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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Cough, Breathlessness, Pain In Rib Cage. Taken Antibiotics, Steroids And Pump. How Long To Wait?

hello my male partner is 49 had a cough for just over 4 weeks, out of breath quickly and now has pain right side under rib cage. he been docs had 2 lots antibiotics also striods and a pump he still got the pump which uses when needed. when can this be he is waiting for ct scan and ultra sound scan but how long got wait he in pain.
Mon, 3 Sep 2012
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Internal Medicine Specialist,  's  Response
Hi,
After going to his history it seems to have bronchospasm and inflamation of airways. There are few possibilities like Chronic bronchitis,Emphysema,Brobchial Asthma or Infection of lungs(Pneumonia).
Is he a smoker? or exposed to chronic fumes or chemicals or Obese . First one should find out is it COPD, Some thing else like heart disease causing cough or breathlessness problem. He should take a ECG,A plain X ray chest ,Pulmonary function test ,Rotine blood test like Complete blood count,Blood glucose and serum Creatinine. After which A CTScan chest,A 2 D Echocardiography and a Ultrasonography may done to find a cause and in smokers we should also keep a diagnosis of malignancy??. Treatment if there is no infection antibiotics hardly help but inhalation of bronchodialators and steroids should help him with nebulizer.For pain safe analgesics may be given.
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Cough, Breathlessness, Pain In Rib Cage. Taken Antibiotics, Steroids And Pump. How Long To Wait?

Hi, After going to his history it seems to have bronchospasm and inflamation of airways. There are few possibilities like Chronic bronchitis,Emphysema,Brobchial Asthma or Infection of lungs(Pneumonia). Is he a smoker? or exposed to chronic fumes or chemicals or Obese . First one should find out is it COPD, Some thing else like heart disease causing cough or breathlessness problem. He should take a ECG,A plain X ray chest ,Pulmonary function test ,Rotine blood test like Complete blood count,Blood glucose and serum Creatinine. After which A CTScan chest,A 2 D Echocardiography and a Ultrasonography may done to find a cause and in smokers we should also keep a diagnosis of malignancy??. Treatment if there is no infection antibiotics hardly help but inhalation of bronchodialators and steroids should help him with nebulizer.For pain safe analgesics may be given.