Hi XXXXXXX

Thanks for posting the query.

First of all congratulations on your pregnancy.
You seem to be suffering from acute Bronchitis in your 3rd month of pregnancy, the repeat episode of coughing associated with wheezing currently.

Based on your history I would like to know the following details:
1. Is this your 1st pregnancy?
2. Did you have any previous history of breathlessness/ wheezing episodes /allergy to dust/ history of childhood asthma/ recurrent respiratory infections in childhood/ any family history of asthma?
3. Any history of recent dust exposure/ cold food or beverage intake?
4. Have you ever used asthma "pumps" or any medications for asthma in the past?

I would like to add that normally such episodes of acute Bronchitis do not have any adverse effect on the fetus in most of the cases if managed and treated well in time. And also most of the medications that you have taken for them are relatively safe during pregnancy.

Recofast is given with care during pregnancy. Consult your Gynecologist about this drug. Limit the use of Ibugesic as well. Though there are no proven risk to the fetus, these medications needs precaution during pregnancy.

Hope this answers your query. Please do let me know the details which I have asked above to guide you more specifically on treatment part.

Awaiting your reply.

Regards.

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Hi,

Thanks for the follow up.

Regarding Ibugesuic, I would like to add the following information:
At this time, there is not enough evidence to know whether Ibuprofen increases the risk for heart defects or gastroschisis. However, Ibuprofen is generally not the pain reliever of choice during pregnancy because there are concerns with the use of Ibuprofen during the third trimester. The greatest concern is for premature closure of the ductus arteriosus (a vessel in the fetal heart), which can lead to high blood pressure in the fetal lungs (pulmonary hypertension). The use of Ibuprofen later in pregnancy may inhibit labor or cause reduced amount of amniotic fluid (oligohydramnios).

The safest analgesic during pregnancy is Acetaminophen (Paracetamol). However if there is no pain please do not take any analgesic. Nine tab of Ibugesic will not harm your baby, but try to avoid further consumption to be on safer side.

Regarding wheezing, I would suggest the following:
1. Continue Cap. Amclox for control of infection in acute bronchitis (it is safe in pregnancy).
2. Tab Zyrcold is a combination of anti histaminic and mucolytic. You can take any other antihistaminic only if there is evidence of cold. If there is associated congestion in chest then this combination is helpful.
3. You should immediately start on inhaled metered dose inhaler of formoterol + fluticasone (Formoflo 250) with transpacer to be taken twice daily and Salbair- metered dose inhaler to be taken (3 - 4 times daily and as and when required). Consult your doctor to get these prescribed.

After pregnancy you should see a Pulmonologist for detailed evaluation and get your pulmonary function test done.

If the symptoms are not controlled on this, then oral steroid / oral bronchodilator may be required as add on therapy under physician guidance.

I hope I have answered your query. Please accept my answer if there are no further queries.

Regards.

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