Xray chest:- mild cardiomegaly with perihilar haziness ? Pneumonia with COPD-COR PULMONALE. PLEASE RX:- DIURETICS(DYtor(10/50) plus tds Antibiotics (Inj.acuclav 1.2gm TDs, tab.Azee 500mg bd/AC, inj.Monocef 1gm iv bd, inj.Levoflox 100ml iv od, inj.Metrogyl 100ml iv tds. To start Digoxin (Lanoxin) 0.25microgm 2 tablets stat then 1 od Nebulization Inj.Dexona+inj deryphyllin iv TDs Inj.DYtor stat Inj.Pan 40 iv bd Inj.Perinorm iv tds And symptomatic treatment also given as required. Dr Gopi Saharan
CXR. Emphasemtus chest. COPD .PT. have Bronchial Asthma. Cardiomegaly. JVP raised due Rt.heart failure. Pedal edema are also due to Rt. Heart Failure. And is Pt. Taking CCB ? AND OF.IS Renal failure also( CKD ) Prognosis is poor
This is a case of multiple organ failure starting with lungs (chronic asthma with bronchitis and emphysema) leading to classic right sided cardiac failure and presently with Acute renal failure with likely development of more fluid retention.
X.ray is suggestive of COPD. Clinical findings suggest rvf. ?Tc 18000 . Support ventilation if necessary. Do abg and treat accordingly. Evaluate CVS and do the needful
↑jvp with pedal oedema suggests rt heart dysfunction. + copd with sec infection. Judiciary diuretics use is beneficial to the patient.
Long standing asthma with cor pulmonale. Now presented with secondary infection. CXR shows cardiomegaly with ?Hyperinflation.
Bronchial ashthma / copd with sec inf with ccf
COPD,corpulmonale with secondery infection
CORPulmonalae with secondary infection.
It looks like aspiration pneumonia
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Elderly dementia patient in late 80s presenting after a fall off bed resulting in ankle fracture. Relatives report a few days of coughing. Inflammatory markers are raised, the patient is treated for a suspected chest infection. Vital signs are stable. ECG shows no ischemic changes, but troponin is significantly elevated. The patient has not reported any chest pain, but he is diabetic. How would you describe the appearance of this chest film?Dr. Somi Suyal2 Likes15 Answers
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Friends I am sure u must have enjoyed green Diwali. Today I am discussing about a major problem known as Asthma. Asthma is a chronic disease of the airways that transport air to and from the lungs. No full cure is available, but management methods can help a person with asthma lead a full and active life. In a person with asthma, the inside walls of the airways, known as bronchial tubes, become swollen or inflamed. This swelling or inflammation makes the airways extremely sensitive to irritations and increases their susceptibility to an allergic reaction. In an allergic reaction, the airways swell, and the muscles around the airway tighten, making it difficult for air to move in and out of the lungs. What is asthma? asthma attack lady Asthma is a chronic respiratory disease that often leads to severe attacks of symptoms. Asthma is an incurable illness of the airways. The disease causes inflammation and narrowing inside the lung, restricting air supply. The symptoms of asthma often present in periodic attacks or episodes of tightness in the chest, wheezing, breathlessness, and coughing. During the development of asthma, the airways swell and become extremely sensitive to some of the substances a person might inhale. When this increased sensitivity causes a reaction, the muscles that control the airways tighten. In doing so, they might restrict the airways even further and trigger an overproduction of mucus. Asthma attacks The set of inflammatory events in the respiratory system can lead to the severe symptoms of an asthma attack. Worldwide, around 250,000 people die every year as a result of asthma. Asthma attacks occur when symptoms are at their peak. They might begin suddenly and can range from mild to severe. In some asthma attacks, swelling in the airways can completely prevent oxygen from reaching the lungs, which also stops it entering the bloodstream and traveling to vital organs. This type of asthma attack can be fatal and requires urgent hospitalization. At the start of an asthma attack, the airways allow enough air into the lungs, but it does not let the carbon dioxide leave the lungs at a fast enough rate. Carbon dioxide is poisonous if the body does not expel the gas, and a prolonged asthma attack might lead to a build-up of the gas in the lungs. This might further reduce the amount of oxygen entering the bloodstream. People with clear symptoms of asthma should visit a doctor. They will provide treatments and advise on management techniques, as well as identifying potential triggers for asthma symptoms and how to avoid them. The doctor will also prescribe medications to help reduce the frequency of attacks