Please suggest treatment
27yr old asthmatic male c/o breathlessness and chest tightness after meals. Chief Complaints Breathlessness and tightness of chest History 27yr old asthmatic male c/o breathlessness and chest tightness after meals. The symptoms are not relieved with medications, seem to improve with time and aggravated after meals. The symptoms affect his day-to-day activities. The patient completed triple therapy 5 months back after he was diagnosed with GERD due to H. Pylori infection. He had breathlessness after the triple therapy until 1 month back. It subsided with formoterol and budesonide inhaler. Currently the patient is on 1. formoterol and budesonide inhaler 2. salbutamol and ipratropium bromide inhaler 3. T. Montek LC Investigations Endoscopy done 5 months ago- diagnosed with H. Pylori infection and triple therapy was started Management Kindly suggest treatment or do share your opinions as to what could cause this
Young man with asthma and h/o gastric ulcer c/o tightness in chest not responding to relevant treatment I shell adv go for ECG 2DECHO XRAY CHEST Likely myocardial ischimia Meanwhile continue to treat asthma and add ppis and amoxyclav625mg 1bd
? APD.. H PYLORI..WITH.. BREATHLESSNESS.. NEED'S.. PPI.. PANTAPRAZOLE WITH.. ONDANCETRAN.. DOXOPHYLLINE 600 .. OD .. AMOXYCLAV 625 BD .. ANTACIDS.. NEBULIZATION.. INVESTIGATE WITH..SOS.. HEMOGRAM.. URINE ROUTINE.. CXR STUDY.. ECG..2D ECHO STUDY..
Tab Astheline 4 mg t d s Tab Medrol 8 mg tds orally Syp Grilinctus BM 2 tsf tds Seroflo & Duoline rotacap inhalation through rotahaler s o s
NICE ILLUSTRATION 27 YEARS PATIENT ASTHAMATIC HAVING BRESTHLESSNESS ANDBTIGHTNESS OF CHEDT AT PRESENT DYE TO COVID 19 PANDEMIC WE HAVE TO BE ALERT AND TREST TGE PATIENT ON EMERGENCY BASIS MAINTAIN IOXYGEN DATURATSTION VITAL SUGNS SYSTEMIC STERIODS BRONCODILATIRS UN VIEW IF TIGHTNESS OF CHEST ECG TROP T CARDIOLOGIST CONSULTATION
Better pft Hrct expiratory films R/0 copd
Shwaskuthar ras, sitopaladi churna,c tallishadi churna, laksmi Vilas ras, shavashar tab with honey. Rabezol-DM Ventorlin. Tab asthalin Rotacap inhalation /Steam inhalation.helpful..
PPI . Antacids. Ondancetron.
Rx Azithomycin 250 BD Abiways BD Acceclo plus TDS Pan 40 bd Adv Cbc Esr CXR digital
Syrup Salbutamol
Cases that would interest you
- Login to View the image
55 yr old female hypertensive non diabetic c/o shortness of breath ecg attached. dd/investigations/Rx?? kindly reply.
Dr. Harjot Singh1 Like18 Answers - Login to View the image
Dyspnea It is normal with all of us when we exert excessively.. But Dyspnea that is greater than expected with the degree of exertion... is a symptom of disease. Most cases of dyspnea result from asthma, heart failure and myocardial ischemia, chronic obstructive pulmonary disease, interstitial lung disease, pneumonia, or psychogenic disorders.. Below mentioned are the pathological causes of Dyspnea by Organ System…. CARDIO-VASCULAR… Pulmonary edema Acute valvular disease Myocardial infarction Cardiac tamponade Heart failure Angina Constrictive pericarditis RESPIRATORY… Acute exacerbations or persistent chronic asthma Acute exacerbation or persistent chronic obstructive lung disease Pulmonary embolism Pneumothorax Pneumonia ARDS Anaphylaxis COPD Asthma Interstitial lung diseases Pulmonary hypertension Malignancy (tumor related obstructive lesions and lymphangitic spread) Pleural effusions Sleep apnea Foreign body aspiration GASTROINTESTINAL/HEPATIC Acute liver failure and its consequences Abdominal distention of various causes Ascites Portopulmonary hypertension Hepatopulmonary syndrome RENAL CAUSE Acute or chronic renal failure and its consequences HEMATOLOGICAL… Hemorrhage Anemia NEUROMUSCULAR High cervical cord lesions Trauma to phrenic nerves Central apneas Myasthenia gravis Myopathies Amyotrophic lateral sclerosis ENT cause Vocal Cord Dysfunction Laryngeo-tracheal obstruction PSYCHOGENIC BREATHLESSNESS I hope this list of causes will be HELPFUL to diagnose the aetiology of DYSPNEA…
Dr. K N Poddar19 Likes21 Answers - Login to View the image
24 yrs female, Retro sternal burning pain... Not responding to Pantapraxole.
Suresh Thota3 Likes43 Answers - Login to View the image
a 60 yr old lady with known case of htn having c/o shortness of breath, palpitation.various lab reports are wnl except WBC count 11500..cxr suggestive like copd.on examination, pulse 76/min,bp140/78mmhg,chest and cvs wnl,spo2 98%..2d echo done which is wnl. after awakening in the morning,when she takes medicine she feels more difficulty in breathing and it gradually rises in noon and there after with sunset she feels less breathlessness in night in comparison to morning..there is no cold cough and fever..ecg attached.. what would be the management,plz comment
Dr. Vinay Kumar3 Likes9 Answers - Login to View the image
A 52 years old male taking treatment for hypertension and Dyslipidaemia. Nebilol 5,atorvastatin 20,Telma H 40 for couple of years with good control. He is nondiabetic and to some extend overwt. Not a smoker but take alcohol on occasions. For the last 3 months he has chest pain but as per the severity is concerned he has consulted now. As per the description he had mild pain sometimes go away but not much relation to food or activity.Following are the ecg and reports.Your diagnosis and line of treatment :
Dr. Deepak Ambastha7 Likes33 Answers
2 Likes