Question: My grandfather Dr CH XXXXXX XXXXXXX is retired Hindi professor from XXXXXXX XXXXXXX He is born on 10th Feb 1943 and his age is 71 years. He has the chronic and acute Bronchial Asthma problem from age 3(at that age he omitted blood) and his left lung is collapsed and his heart also slightly displaced long back. He has no habit of smoking, drinking and he is vegetarian. Generally it is observed that, his problem is more during winter season. He has no sugar, Hypertension and thyroid problems. Generally he uses some Ayurvedic medicines continuously and during some infection time he gets the sputum culture done and takes the necessary antibiotics as per the doctor’s advice. That’s how he is managing till now.
Recent times it is observed that the frequency of getting infected and subsequent usage of antibiotics is increased. Last April (2014), it is observed that some blood strains came along with the sputum for about three times in a single day. He has used Tenexa and Zurosis(cough syrup) as per the advice of Dr. Jayachandra of AKJ Chest Hospital, Himayatnagar, XXXXXXX along with other medication (prescription is attached). In between he also got the spondylitis problem for which he is taking the medicine. Present problem is unbearable and almost persistent pain at the back i.e., from spine to left lung area. This is apart from the spondylitis pain. We were thinking that it is also due to spondylitis. But Orthopedic doctor Dr. Kamaraju of Kamineni hospitals, XXXXXXX checked the x-rays reports and told that the pain is mostly not due to spondylitis and could be due to lungs problem only. He is also having Homeo medicine for spondylitis and Ayurvedic medicine for lungs problem. He used to get chest pain earlier quiet rarely and for a small time. But now the pain is quiet acute and it is much more during night time. Recently i.e., on 28th Aug 2014, he again omitted blood (in small quantity may be 5ml) for three times along with sputum and he was advised by doctors to repeat the usage of Tenexa for five to eight days. We also got done ECG and 2D Echo as per the doctor’s advice to check for any heart related complications, but the report is good.

Hi Dr. XXXXXXX for the reply. We will definitely look into your suggestions.

Also, As I already mentioned my grandfather is facing severe pain at a particular spot near the left rib radiating towards the backbone. This is too severe for him that he is unable to sleep during night or day times. He is using ULTRACET tablet, but even that's not providing him much relief. The pain is concentrated around a particular semi circular part of the left rib. I have also observed slight swelling around that part.

Also, Dr. Bansal doubted of some Hairline crack and discussed the same with the radiologist along the CT Scan Images and informed that the pain is due to some unknown reasons and told to visit again if the problem persists still. Also, we visited another pulmologist who too doubted of Hairline crack. Is there any possibility of hair line fracture in that area.. If so, what is the method of identification of the same and the treatment for the same? Also, in genral does the sensitivity to pains increase with age?? Can we use any medicine in the night for getting peaceful sleep?