Suggest Treatment For Cough And Congestion When Diagnosed With Pulmonary Artery Peoblem

Posted on Sun, 2 Aug 2015

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

Sun, 2 Aug 2015 Answered on

Mon, 24 Aug 2015 Last reviewed on

Question : I AM XXXX FROM GOKULA,MATHIKERE XXXXXXX
MY WIFE MRS XXXX, IS SUFFERING FROM PULMONARY ARTERY PROBLEM.
SHE WAS ADMITTED IN XXXXXXX ASIA REFERRAL HOSPITAL TWICE FOR THE SAME PROBLEM
HER OXYGEN LEVEL IS 72 AND I AM USING BIPAPA AND OXYGEN CYLANDER AT HOME
WHEN IS ON OXYGEN CYLANDER THE LEVEL OF OXIGEN GOES TO 93/. 94 WHEN SHE REMOVES
IT COMES DOWN TO 74. SHE HAS SOME OTHER HEALTH PROBLEM THAT IS WHY SHE IS NOT
GOING TO HOSPITAL.I AM GIVING TABLETS MON TEC LC AT NIGHT AND OTHER MEDICINES FOR
DIABETIC AND BP. HOW TO CHECK HER CORBONDIOXIDE LEVEL IS THERE ANY NERE BY HOSPITAL
NEAR GOKULA.
WHAT MEDICINE YOU SUGGEST FOR IMPROVING THE OXYGEN LEVEL AND CORBON DIOXED LEVEL
WILL BOSANTON 62 WILL HELP TO IMPROVE THE OXYGEN LEVEL?
PLEASE SUGGEST SOME MEDICINES .SHE COUGH AND CONGESTION.SHE IS SPITTING FLUMS.

PLEASE SUGGEST SOME GOOD MEDICINES WITHOUT GOING TO HOSPITAL. IS THERE ANY
CLININC NEAR TO GOKULA? HOW CAN I GET THE HELP.

AWAITING YOUR ADVISE AND SUGGESTION.

THANKS,
XXXX

Answered by Dr. Drkaushal85 (1 hour later)

Brief Answer:
You should start diuretics and inotropic drugs.

Detailed Answer:
Thanks for your question on HCM.
I can understand you wife's situation and problem.
By her history and description ,possibility of pulmonary hypertension (PH) and cor pulmonale is more.
This is right sided heart failure and due to this pulmonary edema develops. This is the cause for her cough, congestion and phlegm.
So she needs diuretics and inotropic drugs to relieve pulmonary edema.
For determination of carbon dioxide level,you need to get done ABG (arterial blood gas) analysis. It will also tell you about exact oxygen level.
Bosentan has no role in secondary PH. It is effective in young individuals with primary PH.
And I dont know any near by hospital but better to take her to the hospital where ICU (Intensive Care unit) facilities are available.
So can you please tell me
1. Since how many days she is having this problem?
2. Is she having edema feet?
3. What is the severity of her PH?
Please reply me answers of above asked questions ,so that I can guide you further.
I will be happy to help you better.
Wishing good health to your wife.
Thanks.

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