Health Q&A
Next steps after foracort 400 course

I am 36F and Consulted a doctor in early June for chest discomfort and nighttime coughing. All diagnostic tests were normal, and I received a provisional diagnosis of Cough Variant Asthma (CVA). Later in late June, contracted a viral infection that caused a deep chest rattle. I Completed a 1-month course of Foracort 400 (twice daily) exactly 5 days ago (July 5). The late-June viral chest rattle ('ghar-ghar') and active cough have now stopped. • Current Symptoms: Voice is completely hoarse and cracked. Experiencing a mild, persistent 'sinking' feeling in my chest, especially when exhaling or leaning back on pillows. The chest feels generally uncomfortable and not fully right, though it is hard to explain in words. Of late I am feeling a tiny bit breathless at times (might be due to heightened awareness/anxiety). No classic acidity, stomach discomfort, or hot belches, but the chest discomfort is noticeably more after heavy meals. Can I take foracort agin or what should I do?

Latent tb treatment required?

I am 37 and live in the usa since 2010. Born and broughtup in India and visit India every year. Recently i got tested (blood) for TB for my green card application and to my surprise it turned out to be positive. I have no symptoms. Then they checked my xray which was normal. So the doctor said that i seem to be having latent tb. 1 in 10 people having this condition can later develop active tb and hence i should consult a specialist and start preventive treatment. What should be done next? I should take treatment or not and i have heard the side effects of medicines can be gruesome I have thyroid. Except that no other problem.

Chronic cough breathing problam fatige

Hello dr " Chronic cough and breathlessness for 6–7 years. Asthma treatment not helping. PFT shows severe obstruction (FEV1 41%, FEV1/FVC 57%). ESR 25 and CRP positive. CT chest normal. Also having chest pain, palpitations, muscle and joint pain. What could be the diagnosis and which specialist should I consult. "Despite treatment, my PFT values continue to decline."

Severe breathlessness triggered after us

Patient reports sudden shortness of breath for the last 4-5 days, requiring forced deep breaths for temporary relief. Senses a thick, heavy buildup of mucus in the airways without an active cough. History of severe respiratory allergy 3 years ago (Serum IgE: 506 IU/mL). Works in a hotel (1 year, asymptomatic), but symptoms started within 20 days of using a liquid mosquito vaporizer overnight in a completely closed, unventilated room. Self-restarted old prescription of Acebrophylline 200mg SR this morning with mild relief, but chest tightness persists. No fever. Seeking expert guidance on treatment.

Persistent right-sided chest pa

Two months ago, I had a severe cough and right-sided chest pain during breathing. A chest X-ray revealed a pneumonia patch. I was treated with 3 days of IV fluids and medications. Now, my cough is completely gone, but the right-sided chest pain has remained unchanged for 2 months. More importantly, I have recently developed new, mild breathing difficulty (breathlessness) which was not present during the initial infection. I am unaware of my current oxygen levels, but initially, SpO2 was 96-98%. Please advise on the next diagnostic steps or if a repeat X-ray is needed.

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Doctors
Dr. Mark D. Wewers - Internal Medicine
Dr. Mark D. Wewers Internal Medicine (Medical School, Residency, Fellowship - Pulmonary Disease and Critical Care Medicine, Residency in Internal Medicine, Class of 1976, M.D., Medical degree, DO) 50 years experience The Richard M Ross Heart Hospital
Columbus 43210, COLUMBUS
Dr. Lucia  Chowdhury - Internal Medicine
Dr. Lucia Chowdhury Internal Medicine (Medical School, Residency - ID, Fellowship 2, Fellowship - Pulmonary Disease and Critical Care Medicine, Fellowship in Critical Care Medicine, Residency in Internal Medicine, Class of 1985, Fellowship in Pulmonary/Critical Care) 41 years experience OhioHealth Doctors Hospital
Forest Park West, COLUMBUS
Dr. John Kim - Pulmonologist
Dr. John Kim Pulmonologist (Fellowship in Pulmonary/Critical Care, Residency in Internal Medicine, Medical School, Medical Degree, Fellowship - Pulmonary Disease and Critical Care Medicine, Fellowship 2, Residency - ID, Class of 1989, Medical degree, DO, Fellowship in Pulmonary Diseases) 36 years experience Unavail
Columbus 43215, COLUMBUS
Dr. Stephen  Hoffmann - Internal Medicine
Dr. Stephen Hoffmann Internal Medicine (Medical School) 33 years experience Ohio State Lung Care Martha Morehouse Outpatient Care
Fifth by Northwest, COLUMBUS
Dr. William M Chinn - Internal Medicine
Dr. William M Chinn Internal Medicine (Fellowship, Residency, Internship, Medical School, Fellowship - Pulmonary Disease and Critical Care Medicine, Residency in Internal Medicine, Internship-Internal Medicine, Class of 1969) 57 years experience Meridian Healthcare Pulmonary
Arena District, COLUMBUS