Suggest treatment for symptoms of COPD
Severe obstructive lung disease,CT chest to be done.
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I've reviewed the attached reports, your PFT reveals severe obstructive lung disease. Obstructive diseases of the lung result from narrowing of the smaller bronchi and larger bronchioles, often because of excessive contraction of the smooth muscle itself. COPD is one of the subtypes of obstructive lung disease. Pain below ribs is because of the fatigue of muscle used in labored respiration in COPD patient.
The main form of long term management involves the use of inhaled bronchodilators. Specifically beta agonists and anti-cholinergics and inhaled corticosteroids.
Short-Acting Bronchodilators -These medications work quickly within 15-20 minutes to help decrease shortness of breath, namely Salbutamol and Albuterol.
Long-Acting Bronchodilators- These medications are long-acting. Long-acting bronchodilators are used regularly to open the airways and keep them open, namely tiotropium, formoterol, salmeterol.
Please discuss options with respiratory medicine specialist.
COPD is generally irreversible although lung function can partially recover if the patient stops smoking.
Smoking cessation is an essential aspect of treatment, Lung transplantation is also performed for severe COPD in carefully chosen cases.
Follow up advice.
Doxophylline 400mg should be taken once daily(on consulting your respiratory medicine doctor).Oxygen therapy can be taken as and when required basis.Try to maintain oxygen saturation around 94%.
Diet is not going to effect much however smoking should be strictly prohibited.
Lung transplantation success rate is one of the least among all the transplants tried.
However it can be a option when patient is not at all relieved by medical therapy.
Sucess of lung transplant depends on patient to patient,but overall 5 year survival rate is not very good.
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