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What Does This Following Lab Report Indicate?
Question: Hello Doctor,
Pulmonologist I visited today told me that I'm allergic to aspergillus and has recommended me to continue with my current medicines.
I'm attaching my reports. Looking forward for your kind advise.
Thank you.
Pulmonologist I visited today told me that I'm allergic to aspergillus and has recommended me to continue with my current medicines.
I'm attaching my reports. Looking forward for your kind advise.
Thank you.
Brief Answer:
Have you ever undergone serum IgE level?
Detailed Answer:
Thanks for your question on Health Care Magic.
I can understand your concern.
I have gone through the reports you have attached.
Your chest x ray is normal. No need to worry for this.
Aspergillus fungus causes chronic lung infection. It causes central bronchiectesis, but your x ray is not suggestive of this. Actually HRCT is more informative for this.
We need to get done total serum IgE and Aspergillus specific IgE fir the diagnosis of allergy to Aspergillus.
So please let me know
1. Have you ever undergone HRCT?
2. Have you ever undergone serum IgE level?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Have you ever undergone serum IgE level?
Detailed Answer:
Thanks for your question on Health Care Magic.
I can understand your concern.
I have gone through the reports you have attached.
Your chest x ray is normal. No need to worry for this.
Aspergillus fungus causes chronic lung infection. It causes central bronchiectesis, but your x ray is not suggestive of this. Actually HRCT is more informative for this.
We need to get done total serum IgE and Aspergillus specific IgE fir the diagnosis of allergy to Aspergillus.
So please let me know
1. Have you ever undergone HRCT?
2. Have you ever undergone serum IgE level?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you for the response Doctor.
1. I have not undergone HRCT.
2. I have attached my IGE report.
I am very worried Doctor as my health is not well since couple of weeks.
My symptoms are 1. Shortness in breath 2. Spasm feeling in my back & sides 3. Chest tightness. 4. Sometimes tiredeness in shoulders & chest.
I don't have phlegm accumulation, no wheezing, no crackling sounds while breathing, no cough.
From 2 days, i have a feeling of fine dust ( fine gunny threads inhaled when a gunny bag is dusted ) in my throat and wind pipe and soon after that feeling i develop spasms and chest tightness.
From past two weeks, i have been taking many medicines (symbicort 2+2 times, spiriva 18 mcg one time a day and montelukast. Today, doctor has prescribed me prednisolone 30mg for 6 days.
Somehow i am not fully convinced to start oral corticosteroids. I have not found a good pulmonolgist in place i reside, thus looking for online help from a specialist.
Doctor here ruled out COPD or any condition other than Asthma without hearing me out. I just wanted to convey him that one of the Doctors has only mentioned about COPD changes after going through my X-ray and history.
Looking forward for your kind advise as its now badly affecting me psychologically.
Thank you and really appreciate for your wishes on good health, much needed.
Regards,
1. I have not undergone HRCT.
2. I have attached my IGE report.
I am very worried Doctor as my health is not well since couple of weeks.
My symptoms are 1. Shortness in breath 2. Spasm feeling in my back & sides 3. Chest tightness. 4. Sometimes tiredeness in shoulders & chest.
I don't have phlegm accumulation, no wheezing, no crackling sounds while breathing, no cough.
From 2 days, i have a feeling of fine dust ( fine gunny threads inhaled when a gunny bag is dusted ) in my throat and wind pipe and soon after that feeling i develop spasms and chest tightness.
From past two weeks, i have been taking many medicines (symbicort 2+2 times, spiriva 18 mcg one time a day and montelukast. Today, doctor has prescribed me prednisolone 30mg for 6 days.
Somehow i am not fully convinced to start oral corticosteroids. I have not found a good pulmonolgist in place i reside, thus looking for online help from a specialist.
Doctor here ruled out COPD or any condition other than Asthma without hearing me out. I just wanted to convey him that one of the Doctors has only mentioned about COPD changes after going through my X-ray and history.
Looking forward for your kind advise as its now badly affecting me psychologically.
Thank you and really appreciate for your wishes on good health, much needed.
Regards,
Brief Answer:
What is your PFT report?
Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
I have gone through IgE report.
It is 1022. It is considered as high. IgE indicates possibility of allergic disease.
Please let me know whether PFT (Pulmonary Function Test) is done or not.
PFT is must for the diagnosis of asthma or COPD.
It will also differentiate between these two conditions. It also tells about severity of the disease.
And you need specific IgE levels for further evaluation of allergies.
Please reply me answer of above asked question, so I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
What is your PFT report?
Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
I have gone through IgE report.
It is 1022. It is considered as high. IgE indicates possibility of allergic disease.
Please let me know whether PFT (Pulmonary Function Test) is done or not.
PFT is must for the diagnosis of asthma or COPD.
It will also differentiate between these two conditions. It also tells about severity of the disease.
And you need specific IgE levels for further evaluation of allergies.
Please reply me answer of above asked question, so I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Dear Dr XXXXXXX
Please find attached all my recent reports.
My Doctor here is not recommending PFT. I have requested him many times though.
All he has to say is when my PEFR remains 570 to 600 l/min all times, it doesnt require PFT.
