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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Chronic Bronchitis With Stomach Bloating And Rashes Be Treated?

Have chronic bronchitis copd 5 weeks. On 3 different steriods and new armour thyroid med. Lungs will not clear. 3 antibiotics. Stopped dexamethasone yesterday. Feel horrible. Adrenal insufficency too. Now tongue is burning and dark. Could I be in a crisis from stopping steriods abruptly. Now Stomache is three times its normal size. Should I take some prednisone? Red rash on chest and face.
Mon, 14 May 2018
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Pulmonologist,  's  Response
Hi,

Welcome to Healthcare Magic. I have reviewed your query and here is my advice.

Yes, steroid withdrawal can cause all these symptoms. So better not to stop steroids abruptly. And best treatment for chronic bronchitis is inhaled treatment. Since you are not receiving inhaled treatment, you are not improving. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT will tell you about severity of the disease and treatment is based on severity only. You will need inhaled bronchodilators (Formoterol or Salmeterol) and inhaled corticosteroid (ICS) (Budesonide or Fluticasone). ICS are far better than oral steroids because they ICS are devoid of any side effects and there is no withdrawal after ICS. You will also need N acetyl cystine (NAC). It is mucolytic and expectorant drug. It will clear your lungs.

I hope I have answered your query. Let me know if you have any further questions.

Take care.
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How Can Chronic Bronchitis With Stomach Bloating And Rashes Be Treated?

Hi, Welcome to Healthcare Magic. I have reviewed your query and here is my advice. Yes, steroid withdrawal can cause all these symptoms. So better not to stop steroids abruptly. And best treatment for chronic bronchitis is inhaled treatment. Since you are not receiving inhaled treatment, you are not improving. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT will tell you about severity of the disease and treatment is based on severity only. You will need inhaled bronchodilators (Formoterol or Salmeterol) and inhaled corticosteroid (ICS) (Budesonide or Fluticasone). ICS are far better than oral steroids because they ICS are devoid of any side effects and there is no withdrawal after ICS. You will also need N acetyl cystine (NAC). It is mucolytic and expectorant drug. It will clear your lungs. I hope I have answered your query. Let me know if you have any further questions. Take care.