Recently Answered Questions
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Please suggest the latest treatment for non-specific interstitial pneumonia.
Query: Hi doctor, For the past five years, I have been suffering from non-specific interstitial pneumonia. Initially, I used Deltacortril and Imuran for a year and then till now I am only using Imuran two tablets in the morning and one in the evening. While going to sleep, I use 0.26 gal/min oxygen. I do l... Read Full »
Dr. Amol Kumar Wasudeorao Diwan
Answer: Hello, Welcome to icliniq.com. NSIP, non-specific interstitial pneumonia is a chronic disease of interstitial pneumonia. The treatment of disease runs long term. If you stop the treatment early, there is more chance of relapse and the disease will not be controlled with the same medicines. Coming t... Read Full »
What is the treatment for inhaling drywall dust?
Query: Hello doctor, I have a question in regards to pulmonology and exposure to crystalline silica. I have done a ton of research on the internet regarding this subject and probably know as much as anyone can know based solely on internet information. So I am hoping someone with a more advanced knowledge ... Read Full »
Dr. Amol Kumar Wasudeorao Diwan
Answer: Hello, Welcome to icliniq.com. I have surfed your links and understood your problem in detail. (attachments removed to protect patient identity) After silica exposure you are suffering from what is called as acute silicosis. Acute silicosis results from short term exposure to very large amo... Read Full »
Is it advisable for a COPD patient to fly?
Query: Hello doctor, This is regarding my father, 77 years old, is a patient of COPD. He is an ex-smoker for almost 40 years and has been suffering from a shortening of breath for the last few years but his situation got worse in the last year. He was prescribed with home Oxygen machine for at least 10-... Read Full »
Dr. Amol Kumar Wasudeorao Diwan
Answer: Hello, Welcome to icliniq.com. Thanks for writing your query to me. I can understand your concern about your father. I have seen all the reports attached herewith (attachment removed to protect patient identity). Considering his general condition now, your concern of air travel is very important t... Read Full »
What support should be given before onset of hypercapnia in a TB patient?
Query: Hello doctor, I have tuberculosis (TB) disease, type1 respiratory failure. Oxygen was given, oxygenation improves but falls to LVL on presentation. What support should be given before the onset of hypercapnia? I have dry cough for two weeks, blood in sputum, fever, sweating and weight loss. Read Full »
Dr. Amol Kumar Wasudeorao Diwan
Answer: Hello, Welcome to icliniq.com. As you said, the patient has tuberculosis (TB), hypoxia is more common which leads to type 1 respiratory failure. So only supplemental oxygen is not enough. We should start noninvasive ventilation as early as possible before hypercarbia sets in. So the possible option... Read Full »
How to manage bilateral pneumothorax and mediastinal emphysema?
Query: Hi doctor, I am looking for a specialist opinion. My wife is diagnosed with pulmonary fibrosis. She has a small rim of pneumothoraces bilaterally with subcutaneous disease and mediastinal emphysema. I am attaching her reports. Kindly suggest a treatment to manage the condition. Read Full »
Dr. Amol Kumar Wasudeorao Diwan
Answer: Hi, Welcome to icliniq.com. I have gone through the CT scan reports and images (attachment removed to protect patient identity). It seems to be a long-standing problem and it progresses fast. You have not mentioned the chief complaints of the patient and previous treatment details. According to th... Read Full »
Is it necessary to check oxygen saturation in a dyspnea patient?
Query: Hello doctor, Is it necessary to check oxygen saturation if the patient is on oxygen for shortness of breath? Read Full »
Dr. Amol Kumar Wasudeorao Diwan
Answer: Hello, Welcome to icliniq.com. As you said that patient needs oxygen for shortness of breath, it is absolutely not required to measure the oxygen saturation all the time. But, if dyspnea (shortness of breath) is due to COPD (Chronic Obstructive Pulmonary Disease) that is due to excessive smoking,... Read Full »