asthma. Effective asthma control reduces the impact of the condition on everyday living. Types As many different factors come together to cause asthma, there are many different types of the disease, separated by age and severity. Adults and children share the same triggers for symptoms that set off an allergic response in the airways, including airborne pollutants, mold, mildew, and cigarette smoke. Childhood asthma Children are more likely to have an intermittent form of asthma that presents in severe attacks. Some children might experience daily symptoms, but the common characteristic among children with asthma is a heightened sensitivity to substances that cause allergy. Second-hand tobacco smoke causes severe problems for children with asthma. Between 400,000 and 1 million children experience worsening asthma symptoms as a result of second-hand smoke, according to the American Lung Association. The Centers for Disease Control and Prevention (CDC) advise that children experience more emergency visits and admissions for asthma than adults. Mild asthma might resolve without treatment during childhood. However, there is still a risk that the condition might return later on, especially if symptoms are moderate or severe. Adult-onset asthma Asthma in adults is often persistent and requires the daily management of flare-ups and preventing symptoms. Asthma can begin at any age. Allergies lead to at least 30 percent of adult presentations of asthma. Obesity is a strong risk factor for adult-onset asthma, and women are more likely to develop the condition after the age of 20 years. People over 65 years of age make up a large number of deaths from asthma. Occupational asthma This is a type of asthma that occurs as a direct result of a job or profession. Symptoms will become apparent after attending a particular workplace. Industries with regular associations to occupational asthma include baking, laboratory work, or manufacturing. In this type, the work environment leads to the return of childhood asthma or the start of adult-onset asthma. Other symptoms might include a runny nose and red eyes. Difficult-to-control and severe asthma These types involve consistent, debilitating asthma symptoms and breathing difficulties. Around 12 percent of people with asthma have difficult-to-control or severe asthma. With the correct medication and effective trigger avoidance, those in this category can bring asthma symptoms back under control. Roughly 5 percent of people with asthma do not see improvements after using the standard asthma medications. These people have severe asthma, and there are several types of severe asthma depending on the cause. Newer medications are becoming available to address the different forms of severe asthma, such as eosinophilic asthma that does not link to any allergic reactions. Seasonal asthma This type occurs in response to allergens that are only in the surrounding environment at certain times of year, such as cold air in the winter or pollen during hay fever season. People still have asthma for the rest of the year but do not experience symptoms. Causes Many different aspects of a person's environment and genetic makeup can contribute to the development of asthma. Asthma is the most common chronic disease among children. The first symptoms become clear at around 5 years of age in the form of wheezing and regular infections in the respiratory tracts. The following are the primary causes of asthma. Allergies A strong link exists between allergies and asthma. One 2013 study in the Annals of Asthma, Allergy, and Immunology suggests that over 65 percent of adults with asthma over the age of 55 years also have an allergy, and the figure is closer to 75 percent for adults between the ages of 20 and 40 years. Common sources of indoor allergens include animal proteins, mostly from cat and dog dander, dust mites, cockroaches, and fungi. Smoking tobacco Research has linked tobacco smoke to an increased risk of asthma, wheezing, respiratory infections, and death from asthma. In addition, the children of parents who smoke have a higher risk of developing asthma. Smoking makes the effects of asthma on the airways worse by adding coughing and breathlessness to its symptoms, as well as increasing the risk of infections from the overproduction of mucus. Environmental factors Air pollution both in and out of the home can impact the development and triggers of asthma. Allergic reactions and asthma symptoms often occur because of indoor air pollution from mold or noxious fumes from household cleaners and paints. pollen Anything from pollen to pollution can trigger an asthma attack and inflame the airways. Other asthma triggers in the home and environment include: pollution sulphur dioxide nitrogen oxide ozone cold temperatures