thaks for ur enquery
u had smoked around 15 pack years
u need to give some more info
Is there any
wheezing or
chest tightness or shortness of breath??????
most probably u are suffering from early COPD
chronic coughing with expectoration in a smoker is suggestive of COPD
as also cough persists for more than 2 weeks u need to exclude tuberculosis
i, myself is a junior resident of chest medicine MD pgt
i suggest u the following investigations for that
1. chest xray PA view
2. sputum for AFB for 2 days
3.
SPIROMETRY WITH BRONCHODIALATOR REVERSIBILITY
the 3rd test is most important
if there is obstructive pattern without bronchodialator reversibility u certainly have COPD
and COPD is more or less irreversible disease
so if it is there u need to start inhalers with bronchodialator and ICS
u ceased
smoking
thats good
but u never smoke again
consult a chest physician with the report or u may consult me
i think u got my points
thank u