Question 1

Hey, so I've been having this recurring issue with a cough ever since I had a chest infection back in August 2019. The doctors initially gave me some antibiotics, Augmentin, for 5 days but my cough didn't go away completely. After that, I was on monocef and dexona injections for another 5 days, which did help.

But ever since then, my cough keeps coming back sometimes. It's weird because it happens in the morning or just randomly without any trigger, and I'm super careful about avoiding chilled stuff. I had some tests done, and while my CBC was fine, my lymphocytes were a bit high, and my IgE levels were elevated too. Based on this, the doctor suggested it might be allergies and prescribed montelukast and levocetirizine. My x-ray and PFT were fine too.

Even after the medication, the cough shows up without warning and then disappears on its own. It's really frustrating, and I'm wondering if there's something more I should be doing to deal with this cough and maybe even bring down the IgE levels. Any advice would be really appreciated.

Accepted Answer

avoid allergens, drink warm water

Question 2

I'm really worried as my part-time maid's son has been diagnosed with TB, and we just found out today. He's apparently had it for about two months, but the maid herself seems totally fine and hasn't shown any symptoms. She's been at our place for work during this time since we didn't know, but should we be worried about being at risk? Weve been okay so far. Also, her son started with a watery cough just yesterday, not coughing up blood or anything, but can someone catch TB and only start showing symptoms way later, like in months or even years?

Accepted Answer

Patient is advised to continue ATT for 6 months.

Question 3

I'm really worried about my brother who has been in the ICU for two weeks now on ventilation because of COVID. His HRCT score is really high at 25 and the doctors have mentioned he might need a lung transplant and ECMO support which started on June 1st. Thankfully, he's responding okay to it, but his pulse is normal while his Spo2 is stuck at 75. They're saying he has to wait 60 days for the transplant. Do you think he'll be okay until then? Its scary because 100% of his lungs are infected. We had him airlifted to Apollo Hyderabad from Patna and he's still testing positive for COVID. Hes just 34 and never had any health issues before this. His WBC is at 20000, CRP is at 186, and D-dimer is at 1380. What do you think are his chances?

Accepted Answer

yes if he is on oxygen, he can makeup till then

Tab augmentin duo 625mg ,orally ,thrice daily for 5 days advised to the patient.Also syrup salbutamol 10ml thrice daily for 7 days is advised to the patient.Steam inhalation is also advised twice

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