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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Bacterial Pneumonia

Diagnosed w Bactrial pnemonia on Oct.28,2014(I waited to go to ER for about 1.5 weeks got sick:Oct. 18, 2014). Was given *Levoflaxacin*500 mg for 7 days & gallon of IV fluids & pain med. Wasn t any better. Went back on 11/08/14 said it was gone. IV fluids/anxiety med... By than in bed for 3+ weeks. Went to my PCP on 11/17/14 and she said no u still have it. So now 750 mg *Levoflaxacin* & pain med... Lost 27 lbs so far...And I m stil in bed stomach cramps/fatigue/insomnia/ shortness of breath( not as bad)/dehydrated/ache all over/ bad headache/nausea. *CBC*: RBC=2.97mg HCT =L 30% MCH=H 32.1 HGB=L 9.9g/dc PLT=H 548 k/ul MON%= H 9.8% ( rest on CBC normal). *CMP*: K=L 3.1 GLU=H 108 Creatine=H 1.09 CA= L 86 ALB= L 3.0 NA= L 131 mmo/c...(H=high L=low). After all that...no energy what so ever!! I took all antibiotic and still am losing weight/no appetite & trying to force fluids. I m 5 10 & now 123lbs. It s been just over a week since last went in. I m 50 yrs old. Do blood results look just alright? Pnemonia should be gone. If so, how long to recover. 6-7 weeks in bed is no good. Should I go back again. I m tired of this-just want another opinion on what more I can do. Thank u and sorry for the novel. Coleen
Thu, 19 Feb 2015
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Pulmonologist,  's  Response
Hello dear, thanks for your question on HCM.
I can understand your situation and problem.
In my opinion you should definitely consult pulmonologist and get done
1. Chest x ray repeat.
2. CT thorax if needed.
3. Sputum culture and sensitivity
4. Sputum examination for AFB.
Repeat chest x ray is needed to rule out position of your pneumonia, means it is decreasing or static or worsening.
CT thorax will be more informative if x ray is inconclusive.
Since you are having ongoing weight loss, tuberculosis must be rule out as a cause for your pneumonia.
Ideal way to treat pneumonia is by isolating the causative organism and start appropriate antibiotics according to sensitivity report.
This will avoid haphazard use of antibiotic and prevent drug resistance.
So better to first consult pulmonologist and discuss all these.
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Suggest Treatment For Bacterial Pneumonia

Hello dear, thanks for your question on HCM. I can understand your situation and problem. In my opinion you should definitely consult pulmonologist and get done 1. Chest x ray repeat. 2. CT thorax if needed. 3. Sputum culture and sensitivity 4. Sputum examination for AFB. Repeat chest x ray is needed to rule out position of your pneumonia, means it is decreasing or static or worsening. CT thorax will be more informative if x ray is inconclusive. Since you are having ongoing weight loss, tuberculosis must be rule out as a cause for your pneumonia. Ideal way to treat pneumonia is by isolating the causative organism and start appropriate antibiotics according to sensitivity report. This will avoid haphazard use of antibiotic and prevent drug resistance. So better to first consult pulmonologist and discuss all these.