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Suggest Treatment For Chest Infection

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Posted on Tue, 17 Jun 2014
Question: Hi i have had a chest infection and my peak flow varies from 400 to 450 im 25 years old and my hight is 66cm id this normsl
doctor
Answered by Dr. Luchuo Engelbert Bain (2 hours later)
Brief Answer:
No worries, noral for age, sex and height

Detailed Answer:
Hi and thanks for the query,

Your peak flow values are within the normal range for your sex, age and height. I really do not think you need to bother.

The spirometirc values are within the normal limits. Please, do not hesitate asking any further questions in case you got any special concerns. Kind regards as I wish you the best of health.

Dr Bain
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Luchuo Engelbert Bain (55 minutes later)
Thanks doctor i have had a bad cold and it went to my chest and i have been coughing up green mucos and my chest hurts and i cant take deep breaths
doctor
Answered by Dr. Luchuo Engelbert Bain (14 minutes later)
Brief Answer:
Review, Chest X ray, lung infection , other

Detailed Answer:
Hi and thanks for the follow up questions,

It is imperative for you to keep warm first. Secondly, the presence of mucous needs to be carefully investigated. It might be important to know if you do smoke or not. Also if you suffer from chronic bronchitis, asthma, emphysema or not. In case any of these conditions are present, this could be an exacerbation. If absent, it would be important to note if you have had any fever or not. In the presence of fever, you might have to exclude an infection. In this case, a chest X ray would be important to appreciate the state of the lungs, and a complete blood count to document any increase in the number of white blood cells, to better document and evaluate any infection if present.

I strongly suggest a proper clinical review by your primary care doctor, coupled with a chest X ray depending on the clinical findings. Thanks and kind regards as I wish you the best of health. Do feel free asking any follow up questions in case of need.


Dr Bain
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Luchuo Engelbert Bain (11 minutes later)
Hi i went to the doctors and i did a pesk flow reading and it was varied between 400-450 i have had a bad cold and now my chest is tight i have anxiety
doctor
Answered by Dr. Luchuo Engelbert Bain (7 minutes later)
Brief Answer:
Proper review,, no serious worries

Detailed Answer:
Hi and thanks for the update,

I do understand this could be very disturbing. Chest tightness could be an indication of a chronic obstructive pulmonary disease like asthma. Inhaled steroids, taken regularly and appropriately for about a month should yield positive results, if it is actually asthma. Chest tightness is very characteristic for this condition, especially in the presence of a family history, wheezes, and if more severe at night.

Excluding other out of lung conditions that could cause chest tightness could be imperative. Gastroesophagal reflux disease could mimic asthmatic crises and be characterized by chest tightness.

As you await to see the response under inhaled steroids, and an evaluation for gastroesophagal disease, small doses of anti anxiety drugs like Stresam and Tranxene could be useful. I however reassure you that following medical advise, and a proper clinical review and investigations in your case should be able to to yield positive results for sure. ind regards as I wish you the best of health.

Dr Bain
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Luchuo Engelbert Bain (27 minutes later)
Could it be a chest infection my peak glow is 450
doctor
Answered by Dr. Luchuo Engelbert Bain (7 minutes later)
Brief Answer:
It is a possibility

Detailed Answer:
Hi and thanks for the follow up,

Irrespective even of the value of the peak flow, a chest infection is one of the possibilities that must be carefully considered and ruled out. I suggest a proper clinical examination by a doctor for rales , wheezes or crackles, a chest X ray and a complete blood count and measurement of C reactive Protein ( a marker of infection).

It is a possibility of course. kind regards

Dr Bain
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Luchuo Engelbert Bain (9 minutes later)
What are peoples peak flows with asthma mine varies fr 450-500 is that good
doctor
Answered by Dr. Luchuo Engelbert Bain (9 hours later)
Brief Answer:
Peak flow values within normal limits

Detailed Answer:
Hi and thanks for the query,

Your peak flow values are within normal limits and this is very reassuring. I do not think you need to be bothered so much about this, you need to be reassured and boosted with regards to these normal values.

No worries a s of now as I suggest a careful clinical review by your Doctor. Kind regards.

Dr Bain
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Luchuo Engelbert Bain (9 hours later)
I went to the hospital and had an ecg and all my obs were normal doctor listened to my chest and it was clear could my chest be hurting because of the coughing i did my breathing is ok and my peak flow is 430-500 but its hard to take a deep breath
doctor
Answered by Dr. Luchuo Engelbert Bain (34 minutes later)
Brief Answer:
No worries, yes.

Detailed Answer:
Hi and thanks for the update,

It is reassuring and real good news everything was Ok. I suggest you might need to be patient. I think excessive coughing as you rightly put it could explain this pain.

In case the pain intensifies or does not fade out within a few days, other causes of pain and an in depth evaluation would then be needed. As of now, I think you stay calm, watchful and feel good, especially as the clinical review and peak flows are reassuring. Kind regards.

