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Asthma, weight loss, difficulty breathing, sitting , walking. Ige test done. What does the report indicate? - Online Doctor Chats

Date : 14-Mar-2013
User rating for this question
Very Good Posted in: X-ray, Lab tests and Scans
Answered by

General & Family Physician
Practicing since : 2009
Answered : 983 Questions
User:I have a query
Doctor:Please proceed with your query.
User:My father in law is 70 yrs old and he is suffering with asthma from last 40 yrs and taking medications. Now his condition is very severe, he has fungal infection in lungs and taking medicines including steroids incl;uding Itraconazole.
User:he is having difficult in breathing and not able to sit or walk also, he has lost weight and looks very severe.
User:we have done a test to calculate the Ig E - i will type the findings, please advice
User:aspergillus fumigatus: allergen specific IgE is high = 0.13
User:candida albicans: allergen specific IgE is high = 0.35
User:dermatophagoides pternyssinus: allergen specific IgE is high 18.90
User:dermatophagoides farinae: allergen specific is high = 13.30
User:house dust greer: allergen specific IgE is high = 3.42
User:hollister-stier labs house dust: allergen specific IgE is high = 0.88
User:so thats it
User:and the test report status is signed as 'Final'
Doctor:His IgE levels are high due to allergy and fungal infections.
User:please advice.
Doctor:It is good that he is on antifungal treatment.
Doctor:Is he hospitalized now?
Doctor:Are you there?
Doctor:Are you there? Please respond.
Doctor:Bye for now.
User:May i know your name please.
Doctor:This is Dr. XXXXXXX again.
User:Oh I am sorry XXXXXXX
User:I got busy with a call with onshore and missed it.
User:Yes we can continue now.
User:He was hostipatized and not now, he is discharged now.
Doctor:He is on right medications.
Doctor:But, his conditions will take time to improve.
User:ok - but he looks very tired and not able to have food and has difficulty in breathing.
User:with his age, my husband is scared that he may not recover
User:please advice what u advice XXXXXXX
User:and critical satge of asthma.
Doctor:Loss of appetite is due to breathlessness.
Doctor:I think he needs supportive treatment apart from his medications.
User:like what type?
Doctor:It would be better if he is in hospital where frequent nebulization can be given.
Doctor:He may need antibiotics if he is not on any.
User:he is already taking antibiotics
Doctor:You can give him liquid
Doctor:Take care that he is not dehydrated.
User:but if this goes severe, do we have place of recover
User:as he is getting deteriorated day by day.
User:as IgE is also very high
User:as i already told u.
Doctor:It would be difficult for me to predict it as I have not examined him.
Doctor:It depends on many parameters like Oxygen saturation and pulmonary function test.
User:will this fungus in the lungs is completely curable?
User:oh ok
Doctor:Fungal infections are very tricky to treat.
Doctor:Considering his age, it would be difficult to say.
User:oh ok
Doctor:It all depends on how his body reacts to the medications.
User:oh ok
User:ok XXXXXXX - do u recommend any other tests related to this problem
User:to be done.
Doctor:Doing further testing will not have any more advantage.
User:so we can treat him as much as possible correct?
Doctor:Just keep monitoring his saturation levels.
Doctor:Take care of overall nutrition and hydration.
Doctor:Give him back rest while sleeping.
Doctor:Rest, follow your doctor's instructions.
Doctor:Is there any thing else I can help you with?
User:I have one more query related to my daughter - can i proceed
User:she is 10 yrs old and her neck looks elongated and shoulders bit slanted and actually she is too tall for age, i am worried about her neck and shoulder positioned and she is very thin.
User:any advice on this XXXXXXX
User:she is nearing 4.8 or 4.8 feet height.
User:4.8 or 4.9
Doctor:Does she have any other medical problems?
User:she doesnt have food, like all other kids thats all.
User:we need to force her to have food
Doctor:What is your and your husband's height?
User:am 5.4
User:and he is 5.8
User:but my grandpa and my brother are 6.2
User:i am not sure if this appearance is due to her height or if any bone abnormality is related to to it and worried.
Doctor:It could be just genetic. Based on your history, I do not find anything worrisome with your daughter.
User:so will this neck & shoulders be perfect probably when she reaches menarche.
User:and when she gets little plumpy body probably.
Doctor:Yes. it could be.
Doctor:In case you have doubt, you can get her evaluated once by your physician.
User:ok sure.
Doctor:That will relieve you of anxiety.
User:ok sure
User:thanks so much for your time XXXXXXX
Doctor:Thanks for consulting me.
User:thats all i had.
User:bye then
Doctor:Wish you good health.
Doctor:Bye for now.
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