Culture Fungus Questions

Hi, doctors. I really need your help with something. So my boyfriend he is 23m now. He is on paroxetine 50 mg, melatonin 10 mg and propranolol 40 for anxiety. For past 1.5 -2 years he keeps developing this very severe pneumonia episodes constantly. He would get a mild cold. He'll take montelukast, levocetirizine and it'll be almost unnoticeable. Just a runny nose sometimes, you know the kind you get if you have a dust allergy or and a sneeze here and there. But then within a few weeks he'll suddenly develop phlegm in chest, severe coughing and severe shortness of breath. And then he'll require antibiotic treatments. Most of the times 2 of them together and cough syrup, bronchodialaters and what not. The frequency of this is concerns me. The last was in june last week I suppose. He then again developed this today. Like a month probably goes by and he gets these. I am just so worried. Like could there be something wrong with him! why does he keep getting those! all the time. A lot of the times there even have no clear triggers. This time he got wet in the rain though. I don't know what to do and i'm worried out of my mind. Any advice is appreciated. P.s he has no other illness that I can think of. Although the gp was a bit concerned about his neutrophil count in june. Then he repeated the test and the value was 43. Then gp said it's all ok in that case. Not any smoking drinking or any other substance is done.

MD - Pulmonary Medicine, MBBS, DNB ( Pulmonary Medicine), Fellowship in Pulmonary and critical Care Medicine, Certificate in Interventional Bronchoscopy and Thoracoscopy
Pulmonologist, Thane
Hi, doctors. I really need your help with something. So my boyfriend he is 23m now. He is on paroxetine 50 mg, melato...
Do a pft spirometry pre and post mdi test proove that is small airway disease or bronchial asthma treat accordingly with nebulisations and mdi l pump and medications for the same.
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I have a 2 year old son who has pneumonia and was prescribed cotrimoxazole syrup and kofgon syrup, are these ok for the treatment.

MD - Pulmonary Medicine, MBBS, DNB ( Pulmonary Medicine), Fellowship in Pulmonary and critical Care Medicine, Certificate in Interventional Bronchoscopy and Thoracoscopy
Pulmonologist, Thane
I have a 2 year old son who has pneumonia and was prescribed cotrimoxazole syrup and kofgon syrup, are these ok for t...
First ascertain the cause of the pneumonia usually the pediatrician will go for sputum or gastric lavage if these are inconclusive or negative results then on has to anyhow involve a chest physician/ pulmonologist to perform pediatric bronchoscopy which apparently I do. The bronchio alveolar lavage or washings will give good positive results in terms of finding out the bacteria causing pneumonia and one can give antibiotics accordingly for pneumonia. Correct evidence based medicine which requires only 15 to 30 mins to perform and produce results in a day.
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4 years old child who had pneumonia sep 2022 having monthly infection and fever at for past 8 months. What could be the cause of the frequent infection. Chest clear, and immune system ok.

MBBS, Basic Life Support (B.L.S), Advanced Cardiac Life Support, Fellow of Academy of General Education (FAGE)
General Physician, Delhi
4 years old child who had pneumonia sep 2022 having monthly infection and fever at for past 8 months. What could be t...
I am sorry to hear about your concern but will be happy to assist you. A recurring fever is one of the main symptom of a group of diseases called periodic fever syndrome. Let's connect over a call so that we can discuss your concern in details and make a treatment plan for you.
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I have constant cough since 1 month it is not getting treated and detected community pneumonia in reports help me in treatment.

MBBS, Basic Life Support (B.L.S), Advanced Cardiac Life Support, Fellow of Academy of General Education (FAGE)
General Physician, Delhi
I am sorry to hear about your concern but will be happy to assist you. A chronic cough is when a cough lasts longer than 8 weeks in adults or 4 weeks in children. Common causes include asthma, allergies, gastroesophageal reflux disease (gerd), or bronchitis. Less commonly, it can be a sign of a more severe condition, such as a heart cough or lung disease. Let's connect over a call so that we can discuss your concern in details and make a suitable treatment plan for you.
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For how long should azithromycin be taken for pneumonia? And what should be the dose for someone with 80 kgs of body weight?

MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Pulmonary Medicine, DNB(Respiratory diseases), MRCP (UK)
Pulmonologist, Delhi
For how long should azithromycin be taken for pneumonia? And what should be the dose for someone with 80 kgs of body ...
Azithromycin should be taken for only 5 days according to guidelines for pneumonia however in certain other respiratory conditions the dose can be extended 500 mg once daily is a sufficient dose.
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Hi my father is admitted in hospital due to severe covid pneumonia for more than 20 days his saturation was nor normal when admitted with lot of chest infection was on artificial oxygen since these all days he is okay now he will be discharged in few days I wanted to know what precautions in future we should take and is air purifier or humidifier a good option to buy will it help him getting his lungs cured up from current infection or they are just for attracting ppl? Thanks.

MBBS, Basic Life Support (B.L.S), Advanced Cardiac Life Support, Fellow of Academy of General Education (FAGE)
General Physician, Delhi
Hi my father is admitted in hospital due to severe covid pneumonia for more than 20 days his saturation was nor norma...
I am sorry to hear about your concern but will be happy to assist you. An air purifier will clear the air of common allergens in your home, which will reduce potential triggers so that you can breathe easy. Literally. A humidifier, on the other hand, can help to reduce or eliminate allergy symptoms including congestion, sore throat, watery eyes, sinus pain, and inflammation. Let's connect over a call so that we can discuss your concern in details and make a suitable treatment plan for you.
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My mother has recovered from covid-19 (was admitted to icu with bilateral pneumonia & breathing difficulties) about 3 months back. & she is in prediabetes range. If she is infected with covid-19 again, would the infection be mild, moderate or severe, this time around?

MBBS, Basic Life Support (B.L.S), Advanced Cardiac Life Support, Fellow of Academy of General Education (FAGE)
General Physician, Delhi
My mother has recovered from covid-19 (was admitted to icu with bilateral pneumonia & breathing difficulties) about 3...
I am sorry to hear about your concern but will be happy to assist you. Most people infected with the covid-19 virus will experience mild to moderate respiratory illness and recover without requiring special treatment. Older people, and those with underlying medical problems like cardiovascular disease, diabetes, chronic respiratory disease, and cancer are more likely to develop serious illness. Let's connect over a call so that we can discuss your concern in details and make a suitable treatment plan for you.
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I'm 40 year female I recovered from covid on 14 day my crp was 1.34 on day 28 her crp values were positive dilution 1: 8 titre 2.4 mg/dl can pls tell what is this she had mild pneumonia on day 4 with ct severe score 4/25.

MBBS, Basic Life Support (B.L.S), Advanced Cardiac Life Support, Fellow of Academy of General Education (FAGE)
General Physician, Delhi
I'm 40 year female I recovered from covid on 14 day my crp was 1.34 on day 28 her crp values were positive dilution 1...
I am sorry to hear about your concern but will be happy to assist you. Crp levels of 1 mg per liter or lower are considered low risk for cardiovascular disease. Crp levels of 1-3 mg per liter are considered moderate risk for cardiovascular disease. Crp levels greater than 3 mg per liter are considered high risk for cardiovascular disease. Let's connect over a call so that we can discuss your concern in details and make a suitable treatment plan for you.
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What is the investigation for aspergillosis complaint? I have been using medication and doing aspergillus antibody igg investigation for the last few months. What is the difference between aspergillus igg, ige and igm regarding aspergillosis? Which of these is better to assess the present condition? Thanks in advance.

MBBS
General Physician, Delhi
Aspergillosis antibodies that you are taking about, are indicative of acute (igm) chronic (igg) and allergies (ige. Clinical correlations and other investigations are needed. Fungal culture is the best to diagnose it. Can consult me on Lybrate for proper understanding.
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