Hi, A few things which you need to understand You don't diagnose ABPA with a single report. It's based on a clinical criteria. So if the pulmonologist did not start it, it's because you didn't fit into the criteria. Don't overthink it. PFT has multiple components  and nobody can understand what has decreased from 110 to 85 percent if you don't provide the entire report Looking for multiple expert opinions leads to anxiety and unnecessary confusion. Kindly visit a physician and get a clear workup done. Ask all your queries there. Don't pop in an antifungal drug because of what the lab report says. If medicine was that simple, any fool can be good at it right? Take care

Long Covid symptoms involving the lungs with diminished lung capacity, should definitely consult a pulmonologist for appropriate management.

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You have long COVID Syndrome. Please make an appointment in my clinic for further assessment and management

DM pulmonary medicine

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Good afternoon.. You can consult MD medicine doctor in respiratory medicine chest TB specialist.../pulmonologist Or Even a experienced senior MD medicine doctor

Send me your reports 860558563 five

Yes both can guide  u. U prefer MD physician.

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Pulmonologist.

Greetings of the day.. I am a MD in microbiology.. I can help you better in this aspect.. I have experience in diagnosing/ treating the condition you speak about.. Connect with me on practo.. I need detailed history

Regards, you can visit and chest physician and then further for infectious disease doctor you can take both of the doctors opinion. Recommendation regards.

Show to Pulmonologist without any doubt!!! Also get done S. Galactomannan And HRCT chest if not done yet!!

MD medicine and MD respiratory medicine both are fine

I can help you, and understand PFT very well You could be having small airways obstruction, which is now increasing .Please share details of your problem- since when  do you have breathlessness,  is it increasing progressively,  do you feel tired soon ? Share your results of complete blood picture, X ray chest, C.T. scan of chest if done, P.F.T.

Respiratory medicine with good experience

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Visit someone with DM in Pulmonary Medicine

Adv. Pulmonary medicine opinion

Yes start antifungal.

Refer to a Good Pulmonologist - I’m myself An Internal Medicine physician and can treat you but if you want a second opinion respiratory physicians deal with ABPA Often ABPA is a hypersensitivity reaction to Aspergillus fumigatus in the lungs, mostly affecting patients with asthma or cystic fibrosis and here in your case COVID infection might be the cause of your condition (did u take steroids at that time). It causes recurrent wheezing, pulmonary infiltrates, and bronchiectasis so you should get examined and auscultation is must with Chest X ray and a HRCT of thorax because your PFTs are in worsening trend and also get your sputum examined and culture sensitivity from a Good lab There are some Criteria to diagnose your condition if ABPA Check if these match First - Essential Criteria: 1. Asthma or cystic fibrosis or Covid like ailment 2. Positive skin prick test for Aspergillus fumigatus or elevated specific IgE against it 3. Elevated total serum IgE > 1000 IU/mL Second is the - Supporting Features (Need at least 2–3) Serum IgG against A. fumigatus - Elevated Eosinophilia - check in CBC For AEC (absolute eosinophil count >500 cells/µL) Radiology (CXR/HRCT)- showing Transient infiltrates, central bronchiectasis Precipitating antibodies- Positive for Aspergillus precipitins Mucus plugs - Seen in sputum or bronchoscopy Treatment - First line management is Corticosteroids in tapering doses Consult me personally for the dose and the regimen for treatment because I’ll be taking follow up for the treatment if we start Also we’ll add Tab Itraconazol for adequate duration if the tests come positive and HRCT is suggestive Mucolytics can also be used but should consult a specialist as your lungs are deteriorating with time since were not treating you properly Whatever you want to do just do it fast

Respiratory medicine

Can help you, kindly consult and provide detailed history for proper diagnosis and further management