high humidity Heavy air pollution tends to cause a higher recurrence of asthma symptoms and hospital admissions. Smoggy conditions release the destructive ingredient known as ozone, causing coughing, shortness of breath, and even chest pain. These same conditions emit sulfur dioxide, which also results in asthma attacks by constricting the airways. Changes in the weather might also stimulate attacks. Cold air can lead to airway congestion, constricted airway, extra secretions of mucus, and a reduced ability to clear that mucus. Humidity might also lead to breathing difficulties for populations in some areas. Obesity Some studies, such as this report from 2014, suggest a link between obesity and asthma, although the American Academy of Asthma, Allergies, and Immunology does not recognize obesity as a formal risk factor for asthma. However, the report in question suggests that the inflammatory mechanisms that drive asthma also link to obesity. Pregnancy If a woman smokes tobacco or illicit substanes while pregnant, an unborn child might grow less in the womb, experience complications during labor and delivery, and have a low birth weight. These newborns might be more prone to medical problems, including asthma. Stress People who undergo stress have higher asthma rates. Increases in asthma-related behaviors during stressful times, such as smoking, might explain these increased rates. Emotional responses, including laughter and grief, might trigger asthma attacks. Genetics A parent can pass asthma on to their child. If one parent has asthma, there is a 25 percent chance that a child will develop asthma. Having two parents with asthma increase the risk to 50 percent. Many genes are involved in passing on asthma. These genes can interact with the environment to become active, although confirming these findings may require further research. Atopy Atopy is a general class of allergic hypersensitivity that leads to allergic reactions in different parts of the body that do not come in contact with an allergen. Examples include eczema, hay fever, and an eye condition called allergic conjunctivitis. During atopy, the body produces more immunoglobin (IgE) antibodies than usual in response to common allergens. The most common type of asthma is atopic asthma, and atopy plays a key role in its development. Environmental allergens lead to overproduction of IgE antibodies and trigger asthmatic reactions. The menstrual cycle One type of asthma, known as perimenstrual asthma (PMA), leads to acute symptoms during the menstrual cycle and a particular sensitivity to aspirin. The sex hormones that circulate during menstruation, such as luteinizing hormone (LH) and follicle-stimulating hormone (FSH), impact immune activity. This increased immune action can cause hypersensitivity in the airways. Diagnosis Three main components comprise an accurate asthma diagnosis: Medical history, observations during a physical exam, and results from breathing tests. A primary care physician will administer these tests and determine the level of asthma as mild, intermittent, moderate, or severe in people who show signs of the condition, as well as identifying the type. A detailed family history of asthma and allergies can help a doctor make an accurate diagnosis. A personal history of allergies is also important to mention, as many share mechanisms with asthma and increase the risk. Keep a note of any potential triggers of asthma symptoms to help guide treatment, including information about any potential irritants in the workplace. Be sure to identify any health conditions that can interfere with asthma management, such as: a runny nose sinus infections acid reflux psychological stress sleep apnea Young children who develop asthma symptoms before the age of 5 years find it more difficult to receive a clear diagnosis. Doctors might confuse asthma symptoms with those of other childhood conditions. If children experience wheezing episodes during colds or respiratory infections in early life, they are likely to develop asthma after 6 years of age. Physical exam A physical examination will generally focus on the upper respiratory tract, chest, and skin. A doctor will listen for signs of wheezing, or a high-pitched whistle on breathing out, in the lungs during a breath using a stethoscope. Wheezing is a key sign of both an obstructed airway and asthma. Physicians will also check for a runny nose, swollen nasal passages, and soft growths on the inside of the nose and check for skin conditions including eczema and hives. These are allergic conditions that link to asthma and suggest heightened immune activity that could be causing any wheezing. People with asthma do not always show physical symptoms, and it is possible to have asthma without presenting any physical