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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What To Do For Interstitial Lung Disease At Old Age?

Hi, My Mother is 61 years old,height: 5.5, weight : 78kgs, she is suffering from Interstitial lung disease (ILD).
She has been hospitalized every month since 3 mths ..for abt 1-15 days for treatment as she goes breathless, has chronic bronchitis, gets pneumonia very often, fever - shivering and throat infection, she is on steroids since Nov 2010, now her medicine contains :
IVpret 10:1-1-1 , lassix dytor 1-1-0 n nebuliser inhaling 1-0-1and many more tablets .
We have Oxygen machine at home and keep it connected all the time.
She has become very weak, cant walk even 4 steps, feet n face puffed up, palms are always black n blue in color, has pain on right side of heart at times, cough causing pain in lung and throat, pains while swallowing, mouth has got small blisters n cant eat food..
History : medical profession, got respiratory infection was operated for lobectomy of lung and 1 lobe was removed in 1976.she was cured for short time TB in 1998. Aftr this she did get pneumonia at times but aftr her 50's she was hospitalized atleast once a year for treatment, her veins are very thin so the medicine goes out , Today we have a person do some study for 4-5 hrs on her for ventilator( an mobile like instrument is tied to her chest for taking O2 count and so) sputum report is -ve, lung condition is very critical as fibrosis spread, what can be done further for a normal life, is it possible??
Wed, 13 Aug 2014
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Pulmonologist 's  Response
Sorry to say but there is no cure for ILD like IPF. in our pulmonology community we consider ILD as end stage disease and an orphan disease. As there are many drugs in pipeline but nothing seems to be promising for cure. In ILD Once fibrosis started it always progresses in whole lung. In the initial stage of fibrosis anti fibrotic like tab perfinodone can be useful. But results are not exciting. You can give her N Acety Cystine (NAC) which is antioxidant, mucolytic and anti inflammatory. But at the end of the day you have to accept the fate in ILD patient.
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What To Do For Interstitial Lung Disease At Old Age?

Sorry to say but there is no cure for ILD like IPF. in our pulmonology community we consider ILD as end stage disease and an orphan disease. As there are many drugs in pipeline but nothing seems to be promising for cure. In ILD Once fibrosis started it always progresses in whole lung. In the initial stage of fibrosis anti fibrotic like tab perfinodone can be useful. But results are not exciting. You can give her N Acety Cystine (NAC) which is antioxidant, mucolytic and anti inflammatory. But at the end of the day you have to accept the fate in ILD patient.