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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Cough And Wheezing With History Of Asthma

I have been suffering with allergies and sinus problems since I was a child. I am now a 58 year old woman who suffers from relapses about every three months with severe coughing and wheezing. The wheezing seems to be more in the upper chest and throat area. I have been treating for chronic asthma and chronic bronchitis for approximately 5 years. I have seen my primary physician and 2 pulmonologist. One who diagnosed me with the chronic asthma and the other diagnosed me with acid reflux. Gave me a script for 30 protonix. I went to the ER yesterday morning for severe coughing and wheezing again. Gave my history to the doctor and he recommended that I now see a cardiologist to make sure my symptoms are not related to congestive heart failure. This desease runs heavy on my moms side. Her mother, my mother, two of her brothers, and my brother passed away from heart attacks and congestive heart failure. I want to consult with a cardiologist, but are there different kinds, and what particular cardiologist should I see.
Fri, 8 Aug 2014
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General & Family Physician,  's  Response
Hello dear,

The symptoms as mentioned in your post can be attributed to Acute exacerbation of asthma, secondary to the respiratory tract infection.

Management consists of:
1. A course of antibiotics based on culture & sensitivity reports.
2. Asthalin+ Seroflo inhaler- provide symptomatic relief by causing broncho-dilation (dilating the smaller airway passages, relieving the obstruction & increasing airflow to lungs). So, it can be used during an acute attack.
3. Montelukast preparations- used as a maintenance therapy to relieve symptoms of asthma.
4. Antihistamines like Cetrizine can also be used to provide symptomatic relief.
5. Also make sure that you are well protected from exposure to cold, dust or other allergens.

As your treating Doctor has advised you to consult a Cardiologist, kindly meet him to rule out any Cardiovascular cause for your symptoms.
You can consult any Cardiologist for this matter.

Wishing a good health.
Take care.
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Suggest Treatment For Cough And Wheezing With History Of Asthma

Hello dear, The symptoms as mentioned in your post can be attributed to Acute exacerbation of asthma, secondary to the respiratory tract infection. Management consists of: 1. A course of antibiotics based on culture & sensitivity reports. 2. Asthalin+ Seroflo inhaler- provide symptomatic relief by causing broncho-dilation (dilating the smaller airway passages, relieving the obstruction & increasing airflow to lungs). So, it can be used during an acute attack. 3. Montelukast preparations- used as a maintenance therapy to relieve symptoms of asthma. 4. Antihistamines like Cetrizine can also be used to provide symptomatic relief. 5. Also make sure that you are well protected from exposure to cold, dust or other allergens. As your treating Doctor has advised you to consult a Cardiologist, kindly meet him to rule out any Cardiovascular cause for your symptoms. You can consult any Cardiologist for this matter. Wishing a good health. Take care.