Suggest treatment for asthma and chest thightness
Patient: Hi. My 15 year old has asthma. She is experiencing tightness in her chest, rising fever, and a cough with yellow phlegm. It started today. Should we treat her at home or wait until tomorrow to see if she improves? Didn t realize there was a charge for a response. Never mind. I will follow my instincts. Doctor: Hello,Thank you for asking at HCM.I went through your daughter's history and would like to make suggestions for her as follows:1. As she has fever and yellow phlegm, I would suggest her to start antibiotics like amoxycillin or azithromycin.2. As she is a known asthmatic and has experiencing tightness in chest, I would suggest her to use salbutamol inhaler as rescue inhaler, which will provide her relief.However, if her chest tightness or breathlessness does not improve with rescue inhaler, I would suggest you to get examined by a doctor immediately.3. Please continue regular medications for asthma, if any.4. If she has breathlessness any time, please contact your doctor immediately. Also, contact your doctor immediately if - fever does not respond to paracetamol, very high fever/rising fever, any another new symptom develops, etc.5. For relief of fever, I would suggest her to take paracetamol if temperature is more than 101 F.6. If she has additional nose symptoms like running nose, sneezing, nose congestion, etc, I would add levocetirizine + montelukast to above treatment.7. Please give her rest. Make sure she takes adequate amounts of liquids during day to maintain hydration.8. Please avoid exposure to dusts, smokes and air pollution as much as possible for her.Hope above suggestions will be helpful to her.Should you have any further query, please feel free to ask at HCM.Wish your daughter a very good recovery and best of the health ahead.Thank you & Regards.