- Female
- 22 Years
- 22/01/2025
So, I got my apicolordotic view test results and it mentions a few fibrotic opacities in the right upper lobe, possibly related to Koch's etiology. What does this mean? Should I be concerned about Koch's disease, and what are the next steps I should take?
Answered by 1 Apollo Doctors
The Apicolordotic view X-ray report suggests that you may have had tuberculosis (TB) in the past, as indicated by the presence of fibrotic opacities in the right upper lobe, which are likely scars from healed TB lesions, also known as Koch's lesions.
Dr. Dhankecha Suggests...
Consult a Pulmonology Respiratory Medicine Specialist
Answered 04/07/2025
1
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View allMy dad's 66 and dealing with some BP issues like today, it's at 170100. He's had asthma for a couple of years and some sleep issues, plus he gets shortness of breath when sleeping. He's been using a CPAP machine for about a year now, but it doesn't seem to be helping much. We started him on some medications like Sartel 40, Cinod 10, Rousuvas, Forocot, and Montair, which helped bring his BP to around 13080 or 14090 for a bit. But now, it's gone back up even after adjusting his meds. He's taking Sartel 80 and Ivabard in the morning and evening, and Rousvas at night. The BP readings improve by lunchtime, but soon after taking his meds, he feels dizzy, uncomfortable, and his BP goes up. He seems okay with his night dosage, though, and the CPAP reports show his AHI count is fine, but his sleep quality isn't great. He keeps coughing with the CPAP, and it doesn't seem like he's getting restful sleep. Could this be because of asthma or the dry air from the CPAP? What might be going on, and what can we do to manage his BP and improve his sleep?
It sounds like your father is experiencing difficulty in controlling his blood pressure and is also facing challenges with his sleep quality and asthma symptoms. The symptoms of dizziness, uneasiness, and elevated blood pressure after taking morning medications may be due to the side effects of the drugs or interactions between them. Considering his current medication regimen and symptoms, it may be beneficial to consult with his healthcare provider for a review and possible adjustment of his medications. In the meantime, it is important to ensure that he is taking his medications as prescribed and at the correct times. In addition, to address his sleep quality issues with the CPAP machine, he may benefit from using a humidifier attachment to the CPAP machine to help alleviate dry air irritation that could be contributing to his cough and disrupted sleep. For his asthma symptoms, it is important to continue using the prescribed inhalers and medications as directed by his healthcare provider. If he continues to experience asthma symptoms, a review of his asthma treatment plan may be necessary. Overall, it is important to closely monitor his symptoms and blood pressure readings, and communicate any concerns or changes to his healthcare provider for further evaluation and management.
Answered by 1 Apollo Doctors
I'm really concerned about the potential effects of doing an HRCT. Could it actually stimulate or spread any existing fibrotic opacities in the lungs? I'm worried because I've heard mixed opinions about it and would love some clarity from you.
HRCT-to much radiations can cause cancer.Also contraindicated in case of pregnancy and anxiety disorders.
Answered by 1 Apollo Doctors
I'm really worried because my father has had ILD for three years and now I've been coughing for the past three weeks. Could ILD be contagious?
no it is not contagious
Answered by 1 Apollo Doctors
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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.