Birt Hogg Dube Syndrome Treatment

Health Q&A
I have cronic pain last 8 years...

. I have had bilateral lower costal margin (lower rib margin) pain, flank pain  for about 8 years           . Pain pattern Pain starts within 1 second of sitting. Standing reduces the pain by about 90% within 10 seconds. Walking causes only 2–5% pain. Before getting out of bed in the morning, I have no pain. Lying down causes about 20% pain.                           The pain is spread across both lower rib margins, not one small point. The sensation is mainly pressure/tightness, not burning or stabbing. The pain is NOT affected by Deep breathing Coughing Sneezing Meals Leaning forward Hard vs. soft chair Pressing on the painful area Tests reported as normal CBC ESR CRP Vitamin D Vitamin B12 Urine tests Chest X-ray Abdominal ultrasound Thoracic (dorsal) spine MRI Upper GI endoscopy Musculoskeletal ultrasound of the anterior abdominal wall Chest wall MRI has been performed, and the report is expected today. Treatments tried..."I have just received my chest MRI report today."

Throad ache

Hello i suffered from tuberculosis past 2 years my course ended on September2025(the 2 time was due to recurrency and doctor negligence)after that i showed positive signs of growth then after i got soaked with rain water for a few days and started having fever of 102-3 after that with my right throat with ear is aching and tonsils swollen so I can't with no cough or ache in chest but ache in head if i forcefully cough to get rid of nasal mucus near my throat. Doctor recommended me Azithromycin but my fever kept increasing.My one eye is also aching heavily. I don't know what is this but I'm very afraid also i bathed with cold water this moonsoon after these all these is going on. My condition is worse i have a bitter taste mouth I'm afraid very much doctor please save me.

BIPAP machine recommendation

My father had pain in right leg and he was unable to move. We took him to doctor in hospital where the doctor asked to get him admitted as it can be a case stroke I don't know why We got him admitted on 1st july they did an MRI and said it is normal Now they said the oxygen level is dropping so they transferred him in MICU Now on 7th july they told us to buy or rent an BIpap machine along with an oxygen cylinder and to hire a caretaker Now i have some doubts Whether they got him admitted because the patient is a retired pensioner and everything is covered under insurance The hospital just started a caretaking service are they promoting it And how do i make sure whether a bipap machine is necessary or not because he had no breathing issues before getting admitted Please help me if anyone can

Query for Second Opinion

​Dec 2025–May 2026: Started with a long-lasting dry cough. All tests were completely normal: Chest X-ray, PFT (breathing test), FeNO (airway swelling test), and IgE (allergy blood test). ​June 5, 2026: Due to the ongoing cough and normal tests, the doctor gave a provisional diagnosis of Cough Variant Asthma and prescribed a Foracort 400 rotahaler twice daily. After June 5: Developed new, severe breathlessness and air hunger. This included a scary episode of sudden breathing struggle while sitting in my living room directly under the AC vent with the front door open. ​• Inhaler Response: Mixed. Sometimes Foracort significantly helps open my chest; other times it goes on its own ​• My Query: I am seeking a second opinion to confirm if this provisional diagnosis is correct, why my breathlessness started after June 5, and why the inhaler works only sometimes magically n sometimes slowly.

Cronic cough & Breathlessness

Hello dr . l have had cough and breathlessness for 6–7 years. Asthma is not confirmed, and asthma treatment has not helped much. PFT showed FEV1 41% and FEV1/FVC 57% (poor-quality report). I also have palpitations, body-wide pulsations, fatigue, joint pain, muscle pain, eye pain reddness and elevated ESR/CRP. Which specialist should I consult first?

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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