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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Wheezing, Congestion, Coughing Dark Sputum. Taking Prednisone. Your Opinion?

my husband is scheduled for a bronchial thermoplasty procedure. He will have three procedures. He has many test and he was given a dx of asthma . His symptoms are wheezing in the lungs, congestion, coughing up dark colored sputum . Predinsone is the only thing that helps.He has been on predinsone since January 2013 due to the coughing and wheezing. This has been going on for about two years with the episodes getting worse and requiring more trips to doctor for predinsone. He was exposed to asbestose, glue and coal dust, but doctor sees no issue related to these environmental expostures. The asbestose and glue were cut on a saw and filled the room with the fibers, this was back in the 70 s and I am not sure his problem is asthma. He has marking in his lungs. What do you think?
posted on Sun, 29 Sep 2013
Twitter Mon, 30 Sep 2013 Answered on
Twitter Mon, 30 Sep 2013 Last reviewed on
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General & Family Physician,  's  Response
Hello,
Thanks for the query to H.C.M. Forum.
Since your husband exposed to asbestos , coal etc almost 43 years ago.
You have not mentioned the duration of present symptoms your husband is having.
There is cough, congestion, whistling sound ( wheezing) , expectoration & breathlessness, relieved with prednisolone may be due to ,
1 Interstitial lung disease, diagnosis can be confirmed by M R I and physical examination by a pulmonologist .
2 asthmatic allergic bronchitis , diagnosis can be confirmed by physical as well clinical examination by a physician .
3 May be smokers cough , if your husband is a chain smokers from last 30-40 years , so consult a physician and get his opinion because dark colored sputum is usually associated with smokers disease.
In my opinion consultation with a pulmonologist will help.
Good luck.
Dr. HET
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Wheezing, Congestion, Coughing Dark Sputum. Taking Prednisone. Your Opinion?

Hello, Thanks for the query to H.C.M. Forum. Since your husband exposed to asbestos , coal etc almost 43 years ago. You have not mentioned the duration of present symptoms your husband is having. There is cough, congestion, whistling sound ( wheezing) , expectoration & breathlessness, relieved with prednisolone may be due to , 1 Interstitial lung disease, diagnosis can be confirmed by M R I and physical examination by a pulmonologist . 2 asthmatic allergic bronchitis , diagnosis can be confirmed by physical as well clinical examination by a physician . 3 May be smokers cough , if your husband is a chain smokers from last 30-40 years , so consult a physician and get his opinion because dark colored sputum is usually associated with smokers disease. In my opinion consultation with a pulmonologist will help. Good luck. Dr. HET