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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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COPD, Acute Breathing Problems, Difficulty In Moving Due To Asthmatic Attacks. Advised Feronem Course. Suggestion?

I am a COPD patient since last 6 years having acute breathtaking problems .I was chain smoker sine last 40 years. I am now 64 years. I am now unable to move even 25 meters.& facing day to day asthmatic attacks. I am AK Shrivastava , 64 years , from Bhopal (MP). From today, I have been advised FERONEM-200 tab. 3 times a day for 5 days. Please suggest me to resolve the problem.My mail ID is YYYY@YYYY .My cell no. 0000. Thanks
Sat, 30 Mar 2013
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Pulmonologist 's  Response
HI
almost 20% of smokers suffer COPD and its comorbidities.
the disease is diagnosed by a simple test called spirometry and it is graded accordingly.
as per your symptoms you are in stage3/4.
you need combination of inhaled bronchodilators and steroids like formoterol+ budesonide twice daily and inhaled tiotropium 18 microgram daily.
you can add tab theophylline 150 mg twice daily.

if symptoms are too severe a course of oral steroid like prednisolone 40 mg daily for 10-14 days can be taken under omeprazole cover.
if on arterial blood gas analysis you are in respiratory failure, better get admitted to ICU/HDU.

consult your family physician regarding the same.

best wishes for your health
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COPD, Acute Breathing Problems, Difficulty In Moving Due To Asthmatic Attacks. Advised Feronem Course. Suggestion?

HI almost 20% of smokers suffer COPD and its comorbidities. the disease is diagnosed by a simple test called spirometry and it is graded accordingly. as per your symptoms you are in stage3/4. you need combination of inhaled bronchodilators and steroids like formoterol+ budesonide twice daily and inhaled tiotropium 18 microgram daily. you can add tab theophylline 150 mg twice daily. if symptoms are too severe a course of oral steroid like prednisolone 40 mg daily for 10-14 days can be taken under omeprazole cover. if on arterial blood gas analysis you are in respiratory failure, better get admitted to ICU/HDU. consult your family physician regarding the same. best wishes for your health