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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Cough With Straining Sound, Worsened Causing Wheezing, Eased With Nebulizer. Which Specialist Should I Consult?

cough during last two months, not frequent but with a straining sound, after visit to a hill station(yercaud) the condition worsened, yesterday i had wheezing for the first time in life at 12:30 in the night, it slowly developed from the morning, i used vapor inhaler with eucalyptus twice during the day, but by evening condition slowly worsened. Neighbour gave me a combihale nebulizer to inhale ( Formoterol Fumarate and Budesonide Metered Dose Inhaler). I had no option but to use it once during the night, for the first time, breathing got easier. Now, again in the morning, i felt uneasy even speaking, so took another inhale from the nebulizer. Which kind of doctor am i supposed to consult. Please advice.
posted on Tue, 29 Jan 2013
Twitter Tue, 29 Jan 2013 Answered on
Twitter Wed, 30 Jan 2013 Last reviewed on
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General & Family Physician,  's  Response
Hello dear...
Wheezing is caused due to broncho-constriction (obstruction of smaller airway passages) which is indicative of Hyper-responsiveness of air passages (seasonal allergy or asthma).
Formoterol will provide symptomatic relief by causing broncho-dilation (dilating the smaller airway passages, relieving the obstruction & increasing airflow to lungs)
Budesonide is a corticosteroid which takes care of the inflammatory process in airways.
Other than that, Montelukast preparation can also be used as a maintenance therapy to relieve symptoms of seasonal allergies & asthma by reducing broncho-constriction.
So..it will be better to consult a Pulmonologist for further management.
And make sure that you are well protected from cold, dust & other allergens.
Wishing you a good health.
Thanks & take care
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Cough With Straining Sound, Worsened Causing Wheezing, Eased With Nebulizer. Which Specialist Should I Consult?

Hello dear... Wheezing is caused due to broncho-constriction (obstruction of smaller airway passages) which is indicative of Hyper-responsiveness of air passages (seasonal allergy or asthma). Formoterol will provide symptomatic relief by causing broncho-dilation (dilating the smaller airway passages, relieving the obstruction & increasing airflow to lungs) Budesonide is a corticosteroid which takes care of the inflammatory process in airways. Other than that, Montelukast preparation can also be used as a maintenance therapy to relieve symptoms of seasonal allergies & asthma by reducing broncho-constriction. So..it will be better to consult a Pulmonologist for further management. And make sure that you are well protected from cold, dust & other allergens. Wishing you a good health. Thanks & take care