Dr Bain
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Luchuo Engelbert Bain (40 minutes later)
Can anxiety play a part im scared something serious is wrong
doctor
Answered by Dr. Luchuo Engelbert Bain (2 hours later)
Brief Answer:
Could contribute, but other factors first

Detailed Answer:
Hi and thanks for the update and follow up question.

Anxiety could make a contribution. However, it is imperative to exclude other organic causes before considering anxiety. This however does not lessen the serious role anxiety could have to play.

It might be of interest to you not to be so bothered, considering the fact that the clinical review, ECG and peak flow values are reassuring. Anti anxiety drugs in small doses could however could be useful, based on the clinical status. Your doctor's appreciation could lead to prescription of anti anxiety drugs. Drugs like Tranxene and Stresam could be useful.

I suggest the appreciation of your doctor first. Kind regards as i wish you the best of health.

Dr Bain
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Luchuo Engelbert Bain (38 minutes later)
Hi my doctor has put me on sertaline im just really worried if my obs and ecg and blood pressure is good should i not worry.
Plus my peak flow is that unlikely i have asthma.
This with my chest all started after an awful cough im not coughing up much mucos but if i do it varies between green and clear salty
doctor
Answered by Dr. Luchuo Engelbert Bain (11 hours later)
Brief Answer:
No worries

Detailed Answer:
Hi and thanks for the query,

I am afraid you really need not bother much at this point in time. Your clinical review and paraclinical tests are reassuring.

I do suggest you remain calm and go through the treatment offered by your Doctor for a couple of days. I do believe you would for sure have some relief. If not, see your Primary Care Dr again. But I hopeful.

Kind regards
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Luchuo Engelbert Bain (4 hours later)
I dont know if its because im having anxiety attacks but im short of breath my legs ache and my arms i was at work lastnight and i was so tired and im usually ok i just dont feel myself im convinced i am dying
doctor
Answered by Dr. Luchuo Engelbert Bain (1 hour later)
Brief Answer:
Be calm, difficult to associate pain to anxiety

Detailed Answer:
Hi and thanks for the query,

Anxiety alone cannot explain tiredness. It might be useful to check out for a possibility of some degree of depression. Aches in arms and legs are really not signs and symptoms of anxiety.

I think you are really just so worried. My suggestion is staying calm and positive. You really need not bother considering that the clinical and paraclinical tests you have done have not revealed anything serious. Be calm and watch again for a couple of days.

Kind regards,

Dr bain
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Luchuo Engelbert Bain (2 days later)
Im sorry to bother you again doctor but im really starting to think i have a serious illness i have had bad diarreah today i cant take deep breaths the bottom of my legs ache and im tired
doctor
Answered by Dr. Luchuo Engelbert Bain (33 minutes later)
Brief Answer:
No worriess, electrolyte loss check

Detailed Answer:
Hi and thanks for the query,

Never mind, I would be glad making my little contribution any time I can. It might be interesting to know what you ate yesterday, and if you ate something you have not been used to. It might be food intoxication. If the fluid loss is severe, loss of ions especially potassium/Magnesium could cause serious muscle aches. If the diarrhea was so severe, doing an electrolyte panel for these various ions could be useful, in order the replace any, in case of a deficiency.

I suggest you just take enough fluids for now and seek the opinion of your GP in case symptoms persist or aggravate within a couple of days.

Kind regards

Dr Bain
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Luchuo Engelbert Bain (11 minutes later)
Could it be neeves im really convinced im ill and im so scared
doctor
Answered by Dr. Luchuo Engelbert Bain (5 minutes later)
Brief Answer:
No serious worries

Detailed Answer:
Hi and kind regards,

To think of a neurologic problem at this point is too early and very unlikely. I think you really not be bothered about that at this point. In case this were the case, you would have had troubles walking, weakness and issues with sensation. Not declaring a practical impossibility, it could very its very rare to think of that at this point.

A proper review from your doctor would be helpful. But for now, I suggest you just be calm and positive. Kind regards

Dr Bain
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Luchuo Engelbert Bain (10 minutes later)
Can anxiety make you worry this much
doctor
Answered by Dr. Luchuo Engelbert Bain (10 hours later)
Brief Answer:
Yes, but not as much, exclude depression

Detailed Answer:
Hi and thanks for the query,

I am afraid anxiety alone could cause such worry. It might be necessary however to check for depression. In case absent, serious and careful management of the anxiety disorder should be done. the opinion of a clinical psychologist or psychiatrist could as well be helpful under such circumstances. ind regards

Dr Bain
Above answer was peer-reviewed by : Dr. Prasad
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Answered by
Dr.
Dr. Luchuo Engelbert Bain

General & Family Physician

Practicing since :2009

Answered : 3092 Questions

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Suggest Treatment For Chest Infection

Brief Answer: No worries, noral for age, sex and height Detailed Answer: Hi and thanks for the query, Your peak flow values are within the normal range for your sex, age and height. I really do not think you need to bother. The spirometirc values are within the normal limits. Please, do not hesitate asking any further questions in case you got any special concerns. Kind regards as I wish you the best of health. Dr Bain