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Bronchial asthma
I m a severe chronic asthma
But in this season hot n humid
my condition always worsen and I have to use oral steroids
Answers (5)
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Using frequent oral steroid indicate that your asthma is not under control. Regular inhaled steroid and bronchodilator therapy , used in proper way ( should be demonstrated by doctor otherwise wastage of medicine and it will not work) can give a normal life to an asthmatic patient.
Next Steps
Do tests-
1. CXR pa view
2. PFT
3. CBP, ESR , AEC
4. Serum IgE
Review with reports.
Health Tips
Any severe breathing issue , wheeze , fever - consult local hospital.
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1. Get cbc and sputum culture to rule out infection as a trigger. Even cxr can too be done.
2. You are saying seasonal acute excerbations happen.
You can take short acting bronchodilators with inhaled corticosteroids combinations eg; Duolin+ Budecort every 2-3 hours till u get relief. If no relief in 24 hours get into hospital for further management by a pulmonologist.
3. 3-5% patients do not respond, known as difficult to treat asthma. Inj MgSo4 2 gm IV can be given. Leukotrines antagonists like montelucast can also be added.
4. Gina guidelines can be followed.
Next Steps
To get into hospital fr management by pulmonologist.
Health Tips
Don’t allow condition to worsen, timely consultation is recommended.
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Dr. Aditya Parihar
Pulmonologist
22 yrs exp
Nagpur
Hello noted above history and related concerns.
As you mentioned diagnosis and treatment details regarding symptoms of your illness is more important to arrive at conclusion, kindly elaboration on your symptoms and related reports.??
Next Steps
Stay safe.
Don’t use oral steroids,which gives temporary relief but harming your immune system.
Health Tips
Open an online app chat for more updates.
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Dr. Santosh Jha
Respiratory Medicine
11 yrs exp
Delhi
consult a pulnonologist for proper treatment of severe chronic asthma!
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Dr. Sunil Kumar
Pulmonologist
13 yrs exp
Udaipur
So what is the issue now
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.