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Diagnosed with bronchitis, pnuemonia, taking antibiotics, having severe sore throat, body aces. Cure?

Hi its been 5 months first I was diagnost with broncitist then chronic broncitist got 3 antibiotics course then diagnost with pnuemonia right now I am taking 6th antibiotics still having severe sorethroat body aces. I am also anamic hb is 9 and my ESR is 70 .I was also disgnost with heart murmur I am tired of getting not well but day by day I am weaker and weaker. Plz guide me
Asked On : Sat, 20 Apr 2013
Answers:  2 Views:  33
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General & Family Physician 's  Response
Hi and thanks for the query,
Assuming that you took the drugs prescribed to you during the various infections correctly, recurrent lung infections as such with correct doses of anti biotics for appropriate durations suggest that there should be a predisposing factor which must be investigated. It would be interesting to know if you have nay past history of chronic bronchitis, emphysema or other chronic obstructive bronchopneumopathy (COPD). Secondly, do you have any chronic infection like diabetes, cancer or are you on steroids?
Recurrent sore throat with a heart murmur, raised erythrocyte sedimentation suggest the rheumatic fever be investigated. Other tests like ALSO, a cardiac ultrasound and an electrocardiogramme might be very useful.
A clinical evaluation by an ENT specialist might be very useful to ascertain the integrity of the tonsils. Enlarged or abnormally large tonsils might require removal to prevent recurrent infections with Group A streptococci that cause throat, which has a big role to play in Rheumatic fever.
My suggestion is making an appointment with a cardiologist for a cardiac ultrasound and an electrocardiogramme. Simple tests like a complete blood count might be necessary to know the type of anemia you are having, and precise prescription of an indicated anti anemic drug.
Thanks and hope this helps,
Best regards,
Luchuo, MD.
Answered: Sat, 20 Apr 2013
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General & Family Physician Dr. S. Jegadeesan's  Response
You are suffering from chronic bronchitis 5 mths duration. Now you are diagnosed as having Pneumonia. You are on 6th variety of Antibiotic. You are anaemic (Hb. 9 gm%) ESR 70 mm / hr.
You are having murmur in the heart. Generally the cause of bronchitis is viral flu in winter season. If the condition prolongs is called as chronic bronchitis.It usually follow a upper respiratory tract infection. Once it has to the stage of chronic bronchitis chances for recurrence there even after cure. Pnumonia can be bacterial or viral
Whether it is asthmatic bronchitis or ordinary bronchitis, respiratory spasm will be there. It producces anaemia which in turn can produce cardiac murmur. Your ESR is 70 mm in 1 hr.
You need investigations to rule out the cause of Bronchitis like XRAY Chest, necessary blood test, blood gas analysis, ECG sputum and blood culture and sensitivity.
Treatment Your side: If you are a smoker - stop smoking- always stay in a warm fresh air - avoid dusts, smoke, unwanted aroma and allergic food
Now regarding the treatment you have to consult a pulmonologist and follow his advise.
Best wishes
Answered: Sun, 21 Apr 2013
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