :   i am a bit ok , i thought of updating you
User :   do you recall our last conversation
Doctor :  
just a moment
Doctor :  
let me go through the last conversation again to recall properly
Doctor :  
i do remember
User :   ok
User :   so as you have suggested i went to the same doctor again
User :   and asked him to look into possibility of prescribing the combinaton of two medicine in one
Doctor :   i remember
Doctor :  
what did the doctor say?
User :   and he also observed me thorugky
Doctor :  
ok
Doctor :  
are you better now?
User :   not really
User :   let me first write what he prescribed then will tell u what he said
User :   1. Robitussin (guaifenesin syrup)
User :   2. Mucosolvan Syrup
User :   3. Butanol tablets
User :   4. Antiallergic tab (5mg desloratadine)
User :   thats it
Doctor :  
sure
Doctor :  
plese go ahead
User :   Now the thing is i have mostly breathing issues
User :   even if i try to cough hard, no phelgum comes out
User :   its been 5 days taking the medicines
User :   when i take butanol i feel XXXXXXXXe what relaxed after XXXXXXXX time
Doctor :  
ok
User :   he said i have more of allergci case rather than case of lot of mucos or chest congestion
Doctor :  
are you doing the steam inhalation ?
User :   no
Doctor :   was anytime Eosinophil count checked for you?
User :   but my nose is all clear
Doctor :  
ok
User :   today one old friend of mine advised me one medicine
User :   so i thought of contacting u
User :   to confirm his theory
User :   he is a doctor too
Doctor :  
since yu are feeling congestion in chest, taking deep breaths while steam inhalation with Karvol plus will help you to loosen the mucus if any present inside which can then be brought out with coughing
User :   not in the chest
User :   sorry
User :   i said wrong
Doctor :  
If he is suspecting an allergic thing for you, then he should check "absolute eosinophil count" for you
Doctor :  
which will show whether any allergic thing is going on
User :   i feel that the centre area from throat to the canal to the centre line of chest
User :   is like blocked
User :   so breathing issue
Doctor :  
also after that the test, an allergic patch testing can be done to see which allergen is causing it
Doctor :  
ok
Doctor :  
i understood that
User :   i will ask him that next time i see him
Doctor :  
sure
User :   i will also start stream inhale as u said
Doctor :  
the medications he has prescribed this time are ok
Doctor :  
continue them
Doctor :  
start the steam inhalation also
User :   i will continue for another week
Doctor :  
as the steam will moisten the airway and irritation due to dryness will also get solved
User :   doc i want to share with u what my frend has advised me to take .(am not taking it just want to share)
Doctor :  
and get these two tests done that i have suggested you now
User :   ok i will do the test
Doctor :  
is there anything else i can help you ?
User :   i mean ask for the test
Doctor :   oh ok, sure, tell me your friends sugestion
Doctor :  
ok
Doctor :  
are you there?
User :   he told me to stop the syrup as i dot have phelgum and its allergic issue and that i should take (i showed him what i used to take last year). It is seritide diskus 250 (50 microgram of salmetrol and 250 microgram of fluticasone propionate) he asked me to take it for 2 weeks and i will be ok for 1 year
User :   is this correct asseessment?
User :   r u there?
Doctor :  
you cannot assess yourself like that
Doctor :  
just follow the advise given at present
Doctor :  
and get these tests done
User :   ok
Doctor :  
only experimenting with various medicines is not going to work
Doctor :   you need to find the cause of these
User :   ok i understood
Doctor :  
since now your doctor is suspected allergic cause
Doctor :  
let him do these two tests and see if any cause is found
User :   doc for clarity purpose can you write down the name of the 2 tests again so i willask my doctor
Doctor :  
such that your treatment can be directed towards that particular cause
Doctor :  
sure i will tell you once again
Doctor :  
1) Absolute eoisinophil count
Doctor :  
2) peripheral blood smear
Doctor :  
3) ESR
User :   thats 3 tests
Doctor :  
4) Allergen Patch Testing or Skin Testing
Doctor :  
yes test number 2 and 3 i added now to get extra information
Doctor :  
else teat 1 and 4 are enough
User :   whats ESR?
Doctor :  
ESR is erythrocyte sedimentation rate, it is increased in people having chronic infections
Doctor :  
have you followed what i have said?
User :   all these tests taken from blood sample?
User :   except perhaps the skin one
Doctor :  
yes
User :   yes i do follow
Doctor :  
except the allergen test
Doctor :  
which wil be done on skin
Doctor :  
with using various allergens in minimal amounts to see if you develop reaction to it and then the allergen list will be given to you
User :   you know wel doctors more than me. When i will discuss these with my doctor and ask for these tests, you sure he wont get upset as to why am i driving the dagnoses???
Doctor :  
for your reference such that
Doctor :  
you can avoid them in future
Doctor :  
and be relived of the symptoms
User :   i was hoping if i can have these tests outside if they are available?
Doctor :  
no he should not get upset
Doctor :  
it will help him out as well to reach to a conclusion
User :   ok i will ask and see how it goes
Doctor :  
they can be done outside
Doctor :  
you can approach any diagnostic lab and request them
User :   ok
User :   thanks
User :   i will let u know the results
Doctor :   Is there any thing else I can help you with?
Doctor :   sure you can discuss the results with me.
User :   nope
User :   thanks indeed and have a good day
User :   bye
Doctor :   Please fill the feedback form, and comment box, and say done when done.
User :   yes of course
Doctor :  
Thanks for consulting HealthcareMagic. Bye for now. Please chat with our doctors 24/7 for medical queries. Please refer your friends to our service.
Doctor :   wish you a good day ahead
Doctor :   bye for now.
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