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الدكتور احمد ابو ضاحي

الدكتور احمد ابو ضاحي

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الأسئلة المجابة 13361 | نسبة الرضا 98%

Doctor

I was diagnosed before with chronic sensitivity of...

تم تقييم هذه الإجابة:
I was diagnosed before with chronic sensitivity of the sinuses with a deviation in the right nasal septum and hypertrophy of the nasal corneas, as my symptoms have been for four years I postponed a period of a year and a half for the daily use of trophin in the nose to feel comfortable until it was addictive and when I repeated the visits of specialist doctors they prevented me from it and I stopped now for two weeks About atrofen for the nose, and I use cortisone nasal sprays and allergy pills, and since I suffer from increased nasal congestion with frequent sneezing and nosebleeds with phlegm from the throat I have been suffering for the past six months from a slight shortness of breath and it increases during intermittent speech during the day and when anger increases and when thinking about it increases and if I get busy with strong work I forget these symptoms and quickly return after that and blockage of the right nose throughout the day and increases when sleeping Nahjan while climbing the stairs is three weeks old now I went to the cardiologist and he diagnosed me with a slight increase in heart rate and he gave me a pacemaker and an echocardiogram was done and the doctor told me that it was normal. The result of the cbc tests was an increase in white blood cells by 17,000, and the normal limit was no more than 11,000, according to the hospital laboratory. Got the seasonal flu vaccination Another antibiotic was given to me, clarithromycin clacid 500, two tablets once a day and the symptoms are still present, shortness of breath with nasal congestion and shortness of breath with slight chest pain and it comes at intermittent periods of the day with phlegm I feel from the throat and not from the chest and now I am confused by the chest doctor says Your X-ray is fine, just bronchitis simple smoker lung See an ear, nose and throat doctor, the best for you Since I had done a fat test and it was relatively high and I took medicine for it And the salts are high uric acid 9 and the normal to 4 and I took medicine for it a week ago, the analysis was and a diagnosis of GERD was previously made using barium technology and x-rays, and the result is normal. The size of the chest x-ray is normal and not enlarged, according to the statement of the cardiologist and chest physician I am confused and want the correct diagnosis Are these asthma symptoms with sinus symptoms or not?!? What doctor did you go to for treatment?! Medical history: Depression with anxiety, chronic stress, fear of the future, and irritable bowel And he took medicine for him: Remeron 15 mg for sleep digmatel sulpride 50 mg per day for colon Height 169 cm Weight 116 kg Cause of weight gain: psychotropic drugs smoker / binge There is no family history of asthma Knowing and I do not hide from you that I suffer from fear of disease because of my father’s suffering from pulmonary fibrosis until he died of it in front of my eyes. important note : I read on a medical website that using atrofin for a long time in the nose causes shortness of breath as an advanced symptom of the long period of use, and I don't know how true that is?!!
Doctor's Assistant: Have you seen a doctor about this yet? What medications are you taking?
Yes
Doctor's Assistant: Anything else in your medical history you think the doctor should know?
No

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إجابة الخبير: الدكتور احمد ابو ضاحي

الدكتور احمد ابو ضاحي

الدكتور احمد ابو ضاحي

طبيب

الأسئلة المجابة 13361 | نسبة الرضا 98%

treatment
First of all, after reviewing the analyzes and symptoms, we can exclude any heart disease, and it is preferable to perform a CT scan of the lungs to rule out the presence of any pulmonary pathological causes.
And now you often have some respiratory infections, so it is preferable to take a course of antibiotic clarithromycin 500 mg once a day for three days again, with the need to strengthen immunity by paying attention to the diet and a lot of vegetables and fruits, especially those containing vitamin C
The reason in your case is also a psychological reason, so it is necessary to deal with the psychological causes by playing sports daily for an hour in addition to drinking a lot of water with the need to strengthen immunity by taking a multi-vitamin pill daily with the need to stop taking medicines such as trophin, as trophin has long-term symptoms such as High blood pressure and the effect on the respiratory system, such as shortness of breath, as it is forbidden to take it in people with a crisis, in addition to its impact on kidney function (and we recommend not to use it in your case)
Diagnosis
In fact, it is necessary to take a medical history and know your psychological causes, because such diseases reduce immunity, in addition to the need to visit a respiratory specialist and make sure the lungs are safe with a CT scan and follow up with a psychiatrist to rule out both organic and psychological diseases
Possible reasons
  1. Depression
  2.    medication like Ibuprofen
  3. psychological stress
  4. HIV
  5. Respiratory infections
  6. immune diseases
  7. and others
 Advice :
  1. In the event of any emergency, we recommend visiting the nearest health center to conduct a medical examination and conduct the appropriate treatment, in addition to referring to a psychiatrist

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الدكتور احمد ابو ضاحي

الدكتور احمد ابو ضاحي

طبيب

الأسئلة المجابة 13361 | نسبة الرضا 98%

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