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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Recurrent Asthma Attacks And Cough?

Hi,there,my name is Mira and I have some worries about my daughter who is 23 old yang women,university student.She suffer from Astma and lately she is having an astma attacks so often during the night with a terrible cough.She us to take Seretide(500) diskus to help her for the remisions but now she study in England and the JP here are prescribing her only antibiotic Doxicilin 100mg.In the mean time I note that she ve got the nasal polips,and she lost the sence of smell and the food taste,she have also fungal nails on her toes,atopic dermatitis,dandruff.I m not a medic but I thing all this things in one organism definitely means something that I would like to find out what exactly is.Is this any kind of bacteria living in her body or......?!?? Need your help please.Thanks:Mira
Mon, 10 Apr 2017
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Pathologist and Microbiologist 's  Response
Ms Mira it is quite timely that you have sought professional help.

Doxycyclin is a very broad spectrum antibiotic that does away with even the normal flora-the organisms that are normally present on body surfaces and organs. This in turn gives a chance to the pathogenic -the disease causing organisms to get selected and flourish in an environment of lack of competition by the normal flora.

In your loving daughter's case the fungus is getting selected and is flourishing in nails. Doxycyclin should not be taken for long periods of time at least not as long as your daughter has been taking. So in a way now she is in a Antibiotic induced Immune deficient state. The solution of the problem is to stop all the antibiotics that she is taking. Another thing is to do her liver function tests-AST,ALT and Bilirubin to see that there's no damage done by antibiotics therein.

For Asthma the steroids and inhalers are the mainstay of treatment. But orally it is not advisable to take potent steroids now as she is developing Fungal infections already-indicating her deficient immune status. On the same hand as she has multiple Atopies-as you are saying she has dermatitis too, she has to take at least Topical Steroids. I think Seretide inhaler or Disc 100/25 two puffs twice a day taken in the correct manner will be good for her breathing. For Dermatitis, tell her to arrange Betamethasone or Hydrocortisone oint. Antibiotics are needed in both the conditions only if she's having superimposed pathogenic organisms' grown. For her fungal infection of feet, tell her to apply Nizoral[ketoconazole] ointment and pare the nails well without causing disfigurement of them and rounding the margins.

Since all the above are prescription medications , she might need to go to her General Practitioner to get the prescription.

Hope it helps.
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What Causes Recurrent Asthma Attacks And Cough?

Ms Mira it is quite timely that you have sought professional help. Doxycyclin is a very broad spectrum antibiotic that does away with even the normal flora-the organisms that are normally present on body surfaces and organs. This in turn gives a chance to the pathogenic -the disease causing organisms to get selected and flourish in an environment of lack of competition by the normal flora. In your loving daughter s case the fungus is getting selected and is flourishing in nails. Doxycyclin should not be taken for long periods of time at least not as long as your daughter has been taking. So in a way now she is in a Antibiotic induced Immune deficient state. The solution of the problem is to stop all the antibiotics that she is taking. Another thing is to do her liver function tests-AST,ALT and Bilirubin to see that there s no damage done by antibiotics therein. For Asthma the steroids and inhalers are the mainstay of treatment. But orally it is not advisable to take potent steroids now as she is developing Fungal infections already-indicating her deficient immune status. On the same hand as she has multiple Atopies-as you are saying she has dermatitis too, she has to take at least Topical Steroids. I think Seretide inhaler or Disc 100/25 two puffs twice a day taken in the correct manner will be good for her breathing. For Dermatitis, tell her to arrange Betamethasone or Hydrocortisone oint. Antibiotics are needed in both the conditions only if she s having superimposed pathogenic organisms grown. For her fungal infection of feet, tell her to apply Nizoral[ketoconazole] ointment and pare the nails well without causing disfigurement of them and rounding the margins. Since all the above are prescription medications , she might need to go to her General Practitioner to get the prescription. Hope it helps.