Chest tightness and SOB

Chief complaint A 52 y/o/m came with the complaint of chest tightness, wheezing and SOB. History He is on medication for asthma Smokes and drinks very occasoinally. Vitals BP: 125/80 mmhg, Resp rate: 18/minute, Heart rate: 72 bpm, Temp: 97.9 degree F. Examination Physical examination normal with no lymphadenopathy. Diffuse expiratory wheezes with prolonged expiratory phase noted. Regular rhythm with no murmurs. Investigations Chest x-ray normal. CT shows mild central bronchiectasis. Treatment What is your opinion?

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Past history of patient Asthma If any control release drug regularly? Chest tightness or tenderness feeling mean - bronchus infection or bronchiectasis report on CT. Needs blood for CBC, CRP, Absolute E count. With ECG. Oxygen supply and with out supply check. Medication.. Tab. Or cap. Control released to be continue. Oral Antibiotics 5-7 days. Bronchodialetor expectorant sy. regularly. PPI Multivitamin minerals and antioxidant regularly. Rest and normal dietary supplements. Avoid drink and smoke completely. Otherwise consult with a chest specialist for the better treatment and management.

Thank you Sir@Dr. Shankarling Ghooli .
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* BRONCHIECTASIS.. NEED'S.. BS..ANTIBIOTICS.. LINEZOLID WITH CEFIXIME.. COUGH EXPECTORANT..MUCOLYTICS .. ANTIHISTAMINES AS PER REQUIREMENT.. LEVOCETIRIZINE..WITH MONTELUCAST.. STEROIDS..SOS.. PHYSIOTHERAPY.. INVESTIGATIONS ..

Worsening of bronchial asthma Patient probably going in for COPD . Suggest Antibiotics , IV steroids ,followed by oral steroids. Inhaled LABA like formaterone + budesonide as nebulizers first , later can be converted to rotahalers.Ipratropium can be added. Supplemental inhaled oxygen .

Permanently dilated al alveloe..Bronchiectasis. Ambroxyl + Theophylline .Expectorant. Postural drainage. Zify CV 1 tab BD.x 7 days

Bronchiectasis Use of shodhana & shamana chikitsa will be perfect. As already shodhana was done with sasneha virechana, now we can go for shamana chikitsa with the pachan of the 3 dhatus. So use of Guggulutikthaka ghrutam will be perfect

Adv BSL Absolute eosinophil count. Sr IgE level Aspergillus specific antibodies IgM. Consider LABA LAMA combination.

Bronchiectasis Antiallergics, antihistamines, antibiotics, expectorant, antitussive,steam inhalation., helpful..

Allergic Bronchopulmonary Aspergillosis Treatment..steroids and antifungals

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