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

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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

Thanx dr Kute Ankush
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? 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..

Tnx Dr Shivraj Agarwal sir
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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

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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

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Better pft Hrct expiratory films R/0 copd

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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.

Thank you doctor
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Rx Azithomycin 250 BD Abiways BD Acceclo plus TDS Pan 40 bd Adv Cbc Esr CXR digital

Syrup Salbutamol

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