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Dr. Andrew Rynne
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Dr. Andrew Rynne

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Suggest treatment for breathing discomfort and chronic cough

Answered by
Dr.
Dr. Kaushal Bhavsar

Pulmonologist

Practicing since :2008

Answered : 14617 Questions

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Posted on Wed, 6 Jan 2016 in Lung and Chest disorders
Question: Good Morning! I am experiencing some breathing discomfort and chronic cough sometimes until I vomit. Sometimes I get pleurisy from so much coughing. I do not curretnly smoke at all. I have been an intermittent smoker never able to continue due to painful breathing so I discontinue smoking. Last I smoked at all was 13 yrs ago age 34, maybe 1-3 cigarettes per day for a two month very stressful period. I did not smoke from ages 19-33 at all. At age 18 I smoked now and then it was at most one pack a week off/on for 1 yr or so. I need help w/my spirometry test interpretation. Cant see pulmonologist until 2/10/16. My COPD risk is listed as HIGH. Test results are attached. Currently I am constantly getting bronchitis several times a year. Have difficulty breathing on a regular basis, go to ER for a breathing treatment this helps quite a bit. I have thick white and sometimes a little yellow mucous. Antibiotics help but once I stop it comes right back. Most the time diagnosed with bronchitis, once with pneumonia but this happens at least 5-6x per year and quite frankly I am tired of feeling so bad and struggling to breathe. Do my test results indicate asthma perhaps? Please explain why I have a high COPD risk but (my attempts) at test interpretation show normal ranges. When I had this test done, the Dr. didnt seem too concerned so I did not follow up with the specialist. Now that I went to the ER last week and told the dr. there that my spirometry tests indicate an 80 yr old lung age he said it is probably COPD and now I am feeling terrified and having a difficult time waiting until 2/10 to see the pulmonologist. Do my results indicate COPD presently?
doctor
Answered by Dr. Kaushal Bhavsar 1 hour later
Brief Answer:
Sorry to say but your PFT report is not clearly visible.

Detailed Answer:
Thanks for your question on Health Care Magic.
I can understand your concern.
I have gone through the reports you have attached.
Honestly speaking, I am not able to see your PFT report clearly. I am not able to see the values clearly.
So please upload clear image, so that I can see your values and opine about severity of the disease.
Hope you will understand my problem and reply me clear, readable report.
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar 17 minutes later
Hi,

I have scanned the report and uploaded it again. It is upside down, if you print it that will work just fine. Thanks!

I actually resent to you right side up and perfectly clear to ensure no more delays. Thanks so much!!!
doctor
Answered by Dr. Kaushal Bhavsar 10 minutes later
Brief Answer:
You are having moderate COPD.

Detailed Answer:
Thanks for your question on Health Care Magic.
I can understand your concern.
Now I am able to see your PFT report clearly.
This report suggest that you are having moderate COPD.
Your FEV1 is between 50-80% of predicted and so this categorize you in moderate COPD.
Possibility of asthma is less because you are having poor bronchodilator reversibility.
So in my opinion, you should start inhaled bronchodilators and inhaled corticosteroid (ICS).
Hope I have solved your query.
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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