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Hello Doc My Mom Is 60 Years Old Health Problems
Posted on
Sun, 23 Aug 2020
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Sun, 23 Aug 2020
Answered on
Last reviewed on
Question : Hello Doc
My mom is 60 years old
Health problems
Fast heart rate
High blood pressure
Iron deficiency anemia
Asthma
Sleep apnea
She has been taking Angizem CD 90 for Blood pressure and fast heart rate
Folvite as iron supplement
Supradyn as multivitam
For asthma, she is using seroflo 125, she is unable to use CPAP machine so she is not using
she takes Montair LC whenever she feels allergy symptoms
current complain
Feeling breathlessness in night time especially while lying down
feeling of mucus in the back of the throat
wheezing in the night
Please suggest if we need to
1. Change the inhaler ( Duolin OR Ipratropium OR Foracort which one will help and will not increase her heart rate )
2. put her on any steroids ?
3. Is Montair LC better than Montair FX which one to take
4. Can she take ab phylline capsule - she has high heart rate already will this effect more
Looking for your valuable inputs kindly guide
My mom is 60 years old
Health problems
Fast heart rate
High blood pressure
Iron deficiency anemia
Asthma
Sleep apnea
She has been taking Angizem CD 90 for Blood pressure and fast heart rate
Folvite as iron supplement
Supradyn as multivitam
For asthma, she is using seroflo 125, she is unable to use CPAP machine so she is not using
she takes Montair LC whenever she feels allergy symptoms
current complain
Feeling breathlessness in night time especially while lying down
feeling of mucus in the back of the throat
wheezing in the night
Please suggest if we need to
1. Change the inhaler ( Duolin OR Ipratropium OR Foracort which one will help and will not increase her heart rate )
2. put her on any steroids ?
3. Is Montair LC better than Montair FX which one to take
4. Can she take ab phylline capsule - she has high heart rate already will this effect more
Looking for your valuable inputs kindly guide
Brief Answer:
Better to use Foracort inhaler, Montair FX and Abphyllin.
Detailed Answer:
Thanks for your question on Ask a doctor forum.
I can understand your concern.
Sorry for late reply as I was busy.
I have gone through the detailed history you have given.
Answer to your 1st question.
Better to start foracort 200 inhaler because duolin will increase her heart rate while foracort will not.
Answer to your 2nd question.
Yes, low dose steroid like Medrol 4mg once a day after breakfast can be started for 1 week.
Answer to your 3rd question.
Better to take Montair FX.
Answer to your 4rth question.
Yes, she can take Abphyllin 100mg once a day at night before going to sleep.
Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks.
Better to use Foracort inhaler, Montair FX and Abphyllin.
Detailed Answer:
Thanks for your question on Ask a doctor forum.
I can understand your concern.
Sorry for late reply as I was busy.
I have gone through the detailed history you have given.
Answer to your 1st question.
Better to start foracort 200 inhaler because duolin will increase her heart rate while foracort will not.
Answer to your 2nd question.
Yes, low dose steroid like Medrol 4mg once a day after breakfast can be started for 1 week.
Answer to your 3rd question.
Better to take Montair FX.
Answer to your 4rth question.
Yes, she can take Abphyllin 100mg once a day at night before going to sleep.
Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks.
Above answer was peer-reviewed by :
Dr. Prasad
Doc
Want to know what could be the reason of her breathlessness.. also should we do any blood test to rule out blood allergy or any other tests is required? Pls advice
Also, for how long she can take montair FX? And she has started to take omnacortil 40 mg today for how long she should take ?
What is the difference betwe n ipratropium repsules and foracort repsules ?
Want to know what could be the reason of her breathlessness.. also should we do any blood test to rule out blood allergy or any other tests is required? Pls advice
Also, for how long she can take montair FX? And she has started to take omnacortil 40 mg today for how long she should take ?
What is the difference betwe n ipratropium repsules and foracort repsules ?
Brief Answer:
Don't give omnacortil 40mg for more than 7 days.
Detailed Answer:
Thanks for your follow up question on Ask a doctor forum.
I can understand your concern.
Answer to your 1st question.
These symptoms are more suggestive of either asthma exacerbation or acute heart failure (due to sleep apnea).
Answer to your 2nd question.
Yes, reports like CBC, chest x ray, ecg, 2d echo, Liver and Kidney function test should be done.
Answer to your 3rd question.
She can take Montair FX forgot longer duration like 5-6 months. No harm with it.
Answer to your 4rth question.
Better not to give omnacortil 40mg for more than 7 days. You need to taper it down after 1 week.
Answer to your 5th question.
Ipratropium is Short acting muscarinic antagonist (SAMA) while foracort is having formoterol (long acting beta 2 agonist) and budesonide (inhaled corticosteroid) which are better than ipratropium.
Hope I have solved your query. I will be happy to help you further.
Don't give omnacortil 40mg for more than 7 days.
Detailed Answer:
Thanks for your follow up question on Ask a doctor forum.
I can understand your concern.
Answer to your 1st question.
These symptoms are more suggestive of either asthma exacerbation or acute heart failure (due to sleep apnea).
Answer to your 2nd question.
Yes, reports like CBC, chest x ray, ecg, 2d echo, Liver and Kidney function test should be done.
Answer to your 3rd question.
She can take Montair FX forgot longer duration like 5-6 months. No harm with it.
Answer to your 4rth question.
Better not to give omnacortil 40mg for more than 7 days. You need to taper it down after 1 week.
Answer to your 5th question.
Ipratropium is Short acting muscarinic antagonist (SAMA) while foracort is having formoterol (long acting beta 2 agonist) and budesonide (inhaled corticosteroid) which are better than ipratropium.
Hope I have solved your query. I will be happy to help you further.
Above answer was peer-reviewed by :
Dr. Raju A.T
As you said it could be due to sleep apnea acute heart failure,,,, but she does not show any other symptoms of heart like any pain or anything then will it still be related to heart ?
Brief Answer:
It is not compulsory to have chest pain.
Detailed Answer:
Thanks for your follow up question on Ask a doctor forum.
I can understand your concern.
But, it is not compulsory to have chest pain.
Heart diseases can be seen without chest pain.
And again it is just a possibility not confirmed diagnosis.
I will be happy to help you further. Wishing good health to your mother. Thanks
It is not compulsory to have chest pain.
Detailed Answer:
Thanks for your follow up question on Ask a doctor forum.
I can understand your concern.
But, it is not compulsory to have chest pain.
Heart diseases can be seen without chest pain.
And again it is just a possibility not confirmed diagnosis.
I will be happy to help you further. Wishing good health to your mother. Thanks
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Answered by
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