maladies during an examination. Asthma tests Lung function tests are another component of an asthma diagnosis. They measure how much air a person inhales and exhales and the speed with which a person can expel air from the lungs. A spirometry test can provide an indication of lung function. spirometry A spirometry can help assess lung function. Spirometry is a non-invasive test that requires deep breaths and forceful exhalation into a hose. The hose links to a machine called a spirometer that displays two key measurements: forced vital capacity (FVC), or the maximum amount of air a person can inhale and exhale forced expiratory volume (FEV-1), the maximum amount of air a person can exhale in one second The doctor then compares these measurements against what would be normal for another person of the same age. Measurements below normal indicate obstructed airways and probable asthma. A doctor will often administer a bronchodilator drug to open air passages before retesting with the spirometer to confirm the diagnosis. If results improve after using the drug, the risk of an asthma diagnosis increases. Children under 5 years of age are difficult to test using spirometry, so asthma diagnoses will rely mostly on symptoms, medical histories, and other parts of the physical examination process. In younger children, doctors commonly prescribe asthma medicines for 4 to 6 weeks to gauge physical response. Other Tests A bronchoprovocation test, also known as a "challenge test" involves the administration an airway-constricting substance, such as cold air, to deliberately trigger airway obstruction and asthma symptoms. Similarly, a challenge test for exercise-induced asthma would consist of vigorous exercise with the aim of triggering symptoms. The doctor then conducts a spirometry, and if measurements are still normal, they are not likely to reach a diagnosis of asthma. Physicians might use allergy tests to identify substances that may be causing asthma or making it worse. These tests do not fully diagnose asthma, but they might help a doctor understand the nature of asthma symptoms. Doctors may also test for other diseases with similar symptoms, such as: gastroesophageal reflux disease (GERD) heartburn hay fever sinusitis sleep apnea chronic obstructive pulmonary disease (COPD) airway tumors airway obstruction bronchitis pneumonia a blood clot in the lung, or pulmonary embolism congestive heart failure vocal cord dysfunction viral lower respiratory tract infection A doctor may test for these using the following methods: a chest x-ray electrocardiogram (ECG) complete blood counts CT scans of the lungs gastroesophageal reflux assessment the induction and examination of sputum, or phlegm Many people with asthma will not need to visit a specialist, as most primary care physicians have training for asthma diagnosis. People who require special asthma tests or have had life-threatening asthma attacks in the past may need to visit an asthma specialist Specialists can also be useful for people who need more than one kind of medication or higher, more concentrated doses in order to control asthma. A visit may also be necessary for people with difficult-to-control asthma, or people receiving treatment for other allergies. Takeaway Asthma is a chronic, inflammatory condition that causes swelling and blockage in the airways. It can range in severity, and there are several types, depending on the cause and the age at which asthma begins. Anyone of any age can develop asthma. Women are more likely to develop the condition after the age of 20 years, and smoking and air pollution heavily contribute to the issue. The immune system and asthma share a strong link, and people with asthma often have other allergies. A young child might find that asthma seems to resolve without treatment but returns in adult life. However, moderate and severe cases often require treatment. Asthma attacks involve a sudden and severe recurrence of symptoms, and these are how younger children normally experience asthma. Adult-onset asthma tends to be more constant and persistent. Diagnosing asthma involves testing lung function and immune response, as well as assessing an individual for other condition with similar symptoms to asthma risk of asthma for young children. Can asthma develop into other harmful lung diseases, such as COPD or emphysema? Asthma is a risk factor for COPD, and people with long-standing asthma have a high risk of developing COPD, especially if they had severe asthma as children. Emphysema on the other hand, is not related to asthma even though their symptoms may be similar. Cigarette smoking almost always causes this. Homoeopathic treatment for Asthma Carbo Vegetabilis: This is a homeopathic asthma treatment which is generally prescribed when the