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Infected with asthma - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Asthma and Allergy
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3393 Questions
Doctor :   Hi
User :   Hi Doctor
Doctor :   please proceed with your query
User :   I have suffering with some lungs infection
User :   I am also suffering with asthma
Doctor :   ok , please elaborate on this
User :   some burning sensation in lungs
User :   and congestion
User :   mostly there is white cough coms out
Doctor :   ok
User :   however sometimes there is blood in the cough
User :   wait for a sec. I have got a client call
Doctor :   sure
User :   yes
Doctor :   please proceed with the details
User :   This also happens primarily in the morning time
Doctor :   ok
User :   There is lot of irritation resulting in lot coughing in the morning
User :   Few days back (4 days) I felt in my lungs some severe congestion. It was paining in the chest
Doctor :   ok
Doctor :   ok
User :   (lungs) and there was dryness whenever I coughted
User :   and now there is wet cough whole through the day.
User :   a thats it from my side
Doctor :   ok , may i ask you a few relevant questions ?
User :   ys
User :   yes
User :   pls go ahead
Doctor :   ok
Doctor :   may i know your age ?
User :   35 years
Doctor :   ok , amy i know if you smoke ?
User :   very rarely. In last one month 1 cigratte
Doctor :   earlier to this month would you smoke much ?
User :   nop. not more than 3-5 cigrate in a month in any month in last one year
Doctor :   ok
Doctor :   you said you have asthma.
Doctor :   may i know if it is mild or severe? how many episodes of asthma do you experience in a month ?
User :   Yes, and as per my understanding it was not there till I was 32
User :   It is mild. It is very difficult for me to differentiate if the same is episode of asthma
Doctor :   ok
Doctor :   do you also have any allergies to dust , mites , pollen , etc ?
User :   yes
Doctor :   ok
User :   Thats what my current doc says
User :   I have allergies to dust and pollen
Doctor :   ok , can you share with me what the doctor s complete opinion was after examining you
User :   he has given me Rota capsules to be taken for 3-4 months. But this was last year
User :   Sorry Foracort 200
Doctor :   ok
Doctor :   when was the last visit to the doctor
User :   Currently I havent taken any medication in last few days
User :   that was somewhere in sep 10
Doctor :   ok
Doctor :   do you also experience any significant weight loss?
User :   No.
Doctor :   ok , let me summarize it to you
Doctor :   the cause for cough could be these
Doctor :   1. bronchitis which is common in people who smoke or due to environment related changes like allergy, cold climate , etc
Doctor :   2. asthma may produce long standing cough and expectoration with congestion in the chest
Doctor :   3. allergies to pollen , etc will lead to an upper respiratory tract infection which can further cause a lower respiratory tract infection causing cough and expectoration
Doctor :   i would find these as the cause for your cough
Doctor :   since you have been advised on foracort inhalations , I suggest it is wise to continue them
Doctor :   you need to get a review on your health and get an examination and some investigations
User :   go ahead
Doctor :   asthma can be associated with an underlying infection as well which will need some antibiotics
Doctor :   so we have to treat the infections
Doctor :   did you follow my suggestions so far ?
User :   yes
Doctor :   so i think you need to get an examination meaning a stethoscope examination from your doctor to see the level of congestion and clear them out
User :   what type of examinaions and investigations
Doctor :   yes i will tell you
Doctor :   1. complete blood counts which include wbc , rbc , ESR , hemoglobin , platelet counts , etc indicating any infection
Doctor :   2. urine routine and microscopy
Doctor :   3. blood sugar test
Doctor :   4 . chest x ray
Doctor :   5 . pulmonary function tests
Doctor :   6. absolute eosinophil count for allergies
Doctor :   these tests will give some clue towards the diagnosis and help in providing right medications
Doctor :   you may see a general physician or a pulmonologist if possible to help you with the treatment
User :   sure
Doctor :   it is expected to have chest pain when one has been coughing for long
Doctor :   once the cough comes under control , the pain will come down
Doctor :   i hope i was able to answer your questions
User :   Yes you are. One more thing. How sever could this be as far as symptoms are towards TB
Doctor :   symptoms of Tb do include cough as the main symptom
Doctor :   along with it , we expect weight loss , fever, night sweats , etc
Doctor :   when we do an examination and read a chest x ray and interpret the blood reports , we may ask to check for TB as well
User :   There is no weight loss, fever so far
Doctor :   if you wish to , you may get tested for TB as well
Doctor :   does anyone else in the family have cough which has been chronic ?
User :   And I have noticed that my breath is also getting smaller. Whenever I try taking deep breath
Doctor :   generally in people with asthma and chest infections , they will feel shortness of breath also
User :   My father has cough problem. He also suffers from cough on continuous basis. same is with me. but this has been sever in last few days
Doctor :   when you do the pulmonary function tests it will help in finding out any lung abnormality and lung functions
User :   ok
Doctor :   ok , then it is wise to get yourself checked for TB as well ,and get an ECG done too
User :   ok
Doctor :   the doctor after examining you , will be able to stream down on the necessary tests
Doctor :   but i suggest you seek medical attention soon and do not ignore your cough
Doctor :   a course of antibiotics will surely help if there is infection
User :   So first I should meet my doctor before getting these tests done.
Doctor :   yes , exactly
Doctor :   or you could directly see a pulmonologist
Doctor :   instead of seeing a general physician
Doctor :   are you with me
User :   yes
Doctor :   did you follow my suggestions ?
User :   Ya
User :   U will some pulmonologist first.
User :   and than get the following checks done: Doctor :   you mean you need a pulmonoligist for an appointment from our side?
User :   No.
User :   I will see my existing pulmonologist
Doctor :   ok
Doctor :   you can directly go to the doctor first and then get the investigations which he will recommend
User :   Ok
User :   thanks
Doctor :   as in chest congestion first thing is to get a stethoscope examination
Doctor :   ok , thanks for consulting me
Doctor :   take care
User :   Thanks for the help
Doctor :   pleasure here
Doctor :   you could chat with us again anytime 24/7
Doctor :   Bye for now , take care
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