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Query about bronchial asthma - Online Doctor Chats

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

General & Family Physician
Practicing since : 2005
Answered : 2407 Questions
User :   HI there
Doctor :   Hi
Doctor :   Good afternoon.
Doctor :   I am Dr here.
Doctor :   How can I help you?
User :   I need some advice regarding throat related problem
Doctor :   Please explain your problem.
User :   Goodafternoon Dr. from Applied Materials and I am currently testing the facility for a future tie up with HCM
User :   however, the issue is real
User :   Yeah, its for my wife, she is 33 yrs old and she has been having a problem in her throat for a long time ...
Doctor :   Please explain the problem.
User :   each time she catches cold, she start with this coughing which doesn't leave her for at least a month, and she tells me that she has been having this issue since her childhood
Doctor :   Ok
User :   no amount of antibiotics work - i have given her azithral - today was third dose and there is no improvement and it seems it will again go on for months
Doctor :   Ok
User :   so, my guess is that its not because of any bacterial infection and we need to get her thoroughly checked, so can you suggest me a specialist in throat realted issues
User :   there s??
Doctor :   Before I can suggest my opinion, may I know few more details of her?
User :   please
Doctor :   Does she produce sputum with the cough?
Doctor :   Does she report of breathing problems during these episodes?
User :   yes, this time she is but its mostly dry cough
Doctor :   Does she have history of allergies/asthma problem in the past?
User :   yes but not very high
User :   no allergies or asthma
Doctor :   Ok
Doctor :   Does she have any other medical illness?
User :   no
Doctor :   Is there a family history of bronchial asthma - I mean did any of her close family relatives suffer from bronchial asthma?
User :   not that i know of
Doctor :   Since you report that the symptoms have been for a long time, do you find any factors that aggravates the symptoms - factors such as cold weather, evening/night times/walk to a park/after a particular type of food?
User :   its usually starts with exposure to cold weather and then it goes on and on
Doctor :   Ok
Doctor :   Let me explain to you now.
User :   ok
Doctor :   Based on your the history you have given, her symptoms are suggestive of either bronchitis or probably bronchial asthma.
Doctor :   Symptoms are probably precipitated by either allergies or a viral infection.
Doctor :   A diagnosis of the condition can be established by physical examination, spirometry test, and blood tests.
Doctor :   These test can be done under the guidance of a pulmonologist or an immunologist.
User :   ok
Doctor :   And as far as our Nation (India), we have a very limited immunologist practising here.
Doctor :   Hence you can consult a pulmonologist who will be able to guide you through these test.
Doctor :   And as far as the treatment concerns,
Doctor :   you are right, that her symptoms are not a bacterial infection, and that is why
Doctor :   there was no response to antibiotics.
User :   so can you suggest a good pulmonologist please ?
Doctor :   She will need a more preventive treatment with specific anti allergy measures such as steroid syrups/pump inhalers/nebulisers.
Doctor :   This offcourse can be suggested after a physical examination.
Doctor :   To help you choose a good doctor,
User :   ok
Doctor :   can I know your location?
User :   I stay in whitefeild and prefer going to manipal - so if you may suggest somebody there please ?
Doctor :   Yes, there are couple of pulmonologist practising at Manipal hospital, Bangalore.
Doctor :   *Airport Road, Bangalore
User :   ok
Doctor :   I am not very sure, if she is available now.
Doctor :   I shall forward this request to my corporate customer team
User :   I just checked on the net ?
Doctor :   who shall confirm the availability of this doctor,
User :   ok
Doctor :   Yes, Dr is also a pulmonologist who can help you.
User :   ok
Doctor :   The customer team shall confirm the availability of both the doctors and if you are interested, shall help you in getting an appointment too.
Doctor :   Is that fine?
User :   so, will the customer care team call me ?
Doctor :   Yes, the customer support team will call you shortly after this chat and guide you.
User :   Wow !
Doctor :   Please confirm your phone number, so that we can call you on the same.
User :   thank you very much for your time and advice, it was a pleasure chatting with you
User :   0000
Doctor :   It was my pleasure too helping you.
Doctor :   Do you have any other query that I can assist you with?
User :   no thank you
User :   bye for now, have a good day ahead
Doctor :   Thanks for consulting me.
Doctor :   Have a nice day!!
Doctor :   Please do fill the feedback form which you will receive after this chat.
Doctor :   Bye for now.
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