I am taking all prescribed medicines but still i am experiencing shortness in breath, back & sides pain (spasm feeling ) and tiredeness. Spasm feeling gradually reduces after taking medicines.
I would be visiting my hometown next week, first thing i will get a PFT done and will share the report.
I would be looking forward for your kind reply.
Thank you.
Please find attached all my recent reports.
My Doctor here is not recommending PFT. I have requested him many times though.
All he has to say is when my PEFR remains 570 to 600 l/min all times, it doesnt require PFT.
I am taking all prescribed medicines but still i am experiencing shortness in breath, back & sides pain (spasm feeling ) and tiredeness. Spasm feeling gradually reduces after taking medicines.
I would be visiting my hometown next week, first thing i will get a PFT done and will share the report.
I would be looking forward for your kind reply.
Thank you.
Brief Answer:
Get done specific IgE s and PFT.
Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
I have gone through the reports you have attached.
In my opinion, you should definitely consult pulmonologist and get done specific IgE s and PFT (Pulmonary Function Test).
Get it done at your home town and reply me once it is done.
Hope I have solved your query. If you are not having further queries, then please close the conversation and rate my answer.
You can ask me directly on XXXX
I will wait for your reply. Wish you good health. Thanks.
Get done specific IgE s and PFT.
Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
I have gone through the reports you have attached.
In my opinion, you should definitely consult pulmonologist and get done specific IgE s and PFT (Pulmonary Function Test).
Get it done at your home town and reply me once it is done.
Hope I have solved your query. If you are not having further queries, then please close the conversation and rate my answer.
You can ask me directly on XXXX
I will wait for your reply. Wish you good health. Thanks.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Dear Doctor,
Thank you very much for your kind guidance.
I would like to clear one last query.
I have consulted GP today due to cold, running nose, sneezing, cough ( changing from dry to with slight mucus ) since 02 days.
He has diagnosed it as allergic bronchitis and has prescribed gemifloxacin mesylate 320 mg antibiotics for 05 days along with ambroxyl hydrochloride syrup and loratadine 10 mg tablets.
I would be glad if you could guide me on interaction of these drugs with my current medication - symbicort & spiriva inhalers.
Would you recommend me to go ahead with this course.
Thank you for your continuous support.
Regards,
Thank you very much for your kind guidance.
I would like to clear one last query.
I have consulted GP today due to cold, running nose, sneezing, cough ( changing from dry to with slight mucus ) since 02 days.
He has diagnosed it as allergic bronchitis and has prescribed gemifloxacin mesylate 320 mg antibiotics for 05 days along with ambroxyl hydrochloride syrup and loratadine 10 mg tablets.
I would be glad if you could guide me on interaction of these drugs with my current medication - symbicort & spiriva inhalers.
Would you recommend me to go ahead with this course.
Thank you for your continuous support.
Regards,
Brief Answer:
No need to worry for interactions.
Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
Possibility of viral upper respiratory tract infection (URTI) is more likely in your case.
No need to worry for interactions. But better to take azithromycin instead of gemifloxacin. Azithromycin is good for atypical coverage .
Please let me know
1. Have you heard of adult Pulmonary vaccination?
2. Have you ever undergone pneumococcal and Influenza vaccines?
Please reply me answers of above asked questions, so that I can guide you better.
I will be happy to help you further. Wish you good health. Thanks.
No need to worry for interactions.
Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
Possibility of viral upper respiratory tract infection (URTI) is more likely in your case.
No need to worry for interactions. But better to take azithromycin instead of gemifloxacin. Azithromycin is good for atypical coverage .
Please let me know
1. Have you heard of adult Pulmonary vaccination?
2. Have you ever undergone pneumococcal and Influenza vaccines?
Please reply me answers of above asked questions, so that I can guide you better.
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Dear Doctor,
Thank you very much for your response.
I have started azithromycin 500mg antibiotics course fir 3 days from today along with mucolytic syrup and loratadine tab. I am continuing my current medications too.
1. I have not heard of adult pulmonary vaccination.
2. I have not undergone pneumococcal and influenza vaccines.
I am coming down to XXXXXXX next week, will enquire more about mentioned vaccinations.
Thanks for your kind guidance.
Regards,
Thank you very much for your response.
I have started azithromycin 500mg antibiotics course fir 3 days from today along with mucolytic syrup and loratadine tab. I am continuing my current medications too.
1. I have not heard of adult pulmonary vaccination.
2. I have not undergone pneumococcal and influenza vaccines.
I am coming down to XXXXXXX next week, will enquire more about mentioned vaccinations.
Thanks for your kind guidance.
Regards,
Brief Answer:
No harm in continuing both medicines togather.
Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
No harm in taking both type of drugs together.
And yes, you should definitely vaccinate yourself with pneumococcal and Influenza vaccines to prevent recurrent respiratory tract infections.
Hope I have solved your query. If you are not having further queries then please close the conversation and rate my answer.
You can ask me directly on XXXX
Wish you good health. Thanks.
No harm in continuing both medicines togather.
Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
No harm in taking both type of drugs together.
And yes, you should definitely vaccinate yourself with pneumococcal and Influenza vaccines to prevent recurrent respiratory tract infections.
Hope I have solved your query. If you are not having further queries then please close the conversation and rate my answer.
You can ask me directly on XXXX
Wish you good health. Thanks.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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