person has violent bouts of coughing which may cause a gag reflex to set in. Extremities might be cold, but there is a need for air or breeze. Feels dyspeptic, burping gives relief. Chamomilla: This is most often prescribed for asthma attacks that are brought on by emotional stress, anxiety or over excitement. The person displays behaviour that is irritable, angry and hypersensitive. In some cases, this is accompanied by a racking cough. Arsenicum Album: A person needing this homeopathic asthma remedy may often feel a combination of exhaustion and uneasiness. Breathing problems are exacerbated when supine, better when upright. The person often finds that ease of breathing deteriorates at night, accompanied by wheezing and a constant thirst. He/she may also experience violent chills accompanied by shivering, heat may bring relief. Natrum Sulphuricum: When asthma attacks are precipitated by mould and dampness, this homeopathy remedy is especially efficacious. Nux Vomica: Persons feeling constricted in the chest and stomach, brought on by having spicy food, alcohol and sweets. Warmth and sleep along with this remedy bring relief. Pulsatilla: Excessive warmth especially indoors along with and heavily spiced food bring on wheezing as a result of exertion and chest congestion. This remedy is useful for children suffering from asthma.Dr. Rajesh Gupta13 Likes19 Answers
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Friends today I am discussing about a very serious problem most of the peoples have on change of weather. As weather is changing in these days here value of the content is important. Topic is Allergic bronchitis. Bronchitis is an inflammation in the lining of the bronchial tubes. These tubes in the lung carry air into the lungs from the mouth and nose. The swelling narrows the airway causing a cough and may make breathing more difficult. The irritation can also lead to increased production of mucus, which blocks the airway. Bronchitis can be classified as either allergic, non-allergic, or asthmatic, depending on its cause. Although the symptoms of bronchitis are similar regardless of the cause, there may also be differences, especially in how long a person will feel the effects of the condition. What is allergic bronchitis? Allergic bronchitis Allergic bronchitis occurs when an allergen inflamed the lining of the bronchial tubes. Allergic bronchitis involves inflammation of the bronchi caused by an allergen, or something to which you are allergic. Airway irritants, such as pollen, dust, and mold, can trigger symptoms. Cigarette smoking almost always causes allergic bronchitis. The symptoms of allergic bronchitis may last for a long time or keep recurring. Allergic bronchitis that lasts longer than three months is often called chronic bronchitis. This is a type of chronic obstructive pulmonary disease (COPD). Chronic bronchitis is almost always caused by cigarette smoking. Symptoms of allergic bronchitis include: a cough that produces mucus wheezing chest tightness tiredness Bronchitis can also lead to complications. For example, lung infection, such as pneumonia, can occur. In the most severe cases, pneumonia can lead to an infection in the bloodstream called septicemia. Septicemia is often life-threatening. Chronic obstructive pulmonary disease (COPD) Chronic obstructive pulmonary disease (COPD) Click here to learn more about COPD. READ NOW Non-allergic bronchitis Non-allergic bronchitis occurs because of a viral or bacterial infection. For example, some people develop non-allergic bronchitis after a cold. Although anyone can develop non-allergic bronchitis, older adults have a higher risk of experiencing the condition. People with weakened immune systems and those who smoke also have a higher chance of developing bronchitis after an upper airway infection. Symptoms often improve within a few weeks and are less likely to recur than the symptoms of allergic bronchitis. Non-allergic bronchitis is sometimes called acute bronchitis, as symptoms may onset suddenly and are typically brief. Symptoms of non-allergic bronchitis might include: a cough that produces mucus chills fever What is asthmatic bronchitis? Asthmatic bronchitis Asthmatic bronchitis can occur in people who already have asthma as an underlying condition. Like bronchitis, asthma is a lung condition that can cause breathing difficulties. Asthma can also cause inflammation of the bronchi, but can also lead to narrowing of the muscles around the airways. When bronchitis and asthma occur together, and symptoms overlap, the condition is often known as asthmatic bronchitis. Inflammation that triggers symptoms of asthmatic bronchitis might occur in someone who has underlying asthma after exposure to certain substances, such as pollen, pollution, and cigarette