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Dust allergy and breathing problem. Had blood test. Are the findings in normal range?

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Pulmonologist
Practicing since : 2003
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Hi,
I am XXXX XXXXXXX I have an allergy form dust like if go somewhere in the dusty area.
Then i fill breathing problem. Recently I tested my blood for Hematology and these are reports : HB-18.2 , TLC - 0000, Neutrophil - 66, Lymphocyte-22, Eosinophil -12,
WG - 03 , RBC : 5.45, PCV - 51.90, MCV - 95.23, MCH - 33.39, MCHC-35.1, Platelet count - 3.51.
Posted Fri, 15 Nov 2013 in Asthma and Allergy
 
 
Answered by Dr. Gyanshankar Mishra 24 hours later
Brief Answer:
You seem to be suffering from Asthma.

Detailed Answer:
Hi,
Thanks for posting the query on XXXXXXX After going through your query, I would like to comment the following:

1. You seem to be having breathlessness triggered by dust exposure alonng with increased eosinophil counts , highly suggestive of Bronchial Asthma.

2. A detailed clinical evaluation by a pulmonologist is required.

3. Do you have seasonal variation of symptoms? Recurrent cold episodes? Do you smoke? Do you have wheezing episodes during breatylessness? Do you smoke.

4. Eventhough your hemoglobin is on the higher side, you RBC count seems to be normal.

5. Investigations that may be required are Chest xray, serum IgE levels, Pulmonary function tests.

6. Based on investigations you may be required to take medications like inhaled and oral bronchodilators, preventive oral medications (eg. montelukast +fexofenadine).

7. Also, yearly flu vaccination and 5 yearly pneumococcal vaccination will be of help in reducing episodes of secondary respiratory infections.

I hope I have answered your query. I will be glad to answer follow up queries if any.
Please accept my answer if you have no follow up queries.

Regards

Dr. Gyanshankar Mishra
MBBS MD DNB
Consultant Pulmonologist
Above answer was peer-reviewed by
 
Follow-up: Dust allergy and breathing problem. Had blood test. Are the findings in normal range? 11 minutes later
I smoke sometime but not frequently and also used to take alcohol.
Right now I am taking Cepodem AZ and local dr. Medications.

I know I have the Asthma Problem even many times in the midnight I went to the Hospital for taking Injection and nebulizer.

I also get Severe attack of Asthma.
Normally I felt ok but at the time of Diwali i usually face this problem.

Please suggest me what should i need to do.
Need to Quit the Alcohol and smoking? Yes I also have Recurrent cold episodes and i also have wheezing episodes during breatylessness
 
 
Answered by Dr. Gyanshankar Mishra 39 minutes later
Brief Answer:
PFT is required

Detailed Answer:
Hi,
Thanks for the follow up. After going through your follow up, I would like to comment the following:

1. Bronchial asthma with overlap syndrome is a possibility in your case since you smoke.

2. Get your PFT (pulmonary functiuon test) done at priority basis. Based on the severity of airway obstruction, your medications will be titrated.

3. Smoking needs to be stopped. In diwali you need to avoid outdoor air pollution and remain indoors. Get your evaluation by a pulmonologist before diwali.

4. Based on your history, You need to be started on inhaled therapy. Preventive medications will help against air pollution induced breathlessness in diwali.

5. Also buy a Peak flow meter and enter daily readings in your diary which will help your doctor understand the course of the airway disease. You can ask your pulmonologist regarding self titration of treatment based on peak flow meter readings.

I hope I have answered your query. I will be glad to answer follow up queries if any.
Please accept my answer if you have no follow up queries.

Regards

Dr. Gyanshankar Mishra
MBBS MD DNB
Consultant Pulmonologist
Above answer was peer-reviewed by
 
Follow-up: Dust allergy and breathing problem. Had blood test. Are the findings in normal range? 17 hours later
Alcohol is also a problem in respiratory system ?
 
 
Answered by Dr. Gyanshankar Mishra 1 hour later
Brief Answer:
Alcohol intake affects the respiratory syatem

Detailed Answer:
Hi,
Thanks for the follow up.

Yes, alcohol intake does affect the respiratory system.There is an increase in episodes of microaspirations.Plus there are detrimental effects on other systems also which indirectly affect the respiratory system. But smoking has to be stopped on priority basis.

Alcohol is known to be one of the triggers of asthma attack. Alcohol intake is a risk factor for obstructive sleep apnea also.

I hope I have answered your query. I will be glad to answer follow up queries if any.
Please accept my answer if you have no follow up queries.

Regards

Dr. Gyanshankar Mishra
MBBS MD DNB
Consultant Pulmonologist
Above answer was peer-reviewed by
 
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