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Suggest Treatment For Bronchiectasis

Posted on Mon, 31 Aug 2015

Question: HII SIR,

my wife is suffering from respiratory problem. already check up. i have some report please analyse the report sir and guide me what to do next. the last doctor recommended AKT4 but that medicine have side effect of skin reaction. after follow up next with the doctor he recommended another medicine alternate of that medicine that is also same thing happen ...please guide is it curable ?? and why this is happen ?? the fundamental of deases.

Answered by Dr. Drkaushal85 (1 hour later)

Brief Answer:
She is having bronchiectesis.

Detailed Answer:
Thanks for your question on HCM.
I can undrstand your wife's situation and problem.
She is having bronchiectesis. It is structural lung disease. It causes dilatation of airways.
It is a kind of healing tuberculosis and pneumonia. In some patients,this is seen since childhood.
The main pathology is dilated airways and accumulation of thick secretions.
This secretions cause infection and inflammation.
So recurrent cough,expectoration,localised wheezing,breathlessness,recurrent chest infections arre very common in these patients.
I have gone through the reports.
All reports are of 1 year back.
So please let me know what symptoms she is having at present?
Please reply me answer of above asked question,so that I can guide you better.
I will be happy to help you further.
Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Drkaushal85 (19 minutes later)

Good Evening sir,
thanks for the valuable advice sir, sir she is feeling weak, weight loss suffering from a lot of cough without sputum and some times haveing fever, problem of taking breathing and sir i have a kid of 1.5 year baby son. sir is it curable ?? is it TB ?? and the medicine prescribed by the doctor AKT-4 is haveing side effect of vomiting, fever and weak XXXXXXX sir please prescribed medicine for cure the deases

Answered by Dr. Drkaushal85 (2 hours later)

Brief Answer:
which drugs she is taking at present?

Detailed Answer:
Thanks for your follow up question on HCM.
I can understand your wife's situation and problem.
Please let me know
1. Which drugs she is taking at present?
2. Has she undergone chest x ray recently?
Please reply me answers of above asked questions, so that I can guide you better.
I will be happy to help you further.
Wishing good health to your wife. Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Drkaushal85 (1 hour later)

Sir,
presently no drugs taking and recently not done any chest xray.
from last 3 to 4 days taking XXXXXXX XXXXXXX baba XXXXXXX Swasari Ras. which is ayurvedic one . but prescribe any drug sir so that it will be cure.

Answered by Dr. Drkaushal85 (53 minutes later)

Brief Answer:
first get done chest x ray.

Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
Better to first get done chest x ray, sputum examination for AFB (acid fast bacilli-bacteria causing tuberculosis) and culture.
Better to first diagnose herself and then start appropriate treatment.
Please let me know
1. Is she having breathlessness?
2. Is she having edema feet?
Please reply me answers of above asked questions, so that I can guide you better.
I will be happy to help you further.
Wishing good health to your wife.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Drkaushal85 (2 days later)

sir,
done the chest xray .
they said that very few sputum are present. and sir afb test in not done. i will do that later due to today is strike here. sir she is not haveing edema feet. and some times haveing the breathlessness ??
i have last question sir ???
is the bronchiectesis curable by medicine or need operation ??
and my wife condition is sevior or it is too much.

Answered by Dr. Drkaushal85 (20 hours later)

Brief Answer:
Can you please upload the x ray picture?

Detailed Answer:
Thanks for your question on Health Care Magic.
I can understand your concern.
Bronchiectesis is incurable through medical management.
It is structural lung disease. So it can not be revert back to normal lung structure.
Medical management I'd needed to prevent accumulation of secretions, recurrent lung infection, inflammation and wheezing.
So these kind of patients require chest physiotherapy, vaccination, mucolytic and expectorant drugs.
Surgery is indicated in very few patients.
It depends on lung involvement.
So can you please upload the x ray picture, so that I can guide you better about surgery.
Also tell me if she had vaccination.
Is she taking any drugs like mucolytic or expectorant?
Please reply me answers of above asked questions, so that I can guide you better.
I will be happy to help you further.
Wishing good health to your wife. Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar