Question 1

My grandfather had covid pneumonia and his HRCT score was 1225. He was discharged about 40 days ago, but for the past 56 days, his oxygen level drops to 92-93 while he's asleep and goes back up to 96-97 once he's awake. Is this something dangerous? What can we do to help him? Everything else looks fine except his D-dimer, which is high at 1.06 when it should be below 0.5, although his CRP is normal. Can you guide us on what steps to take?

Accepted Answer

It's not uncommon for oxygen levels to fluctuate slightly during sleep, especially after recovering from COVID-19 pneumonia. However, if the oxygen level drops below 90%, it could indicate a need for further monitoring. The elevated D-dimer suggests some ongoing inflammation or clotting risk, so its important to keep in touch with your healthcare provider to assess if further tests or treatments are needed.

Question 2

I've been dealing with this chronic cough for 12 years now, and it's really frustrating, especially because it lasts for about 3 to 4 months each year and gets pretty severe. I constantly get this diagnosis of bronchitis, CVA, or allergies, but all my test results are clear. The usual meds dont seem to do the trick, and I usually end up on steroids. One time, a doctor suggested Gabapentin NT 400 at night, but it didnt help at all. Interestingly, Ive noticed my cough eases a bit if I'm getting a head massage or if Im distracted, and it completely stops when I'm asleep.

I read somewhere that Gabapentin might be good for chronic cough, so I started taking 300 mg three times a day, and it seems like there's about 40-50% relief. Do you think its okay to bump it up to 600 mg three times a day? I've read studies that say up to 1800 mg is well tolerated and helps with chronic cough, but I'd love a second opinion. What would you suggest?

Accepted Answer

don't increase much dose

Question 3

I've been spitting up white mucus throughout the day, and I'm a bit concerned. I'm a smoker, and I used to smoke 5 cigarettes a day, but I've cut it down to 2 now. Lately, I've noticed this white mucus, especially in the morning, and one morning it even looked black. Could this be related to my smoking, or is it something else I should be worried about?

Accepted Answer

1. *Continue medication*: Finish the prescribed course of Goutnil (Colchicine).
2. *Pain management*: Ask your doctor about additional pain relief options, such as NSAIDs or corticosteroids.
3. *Dietary changes*: Discuss dietary modifications with your doctor to help manage gout symptoms.
4. *Follow-up*: Schedule a follow-up appointment with your doctor to monitor your condition and adjust treatment as needed. Specialist Options*

1. *Rheumatologist*: A specialist who deals with arthritis and gout.
2. *Orthopedic Doctor*: A specialist who treats musculoskeletal disorders, including gout.

I'm a bit worried about my lung health and I'm wondering if there's a way to check if my lungs are healthy at home without using any machines or equipment. Also, is it normal or safe for someone to hold their breath for a minute?

kindly do one pulmonary function test in hospital its best

More Pulmonology/ Respiratory Medicine Health Queries

Health Articles for you

Different Types Of Asthma Attacks Explained

Tuberculosis Symptoms, Causes, and Modern Treatment

Your Essential Guide to Staying Safe from Air Pollution This Diwali

Guide to Health Impact Of Air Pollution

Acute vs. Chronic Bronchitis