Question 1

I'm a bit worried because I've been dealing with a dry cough for about six months now. I did take a full course of an antibiotic syrup after consulting with my doctor, but the cough just keeps coming back. Interestingly, I noticed that when I traveled to Varanasi for a week, I didnt cough at all, but as soon as I got back to Panvel, the coughing started up again. Could this be related to something environmental or do you think theres another issue at play?

Accepted Answer

The persistent dry cough for six months, despite antibiotic treatment, and its mysterious disappearance during a 7-day trip to Varanasi, only to return upon coming back to Panvel, suggests an environmental trigger; consider consulting a pulmonologist or allergist to investigate possible causes, such as air pollution, dust, mold, or pet allergies, specific to the Panvel environment, and conduct tests like spirometry, chest X-ray, or allergy panels to determine the underlying cause.

Question 2

I've been having a hard time taking a deep breath for the last 8 months. I can manage normal, short breaths, but I constantly feel the need to take a deep breath, and when I do, it just doesn't feel right. There's no fever, cough, or wheezing, but sometimes when I do cough, a tiny bit of clear, colorless mucus comes out. My X-ray came back normal, but I'm worried it might be COPD. I've never smoked, but I have been around secondhand smoke now and then. I'm still able to skip rope for about 4 minutes without stopping, and my SpO2 levels average around 98. Could you help me understand what's going on?

Accepted Answer

normal according to history, stop worrying

Question 3

I'm struggling with a chest cold that's making my chest feel so tight, and I'm having a hard time breathing properly. There's a wheezing sound too. I've tried everything like nebulizing and nerve injections, but nothing seems to help. It's still really tight. What else can I do or try to get some relief?

Accepted Answer

Based on your daughter's condition:

*Key Concerns*

1. *High creatinine levels*: 2.3 is elevated, indicating impaired kidney function.
2. *High blood pressure (BP)*: Uncontrolled BP can further damage the single kidney.
3. *Single kidney by birth*: Increased risk of kidney damage and disease progression.

*Medication Review*

1. *Olmezest 40*: Olmesartan, an angiotensin receptor blocker (ARB), helps control BP.
2. *Moxovas 0.3*: Moxonidine, a central alpha-2 adrenergic agonist, helps lower BP.
3. *Folvite*: Folic acid supplement, often prescribed for patients with kidney disease.

*Recommendations*

1. *Consult a nephrologist*: A kidney specialist can provide personalized guidance and adjust medications as needed.
2. *BP monitoring and control*: Regularly monitor BP and adjust medications to achieve optimal control (

I'm really worried. I had covid a little while ago, and luckily it was pretty mild. But now I'm left with this persistent cough and this heavy feeling in my chest. Is this something normal to go through after recovering, or should I be more concerned about it?

Patient is advised tab augmentin 625 mg ,orally, thrice daily for 7 days, tab levocetrizine 10 mg bedtime for 5 days and syrup salbutamol 10 ml thrice dailly for 7 days .

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