Chronic Bronchitis 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."

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?

Routine lungs test

Hello! I am planning to get some tests done for lungs. Apart from X-ray, should I go for just PFT or Spirometry as well? This will be a routine checkup. I do get shortness of breath from time to time. Thanks

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.

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