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Difficulty breathing, chest pain. Taken Nebuliser, Levolin. Permanent cure? - Online Doctor Chats

Date : 12-Jun-2013
User rating for this question
Very Good Posted in: Lung and Chest disorders
Answered by

General & Family Physician
Practicing since : 2003
Answered : 624 Questions
Doctor:Dr XXXXXXX here
Doctor:How can I help you?
User:Hi Doctor
User:Good evening
User:My sister has been suffering from breathing and chest pain, off and on from a long time (since September 2009) . We consulted few doctors and they had given some antibiotics & medicines and could see some relief but not completely cured. These days she is getting Sevier chest pain and breathing problems and she gets heavy cough during the pain. Whenever she faces this problem we are giving NEBULISER(DR. MOREPEN) using medicine levolin 0.63mg (respules). We will give one or sometimes 2 respules based on her situation. Could you please let us know how can she get rid of from this problem completely? Note: She had been using FLIXONASE nasal spray almost 2 ½ yrs. every day twice (morning and night). She stopped the using from last 4 months.
Doctor:May I know what specialist did she consult?
Doctor:Has she seen any pulmonologist?
User:Consultant Physician MD, MBBS
Doctor:Let me brief you.
User:Doctor VISIT first time when she faced wheezing problem on 12/09/2009: (Note: She got admitted in the hospital for 4 days) Diagnosis: Bronchitis Anxiety Discover BP – Normal Advised: Levoday 500 mg Rabiclp 20 mg DOLO 650 Ambrolite etc. Duolin On Discharge: Syrap Ambrolite 2 tsps (1-1-1) 5 days Tabs Levoday 500 mg (1-0-0) 2 days Nevrobion 0-0-1 (1 month) (Note: Not clear the spelling of this medicine in the report) Inhaler – Duolin 2 puffs (as and when required)
Doctor:Chest pain and breathing difficulty can be caused by respiratory cause such as bronchitis (infection), asthma and COPD; as well as cardiac causes.
Doctor:Based on the medications I presume she has some respiratory conditions.
Doctor:It is essential that you identify the precise condition to know the complete treatment.
User:Recent doctor visit on 13/05/2013 Reported Issues and Observations: ALLERGIC RHINITIS CHEST PAIN WITH COUGH A week back. Had breathlessness as well. DYSMENNORHEA, NO DYSPEPSIA, CYCLES REGULAR, Weight:62 Kgs, SPO2 -98%, 72/M CVS/RS/PA-NAD URT-Normal, Tenderness left C-C Junction ¾ RIB. Advised: Tablet NEXITO 5 (0-0-1) for 30 days Capsule SPASMOPROXYVON (SOS/as and when required for pain). Quantity:10.
Doctor:That being said, most of these respiratory condition are known for recurrence. Climate changes and allergy exposure can trigger the same.
User:Current Medicine:
Doctor:However with adequate and right treatment we can be able to control the situation.
Doctor:Now, the right treatment will depend on the severity of symptoms and frequency of attacks.
Doctor:Both these parameters are rightly assessed by a pulmonologist.
Doctor:Therefore, it would be worthwhile to see a pulmonologist and identify the condition and it's precipitation factors.
User:from last 1 month she faced 4 to 5 times
Doctor:Understanding both these parameters will give us clues to prevent the symptoms and give her good quality of life.
Doctor:Have you followed?
User:but from yestarday she is facing 3 times
User:Can you please suggest me some doctor to consult
User:Yes i'm following doctor
Doctor:If the symptoms are severe now, you can visit the same physician or any doctor at emergency room.
Doctor:Once her symptoms are stabilized, plan to consult a pulmonologist.
Doctor:Have you followed?
User:10 mins back she faced wheezing problem and we provided nebulization now she feels better but feeling very tired not able to stand
User:yes doctor
User:Just now called the regular visit doctor but he is not avilable today and he prescribed petril MD (0.5 MG)
Doctor:Petril MD contains clonazepam. It has sedative effects. Without an opportunity to examine her respiratory system and oxygen saturation status, I wish not to comment on this drug.
User:Could you please suggest some pulmonologist to consult ?
Doctor:However if your sister is very uncomfortable and in distress, you should consider visiting casualty and emergency centre.
Doctor:May I know your location?
User:I'm staying in Yelahanka New Town, Bangalore-0000
Doctor:I do not have any reference of specialist at that part of bangalore.
User:I'm fine if you could suggest any doctor near by to my place
Doctor:Can we mail you the details of pulmonologist practising close by after discussing with my colleagues.
User:Fine doctor.
User:Currenly my sister is feeling better after taking the nebulization but having tiredness
Doctor:Please confirm your email id and our support team will mail you the details of pulmonologist practising close by.
Doctor:I appreciate you chatting with us, however without an opportunity to examine your sister, I would not be the apt person to suggest the right treatment needed.
Doctor:Please follow the suggestions of her doctor.
Doctor:You can consider a second opinion from a pulmonologist shortly.
Doctor:Hope you understand.
User:Doctor in case if she feels any breathing issue or chest pain tonight can u plz suggest some medicine to be at safter side (only for tonight)
Doctor:Do you have any questions for now?
Doctor:It would be better to see a doctor and get medications prescribed. A few medical drugs can worsen the symptoms, therefore see a doctor or talk to her existing doctor before giving her any medications.
Doctor:Till then continue nebulisation as you been doing it.
User:Ok doctor. Thank you very much for your suggestions
Doctor:You are welcome.
Doctor:Do you have any more questions?
User:Thats it from my end sir. Waiting for your mail with list of pulmonologists.
User:Nice chatting with you. Have a good day.
Doctor:You will receive the details shortly from our support team.
Doctor:Thanks for consulting me.
Doctor:Bye for now.
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