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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Prolonged Wheezing And Asthma Attacks

My mom is suffering from asthma since some 20-30 years I suppose. She is taking inhalers.. Now condition is not quite good. She is almost all the time having wheezing trouble. While sleep also she is not breathing properly. It s like she will suddenly breath, then pause for some time and then suddenly breath. It s a forced breath.. I want her to be alright at any cost Please suggest something useful which can reduce her truoble. And which doesn t have adverse affect on her health. And in long term it should not loose it s affect.
Mon, 12 Oct 2015
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General & Family Physician 's  Response
Hi,
Thanks for posting in HCM.
I understand your concern for your mother.
It appears from your description that your mom is suffering from acute exacerbation of chronic asthma. In such a situation when wheezing is continuous with breathing difficulties, she needs to be treated by admission in to a hospital.
She needs to be examined clinically and with investigation of chest x-ray.
She would require antibiotic treatment for infection (if present), oxygen inhalation to maintain the saturation and nebulisation to clear her airways. She might need a tapering dose of systemic steroids to attain stability in such acute state. You need Respiratory Physician or Pulmonologist to attend to it.
Once she is stabilized, she can be put on the following medications:
1. Solbutamol inhaler
2. Formoterol Fumarate rotocaps
3. Montelukast and Levocetrizine
That will help her to overcome most of the symptoms to be under good control and lead a normal life.
Hope the information provided would be helpful.
All the best.

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Suggest Treatment For Prolonged Wheezing And Asthma Attacks

Hi, Thanks for posting in HCM. I understand your concern for your mother. It appears from your description that your mom is suffering from acute exacerbation of chronic asthma. In such a situation when wheezing is continuous with breathing difficulties, she needs to be treated by admission in to a hospital. She needs to be examined clinically and with investigation of chest x-ray. She would require antibiotic treatment for infection (if present), oxygen inhalation to maintain the saturation and nebulisation to clear her airways. She might need a tapering dose of systemic steroids to attain stability in such acute state. You need Respiratory Physician or Pulmonologist to attend to it. Once she is stabilized, she can be put on the following medications: 1. Solbutamol inhaler 2. Formoterol Fumarate rotocaps 3. Montelukast and Levocetrizine That will help her to overcome most of the symptoms to be under good control and lead a normal life. Hope the information provided would be helpful. All the best.