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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Severe Cough

My mom a type 2 diabetic giving insulin twice a day since last 15 yrs has been badly coughing for good 9 months after coming to apollo kolkata she was asked to undergo a bronchoscopy which states her both right and left airways and trachea are filled with creamy pus and she is diagonaised with bronchiolitis a very bad lung infection.. She is taking injection broadactam 4.5 thrice a day for 7 days. Do you think this is the remedy for her? And being a type 2 diabetic what are her chances of recovery and what precautions should she take or does she need to go for more advance tratment? Please help also suggest me best pulmonologist in kolkata im showing dr ashok sengupta and i want to change my doctor!!
Tue, 28 Jun 2016
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Pulmonologist 's  Response
Thanks for your question on Healthcare Magic.
I can understand your concern.
Diabetic patients are at increased risk of bacterial, fungal and parasitic infection due to poor immunity.
Lung infection is especially more common because lungs are exposed to environmental air directly.
Broadbectum injection is for bacterial infection.
Best treatment for lung infection should be guided according to culture and sensitivity report.
Culture report will isolate the causative organism and sensitivity report will guide about effective antibiotic treatment.
So get done repeat bronchoscopy and BAL (bronchoalveolar lavage) analysis, bronchoscopic Biopsy for further evaluation.
Also get done BAL for fungal culture and anaerobic culture to diagnose fungal and uncommon bacterial infection.
On the basis of these reports, she might need antifungal or other higher antibiotic with anaerobic coverage.
In Kolkata, visit wokhardt hospital.
Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks.
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Suggest Treatment For Severe Cough

Thanks for your question on Healthcare Magic. I can understand your concern. Diabetic patients are at increased risk of bacterial, fungal and parasitic infection due to poor immunity. Lung infection is especially more common because lungs are exposed to environmental air directly. Broadbectum injection is for bacterial infection. Best treatment for lung infection should be guided according to culture and sensitivity report. Culture report will isolate the causative organism and sensitivity report will guide about effective antibiotic treatment. So get done repeat bronchoscopy and BAL (bronchoalveolar lavage) analysis, bronchoscopic Biopsy for further evaluation. Also get done BAL for fungal culture and anaerobic culture to diagnose fungal and uncommon bacterial infection. On the basis of these reports, she might need antifungal or other higher antibiotic with anaerobic coverage. In Kolkata, visit wokhardt hospital. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks.