Respiratory Failure Questions

Dear lybrate-user,
Please try to stop smoking at the earliest. It has many health benefits in the long run apart from good free respiration.
When you stop suddenly, you may get withdrawal symptoms like restlessness, irritability, lack of concentration, increased hunger, sleep disturbance, headache, impatience, anxiety, depression, etc. If you have them please don’t get back to smoking, take nicotine gum or lozenge or patch. They are available in all medical shops. You don’t need a pr...more

wrong conception
broncho vascular prominence means cough n cold repeatedly in some intervals.
lately it converted in to COPD OR ILD MEANS CAPACITY OF RESPIRATION DECREASES.
LASTLY IT DECREASES TOO MUCH THAT PETIENT HAVE HUGE DIFFICULTY IN RESPIRATION SO OXYGEN SATURATION BECOMES LOW N LOW THAT LEADS TO DEATH.

Always gargle your mouth after usage of pump or inhaler gargling removes the drug deposition on tongue and reduces risk of fungal infection.
Candida mouthpaint for a week and oral fluconazole once a week for 4 weeks can help treat fungal infection.
Instead of dry powder inhaler, metered dose inhaler which has the mist instead of powder as the drug is there. Which might reduce the drug deposition in tongue but we can't speculate whether it doesn't.
There is no cure to copd and asthma....more

Do a pft spirometry pre and post mdi test proove that is small airway disease or bronchial asthma treat accordingly with nebulisations and mdi l pump and medications for the same.

First ascertain the cause of the pneumonia
usually the pediatrician will go for sputum or gastric lavage if these are inconclusive or negative results then on has to anyhow involve a chest physician/ pulmonologist to perform pediatric bronchoscopy which apparently I do.
The bronchio alveolar lavage or washings will give good positive results in terms of finding out the bacteria causing pneumonia and one can give antibiotics accordingly for pneumonia.
Correct evidence based medicine w...more

I am sorry to hear about your concern but will be happy to assist you.
A recurring fever is one of the main symptom of a group of diseases called periodic fever syndrome. Let's connect over a call so that we can discuss your concern in details and make a treatment plan for you.

Daily morning brisk walk or jog for atleast 15-20 minutes.
Daily yoga especially kapal bhati and anulom vilom - 100 reps each. Check you pulmonary function test now and repeat after 6 months, you will see the results
do text consult me for further diagnosis and treatment or if you still have some doubts you want to clear.

If you are worried best would be to do an abg for pao2 which is most accurate.
And do cbc for hb
spo2 is not accurate representation of oxygen levels
if you are suffering from copd then 88-92 is ok level
do contact me for further diagnosis and treatment or if you still have some doubts you want to clear.

Record your self sleeping if possible and check if your breathing do stop for more than 20 seconds.
It is called sleep apnea.
If possible do polysomnography/sleep study to detect sleep disorders.

Hi! ascoril has components which can cause tremors
must consult your physician before taking any other expectorant cough syrup.

Am sorry to hear about the suffering your wife and you are going through. Palliative care can help both of you. Strong painkillers may be needed for her and we cannot prescribe those online. Please visit a palliative care center near you and they will make your lives easier.
If you wish, I can recommend some in sri lanka. You can call me for the same. No charge.