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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Chest Pain,wheezing And Difficulty In Breathing

Hi, may I answer your health queries right now ? Please type your query here...47yo 5'8' 220 lbs started sneezing wednesday night was nasally congested thursday and friday today I have painful lungs when inhaling, wheezing crackling and hard to catch my breath small bits of sputum but nothing significant yellowish green, its getting harder to breathe each hour like the pipes are closing up I tried the hot steam from the shower for a few minutes but didnt help
Fri, 12 May 2017
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General & Family Physician 's  Response
Hi welcome to the health care magic

According to history provided bronchoconstriction present...

Hence rule out acute bronchitis or asthma like allergy inflammation of bronchi...

Your work up done as follow...
-first thing needed is Auscultation
-CBC with AEC value
-Chest x ray
-Spirometry if needed after seeing x ray
-sputum examination only if x ray shows consolidation

According to reports further treatment decided

You will be given decongestant for Symptomatic relief like diphenhydramine...

Avoid excess spicy foods and fatty meals

Drink more water

Stream inhalation done three times a day

If AEC High then monteluksat and fexofenedine combination might given

If bronchoconstriction much severe then nebulization of levosalbutamol and budesonide can be given

Take care

Hope your concern solved

Consult pulmonologoist for examination and discuss all these points
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Suggest Treatment For Chest Pain,wheezing And Difficulty In Breathing

Hi welcome to the health care magic According to history provided bronchoconstriction present... Hence rule out acute bronchitis or asthma like allergy inflammation of bronchi... Your work up done as follow... -first thing needed is Auscultation -CBC with AEC value -Chest x ray -Spirometry if needed after seeing x ray -sputum examination only if x ray shows consolidation According to reports further treatment decided You will be given decongestant for Symptomatic relief like diphenhydramine... Avoid excess spicy foods and fatty meals Drink more water Stream inhalation done three times a day If AEC High then monteluksat and fexofenedine combination might given If bronchoconstriction much severe then nebulization of levosalbutamol and budesonide can be given Take care Hope your concern solved Consult pulmonologoist for examination and discuss all these points