Having Shortness Of Breath, Wheezing And Cough With Phelgm. Done With Xray And Blood Tests. What Are The Findings From The Report?

Question : Hi,
I am a 27 years old Male and have been smoking for last 7 years. For last 3-4 months I started to have shortness of breath, wheezing, cough with phelgm (I took Montelukast Sodium when I was unable to catch my breath) and I stopped smoking for good 1 month back. My doctor prescribed me with Cefpodoxime (1 - 0 - 1 for 5 days) and theophylline. I also went for X-Ray and few blood tests (reports attached).
I wanted to have a second opinion on the reports.

PS: I was unable to attach all reports here. they are available on my dashboard

Hi Dr Satyadeo,

Thanks for your reply. Below are my comments and a couple of queries:

1) Family history of breathlessness and allergies upto maternal and paternal grand parents.
>> My father generally catches cold very easily and coughs but he did not have any allergies or asthama etc. I am also very susceptible to cold too.
When I was very young (6-8 years), I used to cough a lot, but eventually that was cured. The doctor had said that there was cough congestion. The x-ray was normal. (all these details were given to me by my dad. I only remember the coughing part)
2) Is there any history of passing worms in the stool.
>> Nope. As kids, I did take the worms medicine once in 6 months
3)Is there any history of swelling of legs, hands or scrotum.
>> Nope
4)When is your breathlessness maximum: Is it late night or early morning i.e say 4 am.
>> I generally go to bed late at around 4-5 am (i am trying to change this habbit), but yes, the breathlessness generally occurs at late night, or when I lie down.

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I went through your reports and found eosinophilia. You must have some allergic manifestations in the form frequent colds, sneezing, running nose or some allergies like to dust, smoke, fumes etc.
>> i generally start to sneeze in dust

Lipid profile is normal except for low LDL which is a good cholesterol. So avoid saturated fats and junk foods.
>> Got it

Xray is normal except for some old healed fibrotic streaks which signifies healed infectious lesion of remote past.
>> I do not remember any serious infection in the past. When I used to smoke and used to cough for days sometimes. Maybe I was stupid to think it was smokers cough. Is this a serious damage?
I also noticed in the x-ray report its mentioned "bilateral apical pleural thickening". What does that mean?

Regards,
XXXX

Thanks for you insight doctor.

When I used get breathlessness, I usually took Montair LC (Motelukast Sodium and Levocitrazin Chloride) and the shortness of breath used to subside.

My doctor has given me the following prescription:
Synasma [1/2 - 0 - 1/2] for 20 days
Montek LC [0 - 0 - 1] for 20 days
GlevoPod: Levofoxacin & Cefpodoxime (250 + 200) mg [1 - 0 - 1] for 5 days
Becelac Fortz: (Lactic Acid Bacillus Fortified with Vitamin) [1 - 0 - 1] for 5 days

She told me to come back after 20 days. I have placed an order for peak flow meter and will start recording the values as soon as it arrives to show her when I go back for check up. Should I go for spirometry test too in parallel?

And I am done with smoking for sure this time. It has already been 5 weeks since my last poisonous puff and I am really looking forward to keeping it that way.

I had just one more query. Could my asthama or shortness of breath increased because of quitting smoking. I read online on many forums that since cilia start to do there work, and move the gunk out, it could cause irritation.
I just wanted to know, if the condition improves later. I know there is no cure for asthama but would the attacks be less frequent later as my lungs recover?

Thanks,
XXXX