Dr. Srinivasa Kumar Ravipati

Hi, As the breathing problem is long term needs proper evaluation and treatment plan. It appears like asthma though the more detailed history and lung function tests with reversibility will give more insight. If it's proven asthma would need appropriate inhalers. The current available inhalers does not have any significant side effects usually. Please see the good pulmonologist in your vicinity or send these the test reports so that I can advise. Needs Blood tests CBP, AEC and PFT.

Recurrent cough usually signifies either Allergy with bronchospasm (Asthma) or chronic infections. Would need blood tests CBP, ESR, AEC, CHEST XRAY, Sputum for Gm stain and AAFB if he is bringing up phlegm. Might need lung function test if above normal.

Hai Mr. lybrate-user, Its better to visit your physician. Need to exclude heart related issues. Many other possibilities from simple muscular, shoulder joint and neck related problems to gastritis. We should first exclude hear related issues.

Dear lybrate-user, Most common causes of dry cough are Allergy, problems related to nose, gastric acidity and mild asthma. It's very difficult to say which is the cause unless we have some more information like associated symptoms.

Dear Mr. lybrate-user, It's always better to check about Allergy status. It may not be water unless you are drinking chilled water. Most of the times its coincidental. Next time try bottled water as they are processed and standardised, you are not supposed to get these symptoms. If you still got those them the problem lies somewhere my guess is mostly with the dust exposure during the travel or the air conditioning system.

Hai, The best treatment modality for sleep apnoea is CPAP. CPAP will help to reduce the smoking. Needs basic sleep studies to. Prove the diagnosis and to titrate the adequate pressures. Initially it causes discomfort but within a short time the body adapts to CPAP and sleep quality improved significantly. It will also helps to reduce the pressure on heart and lungs in long term. The other important aspect is loosing weight is not as hard as people believe all we need to do is some changes to diet and slowly increases activities. The consistency is important than intensity of the exercises.

There are quite a few causes for bad breath. We need to look for any dental infections and food impaction. The inflammation from the back of throat with sinusitis or allergic rhinitis can cause bad breath. Occasionally severe gastritis could cause bad breath. First check with dentist if oral hygiene is good, visit pulmonologist. Can be cured depending on the cause. Meanwhile brush twice use dental floss if any food impaction. Mouth gargling with warm water will help soothing throat.