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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Shivering, Dizziness, Headache, Grey Discolouration, Difficulty Breathing. History Of Asthma. Treatment?

Hello,about 1 hr ago my husband really felt sick,he was shivering uncontrollably,and he was light headed.He did complain about a headache earlier.He couldn t get warm,and he looked washed out,very grey in color,he also said it was hard for him to breath.He does have a history of asthma .Sadly he refuses to go to the emergency room,I am worried. Thank you
Thu, 20 Dec 2012
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General & Family Physician 's  Response
Dear Concerned.,
Thanks for writing to us.
You will have to immediately rush him to ER to any of the nearest Primary Centres.The greyish discoloration could be due to Cyanosis.
Get his Vital parameters checked--Pulse/Temperature/BP/Oxygen Saturation by using Pulse Oxymeter and also Capillary Blood glucose /ECG in 12 leads. and administer him Oxygen as per requirement as decided by the MD.
In addition to admission and Oxygen, the MD will start Nebulisation with Bronchodilators/Life saving Steroids /Dextrose IV/paracetamol to control fever as decided by CBG levels.
After the acute condition subsides, other investigations such as Chest X-Ray/Pulmonary functions /Baseline blood and urine tests/ all will be done.Consult a Pulmonologist and institute an antibiotic course and follow up action.
Wishing you a quick recovery.,
Best regards,
Dr Lt Cdr ASN Bhushan,.
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Allergist and Immunologist Dr. Sujoy Khan's  Response
Hello,
The symptoms that you describe would fit in with an underlying infection, and viral chest infections also make asthma difficult to control resulting in an exacerbation.

He will need blood tests to exclude an infection, a Chest X Ray, ECG, Oxygen saturation and all this is possible in a hospital ER. This is more important if he continues to feel unwell.

Please get in touch with your local doctor to get him checked out if he still refuses to go.

Best Wishes.

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Shivering, Dizziness, Headache, Grey Discolouration, Difficulty Breathing. History Of Asthma. Treatment?

Dear Concerned., Thanks for writing to us. You will have to immediately rush him to ER to any of the nearest Primary Centres.The greyish discoloration could be due to Cyanosis. Get his Vital parameters checked--Pulse/Temperature/BP/Oxygen Saturation by using Pulse Oxymeter and also Capillary Blood glucose /ECG in 12 leads. and administer him Oxygen as per requirement as decided by the MD. In addition to admission and Oxygen, the MD will start Nebulisation with Bronchodilators/Life saving Steroids /Dextrose IV/paracetamol to control fever as decided by CBG levels. After the acute condition subsides, other investigations such as Chest X-Ray/Pulmonary functions /Baseline blood and urine tests/ all will be done.Consult a Pulmonologist and institute an antibiotic course and follow up action. Wishing you a quick recovery., Best regards, Dr Lt Cdr ASN Bhushan,.