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63 male no bp& diabetes COPD 3rd stage suffering frm

DOCTOR OF THE MONTH - Sep 2017
Sep 2017
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Answered by

Pulmonologist
Practicing since : 2008
Answered : 9467 Questions
Question
63 male no bp&diabetes COPD 3rd stage suffering frm phlegm in thickish yellow color severe headache on leftside nil apetite rotohalers not suitable
medcines plz
Posted Fri, 24 Nov 2017 in Lung and Chest disorders
 
 
Answered by Dr. Kaushal Bhavsar 38 minutes later
Brief Answer:
You should start antibiotic.

Detailed Answer:
Thanks for your question on Healthcare Magic.
I can understand your concern.
Thick Yellowish phlegm suggests lung infection.
So antibiotics (levofloxacin or azithromycin), mucolytic (N acetyl cystine-NAC) should be started.
If rotahaler is not suitable then you should start MDI (meter dose inhaler) with spacer.
Since all these are prescribed medications, you need pulmonologist 's prescription for them.
Please let me know
1. Do you smoke?
2. Which rota caps do you use?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by
 
Follow-up: 63 male no bp& diabetes COPD 3rd stage suffering frm 19 minutes later
COPD 3rd stage..heavy smoker(3 packs a day) for 35yrs.unable to cough to flush out phlegm. rota caps from the beginning didnt prefer. For the past 4 days no apetite severe head ache on left side. not at all sleeping well. restlessnes. not able to walk for 5mins also. feeling very weak . need immediate relief from these plz suggest medication without the need of prescription
 
 
Answered by Dr. Kaushal Bhavsar 1 hour later
Brief Answer:
Start duolin Nebulization.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
If you were my patient, I would treat you with following drugs.
1. Duolin Nebulization four times a day.
2. Tablet Azithromycin 500mg once a day after breakfast.
3. Tablet Mucinac 600mg)twice daily after some food.
Hope I have solved your query.
If you are not having further queries, then please close the conversation and rate my answer.
You can ask me directly on bit.ly/askdrkaushalbhavsar.
Wish you good health. Thanks.
Above answer was peer-reviewed by
 
Follow-up: 63 male no bp& diabetes COPD 3rd stage suffering frm 8 hours later
sir plz suggest medication for loss of apetite & headache which has been severe on the left side.
 
 
Answered by Dr. Kaushal Bhavsar 11 minutes later
Brief Answer:
Start aptirich syrup and paracetamol.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Foracort loss of appetite, you should take aptivate (cyproheptadine) syrup 1 tea spoon full three times a day.
For headache, you should take paracetamol 500mg tablet twice daily.
Hope I have solved your query.
If you are not having further queries, then please close the conversation and rate my answer.
You can ask me directly on bit.ly/askdrkaushalbhavsar.
Wish you good health. Thanks.
Above answer was peer-reviewed by
 
Follow-up: 63 male no bp& diabetes COPD 3rd stage suffering frm 4 days later
hello doctor now feeling 70% relief after using the medication. but a minor glitch is that whenever i use the duolin nebuliser i am feeling my nostrils are blocked & there is some numbness in my head. is that anything to worry?? i didn't stop smoking & i can not in future also. is there any medication i can use on a regular basis coz the coming writer season i may have problems with smoking & COPD symptoms. plz suggest medication which gives relief from symptoms of COPD for the rest of my life. also present medication can i continue for a few more days?? plz clarify sir.
 
 
Answered by Dr. Kaushal Bhavsar 1 hour later
Brief Answer:
Continue with duolin Nebulization and Mucinac.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
If you continue smoking, your symptoms won't subside completely.
So better to quit smoking as soon as possible.
For COPD, you should continue duolin Nebulization and Mucinac tablet.
I again put emphasis on smoking cessation.
You can continue duolin Nebulization and Mucinac tablet for longer time.
Hope I have solved your query.
If you are not having further queries, then please close the conversation and rate my answer.
You can ask me directly on bit.ly/askdrkaushalbhavsar. Wish you good health. Thanks.
Above answer was peer-reviewed by
 
Follow-up: 63 male no bp& diabetes COPD 3rd stage suffering frm 9 hours later
hello sir for the last 4 hrs severe headache on the left side near the temple started agn. is it because of the phlegm inside or some other reason?? paracetmol not working.once in a while yellowish phlegm comes out of nostrils drop by drop. both these are related?? kindly suggest medication plz.
 
 
Answered by Dr. Kaushal Bhavsar 15 hours later
Brief Answer:
You might be having sinusitis related headache.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Sorry for late reply as I was busy.
Yes, headache and Yellowish phlegm might be associated.
Both are these are seen with sinusitis.
So possibility of sinus infection is more likely.
So take Enzoflam tablet (1/2 tablet thrice daily).
It will reduce pain (headache) and inflammation (sinusitis).
Also do steam inhalation and warm water gargles 5-6 times a day.
Hope I have solved your query. If you are not having further queries, then please close the conversation and rate my answer.
You can ask me directly on bit.ly/askdrkaushalbhavsar. Wish you good health. Thanks.
Above answer was peer-reviewed by
 
Follow-up: 63 male no bp& diabetes COPD 3rd stage suffering frm 3 hours later
hello sir this enzoflam tablet shoud i take 2mg 4mg or 8mg?? also any combination with this drug is required?? one last thing sir i'm unable to quit smoking & in future also...due to that can you suggest any syrup or tablets or anything for maintaining the strength of lungs like resisting the common symptoms associated with COPD?? with this i'll close the question sir. Thank you.
 
 
Answered by Dr. Kaushal Bhavsar 1 hour later
Brief Answer:
What is your weight?

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Sorry for this inconvenience.
I forgot to ask you about your weight.
Dose of Enzoflam is depending on weight.
N acetyl cystine (NAC) tablet should be taken for smoking related lung damage.
Dose of N acetyl cystine is also depends on weight.
So please let me know your weight so that I can guide you better.
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by
 
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