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Hello, From Last 6 Weeks I Am Feeling Difficulty In

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Posted on Wed, 10 Oct 2018
Question: Hello,

From last 6 weeks I am feeling difficulty in breathing like shortening of breath. I have this problem from childhood. Normally it goes away without any medicines or by intaking MOX500.
Please note I have not used MOX500 from last 2 years.
doctor
Answered by Dr. Vaishalee Punj (1 hour later)
Brief Answer:
Salbutamol for difficulty in breathing

Detailed Answer:
Hello and welcome to Ask A Doctor service.

I have reviewed your query and here is my advice.

It seems that you have bronchoconstriction for some reason. It could be an allergy to some food or medicine or it could be asthma type condition.

If its been getting better previously with mox500, thenit might be an infection. Mox500 is an antibiotic, Doxy is also an antibiotic named doxycycline. In my opinion Mox500 would have better worked for you as it has previously worked. Do you have any other symptoms like sputum or fever etc? If sputum is present, I will suggest a sputum culture and sensitivity to isolate the organism. Also get a chest X ray PA view. and upload the reports here.

Meanwhile you can take Tab Salbutamol whenever difficulty in breathing is bad. It will open the airways. It can be taken upto 2 times a day in dose of 2 mg. Inhaler may also be tried. It will help you breathe better.

Hope it helps. Let me know if I can assist you further.
Dr Vaishalee
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Vaishalee Punj (8 minutes later)
Thank you for reviewing my condition.

Yes, I had fever few times . It maximum I could record was 99.3 .

Mox500 didn't work this time. I will try to get chest xray asap and upload.

Regards XXXXXXX
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Follow up: Dr. Vaishalee Punj (3 minutes later)
Just wanted to add, I had sputum as well. But it comes out only when I try.
doctor
Answered by Dr. Vaishalee Punj (6 minutes later)
Brief Answer:
Send sputum for culture and sensitivity

Detailed Answer:
Hi again

Please also send the sputum for culture and sensitivity. It will help decide whether you need antibiotic or not and which one. It will take 2-3 days for this report to come back.

Dr Vaishalee
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Vaishalee Punj (8 hours later)
Hello Ma'am,

Attaching Xray of my chest.

Didn't had enough cough( almost negligible today) may be due to medicines hence couldn't get sputum test. I would also like to mention that last night took ABD plus and there was some relief today after 3 pm and 7 pm.

Regards XXXXXXX
doctor
Answered by Dr. Vaishalee Punj (11 hours later)
Brief Answer:
Chest X Ray is normal

Detailed Answer:
Hi again

This X ray is normal, so the pathology is not in lungs. The problem is just in throat or bronchi (windpipe).

You can bring the bottle for sputum from laboratory and take the sample when there is enough sputum.

I feel the throat or bronchi are constricting due to some allergen (possibility of parasite is also there). Rather than ABD plus, take only ABD when needed. Avoid the ivermectin as it can have side effects. We need to figure out the allergen also. If sputum, sneezing or runny nose is there then you can take tab cetrizine for relief. Its an anti-allergic. Also Syrup Salbutamol or an inhaler of salbutaml may be taken for shortness of breath when needed. These medicines may not be taken in a continuation. Take it on "as-needed" basis XXXXXXX 2 times a day.

Dr Vaishalee
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Vaishalee Punj (32 minutes later)
Hello Ma'am,

Should I take ABD tonight?ABD plus was taken by me on 16th Night.

For sputum test I will follow as suggested by you.

I don't have sneezing or running nose.


Regards XXXXXXX
doctor
Answered by Dr. Vaishalee Punj (2 hours later)
Brief Answer:
ABD is taken yearly

Detailed Answer:
Hi

ABD is taken yearly. If required, then one more dose maybe taken after 15 days of first dose.

Not having sneezing means that its not typical allergy, but it maybe related to IgE and may only be producing bronchoconstriction. More frequently such sensitivity is seen in food or medicine allergy or maybe asthma. You may check if its related to peanuts or eggs. Cetirizine maybe taken if symptom of bronchoconstriction is bad, otherwise not much needed.

Dr Vaishalee
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Vaishalee Punj (48 hours later)
Hello Ma'am,

Sputum test still not available as didn't get enough cough. Infact it's almost negligible these days.

My condition is also improved like 70% recovered. Right now my throat feel light burn and soreness. Please suggest further actions.


Regards XXXXXXX
doctor
Answered by Dr. Vaishalee Punj (59 minutes later)
Brief Answer:
Strepsil lozenges will be good enough

Detailed Answer:
It is good that the codition is getting better.
Mild soreness will also go away soon. You can take strepsil and warm fluids to help with it.
Otherwise nothing much needed now.

Hope you do not have acidity stomach.

Dr Vaishalee
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Vaishalee Punj

General & Family Physician

Practicing since :2003

Answered : 3269 Questions

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Hello, From Last 6 Weeks I Am Feeling Difficulty In

Brief Answer: Salbutamol for difficulty in breathing Detailed Answer: Hello and welcome to Ask A Doctor service. I have reviewed your query and here is my advice. It seems that you have bronchoconstriction for some reason. It could be an allergy to some food or medicine or it could be asthma type condition. If its been getting better previously with mox500, thenit might be an infection. Mox500 is an antibiotic, Doxy is also an antibiotic named doxycycline. In my opinion Mox500 would have better worked for you as it has previously worked. Do you have any other symptoms like sputum or fever etc? If sputum is present, I will suggest a sputum culture and sensitivity to isolate the organism. Also get a chest X ray PA view. and upload the reports here. Meanwhile you can take Tab Salbutamol whenever difficulty in breathing is bad. It will open the airways. It can be taken upto 2 times a day in dose of 2 mg. Inhaler may also be tried. It will help you breathe better. Hope it helps. Let me know if I can assist you further. Dr Vaishalee