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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Allergic Asthama. Did X-ray. Impression Of Bronchitis With Bilateral Hilar Lymphadenopathy. Treatment?

my sister bhagyshree is suffering from allergic asthama, acc. to my town doctors. after X-ray the impression that i have got is bronchitis with bilateral hilar lymphadenopathy please tell me the treatment for this and the best ways to get cure? i have my email id YYYY@YYYY can u give me full detail about it?
Mon, 20 May 2013
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Allergist and Immunologist,  's  Response
Hello,
Bronchitis or lung disease with bilateral hilar lymphadenopathy is generally not associated with asthma and your sister needs a full respiratory evaluation.
Chest X Ray is not a sensitive test, so a HRCT (high resolution CT scan) will be required to see the lymph nodes in detail.
There are several conditions especially infections that present with enlarged lymph nodes and present with shortness of breath (appears like asthma) and hence the requirement of a full check.
Lung function tests (pulmonary function tests) with diffusion capacity is required as well. A bronschopy may be required after the HRCT scan.
Blood tests: Complete hemogram, Liver function tests, ACE level, IgE, Urea Creatinine, ANA, ANCA are also required.

A treatment plan can be decided only after these tests are done.

I hope that was useful.
Best Wishes.
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Have Allergic Asthama. Did X-ray. Impression Of Bronchitis With Bilateral Hilar Lymphadenopathy. Treatment?

Hello, Bronchitis or lung disease with bilateral hilar lymphadenopathy is generally not associated with asthma and your sister needs a full respiratory evaluation. Chest X Ray is not a sensitive test, so a HRCT (high resolution CT scan) will be required to see the lymph nodes in detail. There are several conditions especially infections that present with enlarged lymph nodes and present with shortness of breath (appears like asthma) and hence the requirement of a full check. Lung function tests (pulmonary function tests) with diffusion capacity is required as well. A bronschopy may be required after the HRCT scan. Blood tests: Complete hemogram, Liver function tests, ACE level, IgE, Urea Creatinine, ANA, ANCA are also required. A treatment plan can be decided only after these tests are done. I hope that was useful. Best Wishes.