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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Shortness Of Breath And Wheezing

dear sir ,before 18 years when i was staying at bangalore,on a fine day ,i noticed i have difficulty in inhaling and shortness of breath.none of the medicines for asthma didn t give any relief.since then till date i have the same problem without any change in condition.i have consulted many doctors and x ray was taken.x rays shown some shadowy portion in lungs.i have more difficulty in cloudy weather,also i have at times wheezing and allergy towards dust.my nose is always filled with mucus.i dont have sinusitis.recently i was diagnosed for hypertension(140/95), and protein was found in urine. my ECG was normal,what preventive measures shall i do?.is there any connection between the problems? also i always have white sticky tongue kindly give advice!
posted on Thu, 13 Mar 2014
Twitter Thu, 17 May 2018 Answered on
Twitter Thu, 24 May 2018 Last reviewed on
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Pulmonologist,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

I can understand your concern. By your history, we should definitely rule out ABPA (allergic bronchopulmonary aspergillosis) in your case. Breathlessness, wheezing, sinusitis, worsening symptoms in damp weather, shadows on chest X-ray are more suggestive of ABPA.
It is a chronic fungal infection.
So better to consult pulmonologist and get done CT thorax and PNS (paranasal sinuses) and Aspergillus specific IgE and IgM.
If these are positive for Aspergillus then you will need Itraconazole (antifungal) and other supportive drugs.

Hope I have solved your query.
I will be happy to help you further.

Wish you good health.
Thanks.
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Suggest Treatment For Shortness Of Breath And Wheezing

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I can understand your concern. By your history, we should definitely rule out ABPA (allergic bronchopulmonary aspergillosis) in your case. Breathlessness, wheezing, sinusitis, worsening symptoms in damp weather, shadows on chest X-ray are more suggestive of ABPA. It is a chronic fungal infection. So better to consult pulmonologist and get done CT thorax and PNS (paranasal sinuses) and Aspergillus specific IgE and IgM. If these are positive for Aspergillus then you will need Itraconazole (antifungal) and other supportive drugs. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.