Suggest Treatment For COPD And Bilateral Bronchitis In A Person With 35% Lung Capacity

Posted on Fri, 11 Dec 2015

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Fri, 11 Dec 2015 Answered on

Tue, 5 Jan 2016 Last reviewed on

Question : My father is suffering from copd and bilatera l bronchitis .doctor said recently that his lungs having capacity 35%.doctor advice to take levoflox250 and azithromycin 250 for two two months with rotoinhaler .and advice for postular drainage exercise is other any advice for him pls tell fast

Answered by Dr. Drkaushal85 (18 minutes later)

Brief Answer:
Enroll in Pulmonary Rehabilitation center.

Detailed Answer:
Thanks for your question on Health Care Magic.
I can understand your concern.
Your father is taking correct drugs.
Apart from drugs, following treatment modalities are useful in COPD.
1. Smoking cessation should be done as soon as possible if he is smoker.
2. Enroll him in Pulmonary Rehabilitation center where chest physiotherapy and deep breathing exercises are done.
3. Get done adult Pulmonary vaccination with vaccines like pneumococcal and Influenza to prevent recurrent respiratory tract infection.
So consult doctor and discuss all these.
Hope I have solved your query. I will be happy to help you further. Wishing good health to your father. Thanks.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Drkaushal85 (41 minutes later)

Most of antibiotics of tablet form resist in his case if he will take this levoflxacin and azithromycin for 2 -2 month.then it may be resist.one more question is that if antibiotic resist the new antibiotics will cone in market or not.when pft test was done yesterday at that time he was suffering from fever that point can affect on pft result or not?pls reply

Answered by Dr. Drkaushal85 (6 hours later)

Brief Answer:
Yes, fever and lung infection can alter PFT findings.

Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
In my opinion, he should not take these drugs for such longer duration. 10 days of duration is sufficient for him.
And yes fever and lung infection can alter PFT findings. This causes worsening of lung inflammation and hence decrease the values on PFT.
To prevent drug resistance and use of inappropriate drugs, better to get done sputum culture and sensitivity report.
Culture report will isolate the causative organism and sensitivity report will guide about effective antibiotic treatment.
Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Prasad