smoke. Some people also develop asthmatic bronchitis because of a change in weather or exercise routine. People with asthmatic bronchitis respond to these environmental triggers by releasing leukotrienes. These are inflammatory molecules. Leukotrienes cause a series of reactions, including narrowing of the airway. Symptoms of asthmatic bronchitis may include: coughing excess mucus production wheezing shortness of breath Diagnosis A doctor will diagnose allergic bronchitis based on several factors. They will review the medical history of the individual with suspected allergic bronchitis, as well as perform a physical exam, usually ask questions to determine how long symptoms have been occurring. The physician may use a chest X-ray to rule out some other causes of breathing problems, such as pneumonia. They may also request blood tests to help determine if an infection is present. The patient may also receive a pulmonary function test. This involves the individual blowing into a special device called a spirometer. The device measures how much air a person can exhale, and how quickly. The test helps doctors to identify the presence of lung diseases, such as asthma and chronic bronchitis. Treatment Treatments for allergic and asthmatic bronchitis are often similar and may include the following: Bronchodilators Bronchodilators are medications that relax the muscles around the airways. As the muscles relax, the airways dilate or widen, often making breathing easier. People take bronchodilators through a metered dose inhaler. Both short-acting and long-acting bronchodilators are available. Short-acting bronchodilators act quickly to decrease symptoms, but the effects do not last. Long-acting bronchodilators do not reduce symptoms as quickly but control symptoms for a longer period. Steroids Steroids may also be used to treat allergic bronchitis. Steroids decrease inflammation in the bronchi. This action reduces coughing and may help air-flow in the lungs. Although steroids can be an intravenous or oral medication, a physician will often administer them through an inhaler in cases of bronchitis. This allows for quicker and more effective delivery of the drugs to the area that requires treatment. Mucolytics A mucolytic drug is a medication that makes the mucus thinner and less sticky. This making it easier to expel mucus from the lungs by coughing. People can take mucolytics either orally or through a nebulizer. A nebulizer is a device that changes a liquid medication into an aerosol. A person can then inhale this aerosol. Oxygen therapy In some instances, allergic bronchitis can interfere with the efficiency of oxygen flow into and out of the lungs. People with severe allergic bronchitis may have decreased levels of oxygen in the blood. If oxygen levels are low, a doctor may prescribe oxygen therapy. This can help restore oxygen levels to normal. Pulmonary rehabilitation classes People with chronic allergic bronchitis may benefit from pulmonary rehabilitation classes. Pulmonary rehabilitation classes involve supervised exercise, along with education on how to breathe better and manage allergic bronchitis. These classes show people how to decrease exposure to allergens that may trigger symptoms. Acute non-allergic bronchitis often does not require treatment. Doctors treat asthmatic bronchitis in a similar way to allergic bronchitis, with bronchodilators, steroids, and oxygen as needed. However, acute non-allergic bronchitis may also be treated with antibiotics if caused by a bacterial infection, though this is uncommon. In some cases, a doctor may also prescribe leukotriene modifiers to treat asthmatic bronchitis. These work by interfering with the chemical reactions that cause the symptoms of asthmatic bronchitis. Home remedies humidifier A humidifier can moisten the air and loosen mucus. Many of the treatments for allergic bronchitis require a prescription. However, there are also steps a person can take at home to reduce the effects of bronchitis. Although home remedies will not cure the underlying cause of allergic bronchitis, they may help to reduce symptoms. These steps including: Using a humidifier: A humidifier will moisten the air. This can loosen mucus and make it easier to expel. It may also decrease wheezing. People with asthma should check with their doctor before using a humidifier. Drinking plenty of fluids: Drinking enough water may help keep mucus thin. Gargling with salt water: The coughing from allergic bronchitis can lead to a sore throat. Gargling with salt water might ease discomfort. Taking a cough drop: A cough drop may keep the throat moist and can provide relief from coughing. Click here to choose online from an excellent range of humidifiers with thousands of customer reviews. Prevention Preventing allergic