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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Bronchitis

Hi, I'm 43 years old, weight is about 178lbs asthmatic female. every year during the month of April and May I get really sick. with the asthma,allergies, bronchitis you name it. but then I develops this persistent cough than won't go away. sometimes this cough leaves me short of breath and weak. it sound like i'm chocking. I have had ct scan, x ray of chest and throat I have seen ENT but to to avail. No meds are working. I have been mis diagnose several time this several times this year. I also spent 1 week in critical care unit about 3 weeks ago. can you help. This cough can last up to 12 weeks which time i'm put on bed rest.
Thu, 16 Oct 2014
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Allergist and Immunologist,  's  Response
Hello,

Thank you for asking at HCM.

I went through your history and would like to make suggestions for you as follows:

1. I would suggest you allergy testing for common inhalants such as common pollens in your region, common molds and house dust mites.

This will help you to identify the substances you are allergic to and also to know the measures to avoid them.

2. For symptom control, I would suggest you to start montelukast 14 days before onset of your "bad season", i.e., around mid-March and continue it up to end of May.

3. In addition, I would suggest you to use salbutamol inhaler for symptoms of wheezing and breathing difficulties.

4. I would also suggest you to take adequate amounts of warm fluids during day and have a healthy diet for better immunity.

5. Based on allergy testing, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which works on immune system to gradually improve allergy symptoms over a long time.

Hope above suggestions will be helpful to you.

Should you have any further query, please feel free to ask at HCM.

Wish you the best of the health ahead.

Thank you & Regards.
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Suggest Treatment For Bronchitis

Hello, Thank you for asking at HCM. I went through your history and would like to make suggestions for you as follows: 1. I would suggest you allergy testing for common inhalants such as common pollens in your region, common molds and house dust mites. This will help you to identify the substances you are allergic to and also to know the measures to avoid them. 2. For symptom control, I would suggest you to start montelukast 14 days before onset of your bad season , i.e., around mid-March and continue it up to end of May. 3. In addition, I would suggest you to use salbutamol inhaler for symptoms of wheezing and breathing difficulties. 4. I would also suggest you to take adequate amounts of warm fluids during day and have a healthy diet for better immunity. 5. Based on allergy testing, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which works on immune system to gradually improve allergy symptoms over a long time. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at HCM. Wish you the best of the health ahead. Thank you & Regards.