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Have Bronchial Asthma, Heaviness In Chest, Difficulty In Breathing And Hard Sputum. Diagnosed Eosinophilia, Prescribed DOXIFLO And TELEKAST
Question: I am a patient of bronchial asthma since childhood.As per the Dr version it is spasm.Symptom is heaviness in chest and a little difficulty in breathing and hard sputum.Sometimes or rather regularly it is precipitated by frequent and continuous sneezing.The asthma attack is though never severe.It occurs specially in winter or change of season.Doctors have diagnosed it to be EOSINOPHILIA? as it exceeds the referral range.Sometimes it is followed by eczema in skin,irritation in eyes or mouth cavity and itching in scalp with dandruff.Last prescription dtd 25/05/12 prescribes 1) DOXIFLO 400 tab 2) TELEKAST PLUS tab 3) FORMOFLO TRANSCAPS
Brief Answer:
Bronchial Asthma with seasonal allergic rhinitis
Detailed Answer:
Hi,
Thanks for posting the query on XXXXXXX After going through your query, I would like to comment the following:
1. Your symptoms are consistent with a diagnosis of bronchial asthma with seasonal allergic rhinitis. Eosinophilia, rhinits, eczema, eye irritation are all associated with asthma i.e they are manifestations of atopy.
2. You need to visit a Pulmonologist and get your treatment titrated as per your pulmonary function test parameters. Considering your symptoms the inhaler dose of formoflo may have to be increased along with addition of an antihistaminic medication as well as a nasal spray eg. azeflo nasal spray twice a day.
3. Also since you have symptoms since childhood and history of recurrent infections along with eosinophilia, you need to get your serum IgE levels and also rule out bronchiectasis since there is a possibility of a condition called as ABPA - Allergic bronchopulmonary aspergillosis. Oral steroids may be required in such condition and HRCT Scan of thorax may be required.
4. Also an antacid medication like Cp. PAN 40 may be taken on empty stomach in the morning.
5. Yearly flu vaccination and 5 yearly pneumococcal vaccine will definitely decrease the rate of secondary respiratory infections.
I hope I have answered your query. I will be glad to answer follow up queries if any.
Please accept my answer if you have no follow up queries.
Regards
Dr. Gyanshankar Mishra
MBBS MD DNB
Consultant Pulmonologis
Bronchial Asthma with seasonal allergic rhinitis
Detailed Answer:
Hi,
Thanks for posting the query on XXXXXXX After going through your query, I would like to comment the following:
1. Your symptoms are consistent with a diagnosis of bronchial asthma with seasonal allergic rhinitis. Eosinophilia, rhinits, eczema, eye irritation are all associated with asthma i.e they are manifestations of atopy.
2. You need to visit a Pulmonologist and get your treatment titrated as per your pulmonary function test parameters. Considering your symptoms the inhaler dose of formoflo may have to be increased along with addition of an antihistaminic medication as well as a nasal spray eg. azeflo nasal spray twice a day.
3. Also since you have symptoms since childhood and history of recurrent infections along with eosinophilia, you need to get your serum IgE levels and also rule out bronchiectasis since there is a possibility of a condition called as ABPA - Allergic bronchopulmonary aspergillosis. Oral steroids may be required in such condition and HRCT Scan of thorax may be required.
4. Also an antacid medication like Cp. PAN 40 may be taken on empty stomach in the morning.
5. Yearly flu vaccination and 5 yearly pneumococcal vaccine will definitely decrease the rate of secondary respiratory infections.
I hope I have answered your query. I will be glad to answer follow up queries if any.
Please accept my answer if you have no follow up queries.
Regards
Dr. Gyanshankar Mishra
MBBS MD DNB
Consultant Pulmonologis
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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