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Treatment for lung infection - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Lung and Chest disorders
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
Doctor :   Hi
User :   Hi Doc -
Doctor :   Dr XXX here
User :   I have had a history of some weird breathing problem and had a lost of complicated tests done - without finding anyhting
Doctor :   How can i help you?
User :   I just had a follow up CT scan done without contrast
Doctor :   May i know your age?
User :   I got the results here but cant get into my doc for a while...could I type the results here and have you explain?
User :   38
Doctor :   Please explain your symptoms in detail.
Doctor :   Yes you can.
Doctor :   You can also send the reports to YYYY@YYYY
User :   OK..I will type line by line..there is a lot to the end I will type end ok?
Doctor :   Then you can send the e mail and i will reply to it accordingly
User :   Findiongs: non contrast contiguous 5mm sections through the thorax presented in mediastinal and lung windows...fine 1.25mm sections at 10mm intervals through the lungs
User :   there are small subtle areas of increased interstatial markings in the subplueral regions of the right and left lower lobes posteriailly
Doctor :   Ok
User :   this is interspersed with areas of normal lung, not typical for gravity dependant changes and suggestive of local infiltrates
User :   the rest of the lung is clear no pulmonary mass, no bronchial dilation no plueral disease
Doctor :   Was the PFT test done?What were the results?
User :   no mediastinal or hilar abnormality no chest wall abnormality in the subdiagphragmatic region
User :   summary: sublte small areas of patchy infiultrates posterially in lower lobes?
User :   END
User :   what does all that mean LOL
Doctor :   Was the PFT test done?What were the results?
User :   what is PFT test?
User :   I have had spirometry
User :   this was a chest CT
User :   can you tell me what that report means?
Doctor :   The report is suggestive of 1)Tubercular changes 2)Interstitial changes 3)Post inflammatory changes This can be confirmed by some other tests like Pulmonary Function tests and sputum tests
User :   I have had PFT...and sputum but long time ago
Doctor :   When did you have these tests?
Doctor :   Are you having these symptoms since long?
User :   PFT about 6 months ago - when had difficulty breathing when at rest
Doctor :   What was the result?
User :   had problem breathing when at rest for 2 years..only when at rest
User :   it was odd result..had 2 PFT ..first one was normal, then they did stress excercise test and my PFT test doubled...IE I coyld breathe better after excercise
User :   basically its like my lungs seize up wehn they arent working hard
Doctor :   That indicates that it was positive.
User :   what was positive?
Doctor :   PFT test
User :   they told me that if i can run i cant have too much wrong with my lungs
User :   but its only when I sit down and stop...butr had chest pain recently and it hurts a little to breathe deep
User :   so they said do follow up CT - thre results I just showed you..i do have flu thing at the moment, is that what they found?
Doctor :   The report told by you of the CT indicates an infection and you need to get yourself examined by a Pulmonologist.
User :   is that the same as a respiratory surgeon?
Doctor :   You need prescription medications and also require some antibiotics to cure the infection
User :   so not lung cancer or anything like tuberculosis?
Doctor :   Yes he is similar to Respiratory Surgeon?
User :   just went ona month long course..that seemed to help but after stopping my chest hurt, almost like infection was gone and now some scarring
User :   so not lung cancer or TB - ionfection i can handle
Doctor :   Not lung cancer but suggestive of Tuberculosis like infection
User :   is that bad?
Doctor :   You have to take the medications very regularly and also sincerely.
User :   ok, thanks for your help?
Doctor :   No it can be cured if treatment is taken properly.
User :   how do they test for TB
User :   I have had sputum tests before
Doctor :   Get yourself examined by a Pulmonologist soon and start the treatment
User :   sweet..thanks mate
Doctor :   They will take the sputum for continuous 3 days
Doctor :   If required blood test may also be done
User :   yeh I did that..they were able to grow some bacteria..but only found simple flu...not sure if they checked for TB though
Doctor :   Also do not smoke and take alcohol during the treatment
Doctor :   Ok
User :   ok
Doctor :   It may worsen the symptom
User :   damn..I just stopped drinking for 6 months, and only just started I have to stop again..bugger
Doctor :   But you should not now
User : nothing to worry about..see pulmologist get on antibiotics and stay on em without drinking right
Doctor :   Yes follow the treatment regularly.
Doctor :   All the Best and Take care.
User :   just one thing..the fact that I did the CT today when i obviously have the flu..could that be all they are seeing on the CT
Doctor :   No the CT reports obviously suggest an infection which is spreading and needs treatment.
User :   ok cheers
User :   bye
Doctor :   Is there anything else you would like to know?
User :   all good thanks
Doctor :   Thanks for consulting, bye for now
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