bronchitis usually involves avoiding irritants, such as chemical fumes, dust, and air pollution. Prevention of asthmatic bronchitis includes both avoiding triggers and managing your underlying asthma according to the plan developed with your doctor. Cigarette smoke is one of the leading causes of allergic bronchitis, so quitting smoking, or not starting at all, is one of the best ways to prevent the condition. If outdoor allergens, including pollen or mold, tend to cause allergic bronchitis, wear a mask when carrying out yard work. This might also prevent symptoms. BEST HOMEOPATHIC MEDICINES FOR ALLERGY Arsenic alb - There is thin watery discharge from the nose with burning sensation, recurrent sneezing one after another with runny nose. Burning and tearing of eyes . There is puffiness around eyes, stuffy nose. The person has an asthmatic tendency with breathing difficulties, and oppression of chest which is generally worse when he lies down. On sitting with a forward bending posture makes the patient little comfort from his asthmatic problem. There is marked wheezing sound during asthmatic affection. The asthma is worse in wet cold weather. Besides that the constitutional symptoms of arsenic alb are anxiety, restlessness, prostration, burning sensation. The anxiety that is found in Arsenic alb is intermingled with fear. The other prominent symptoms are debility, exhaustion, restlessness, with nightly aggravation. Great exhaustion after a slightest exertion. Sulphur – There is itching with redness of eyes in allergic condition. The itching is followed by burning sensation and relieved by cold application. sulphur patient is always irritable, depressed, thin and weak, but good vappetite. He is having forgetful nature, difficulties in thinking. He has many good ideas but cannot implement it. Selfish type person, no regards for others. very lazy person, not cleanness, never look after about his dressing and clothing. Don’t like to take bath. Having of skin diseases always. The skin rashes itch a lot generally in night and warm atmosphere. The person has a feeling congestion or oppression of chest in asthmatic condition.– Natrum mur – Natrum mur is generally well indicated in case of allergic condition which gives the symptoms of more itching of nose, throat, ear with recurrent sneezing one after another. The characteristic discharge from the mucous membranes is watery or thick whitish, like the white of an egg.Natrum mur patient is very sensitive in nature. Every thing he/she takes into the heart. The person is irritable in nature and when in upset does not like any body’s present or giving of any consolation.Consolation aggravated the state of the mind - the melancholy, the tearfulness, sometimes brings on anger. The Natrum mur patient is extremely emotional. The whole nervous economy is in a state of fret (visible anxious like scratching finger on her skin in worry). Completely or desperately in love brings on complaints. The natrum mur patient desire to take extra salt in his diet. Sabadilla- it has good action on mucous membrane of the nose and the lachrymal glands, producing coryza and symptoms like hay-fever. There isspasmodic sneezing one after another. symptoms of hay-fever or allergic rhinitis with itchy nose and fluent coryza. Either nostril stuffed up, inspiration through nose labored, snoring. Violent sneezing is occurred from time to time, shaking abdomen followed by lachrymation. There is runny nose with severe frontal headache and redness of eyelids. Allium Cepa Allium Cepa is one of the most commonly used Homeopathic medicines for Allergic Rhinitis or Hay Fever. It is generally used in the symptoms of severe runny nose that drips from the tip of nose with watery eyes. There is burning of nose due to over secretion mucous. Along with the watery nasal discharge there is watery eye. There is profuse sneezing associated with runny nose and watery eyes. Tuberculinum- The patient is very susceptible to catch cold. The physical constitution is lean and thin like natrum mur, but not obese like calcarea carb. If there is family history of tuberculosis or bronchial asthma then is more suitable to give this medicines in any allergic or asthma condition. The person is very depressed, melancholic, taciturn sulky nature.Dr. Rajesh Gupta15 Likes19 Answers
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67yr / F, presented with low grade fever, chest pain, DOE, coughing out small 'stick like substance' off and on. CXR, ECG, Echo attached. Sputum AFB is negative, She is stage 1 hypertensive and non Diabetic.Dr. Kunal Datta27 Likes33 Answers
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38 yr female deficult in breathing spo2 93 94 person 5 days .afebrile chest mild wheezingDr. Garg Rajesh Kumar1 Like18 Answers