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What does my lab test report indicate?

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Posted on Mon, 25 Jul 2016
Question: Dear Sir,

My Father is 61 years old and his medical History is as below:

2007 - He has undergone a bypass Surgery in xxxxxxxx xxxx xxxxxxx, xxxxxx
2011 - Detected with HIV. Undergoing regular treatment since then with Dr. XXXXXXX xxxxx, XXXXXXX Current CD4 Count is in range of 300-350

Apart from these he was addicted to Smoking and drinking and due to these His lungs are functioning at 30%-40% efficiency since last 5 years. He was admitted to Hospitals almost every year since last 5 years due to Cough in Chest, Deficiency of O2 due to problem in lungs and Asthma.

Since last 10 days he has come to XXXXXXX for short period of time to stay with me. However his health has deteriorated to some extent and he is facing breathing issue even if he is walking for few meters.

I would Like to know which specialty doctor to consult (name of Dr. in particular if possible) so that I can get proper medication for him considering his Medical history as mentioned above. He has now given up smoking completely since last 1.5 year. however He takes drinks occasionally.

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Answered by Dr. Kaushal Bhavsar (1 hour later)
Brief Answer:
Better to consult pulmonologist first and get done PFT.

Detailed Answer:
Thanks for your question on Healthcare Magic.
I can understand your concern.
Your father is having lung and heart diseases. And acute worsening of any of these diseases can cause breathing difficulty on exertion (walking few meters).
In my opinion, you should first consult pulmonologist and get done clinical examination of respiratory system and PFT (pulmonary function test) to rule out lung diseases.
He might be having acute exacerbation of bronchitis or asthma.
If this is normal then consult cardiologist and get done ecg and 2d echo to rule out heart related diseases.
He might need long acting beta 2 agonist and inhaled corticosteroids (long acting) on the basis of PFT report.

Hope I have solved your query. I will be happy to help you further. Wishing good health to your father. Thanks.
Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar
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Answered by
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Dr. Kaushal Bhavsar

Pulmonologist

Practicing since :2008

Answered : 14949 Questions

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What does my lab test report indicate?

Brief Answer: Better to consult pulmonologist first and get done PFT. Detailed Answer: Thanks for your question on Healthcare Magic. I can understand your concern. Your father is having lung and heart diseases. And acute worsening of any of these diseases can cause breathing difficulty on exertion (walking few meters). In my opinion, you should first consult pulmonologist and get done clinical examination of respiratory system and PFT (pulmonary function test) to rule out lung diseases. He might be having acute exacerbation of bronchitis or asthma. If this is normal then consult cardiologist and get done ecg and 2d echo to rule out heart related diseases. He might need long acting beta 2 agonist and inhaled corticosteroids (long acting) on the basis of PFT report. Hope I have solved your query. I will be happy to help you further. Wishing good health to your father. Thanks.