Patient's Query
Hi doctor,
I have had mild asthma with a cough for two weeks. I am a COVID-19 patient. Currently, I am taking Benzo 200 mg, Famotidine 20 mg, and Albuterol as needed. Please advise.
Thank you.
Hi,
Welcome to icliniq.com.
I understand your concern.
According to your statement, you are suffering from a cough that is dry in nature, and you are a COVID-19 (severe acute respiratory syndrome coronavirus 2) patient. You have a history of mild asthma and anxiety. Your treatment depends on the severity.
If Albuterol does not help you, you can take a Corticosteroid inhaler for cough. You should monitor your oxygen saturation rate by pulse oximetry. It will help to determine whether you need oxygen support or not.
As you are a COVID-19 patient, isolate from your family and friends for at least 14 days. Gargle your mouth with salt mixed with lukewarm water three to four times a day. Maintain a temperature chart strictly. Please provide a detailed history regarding your current symptoms.
I hope this addresses your concern.
Please provide comments and let me know if you have any more questions. I would be pleased to assist you further.
Thank you.
Patient's Query
Hi doctor,
Thank you for the excellent and detailed response.
I was in quarantine for 12 days. My COVID-19 recovery process was very slow. My fever went away after three weeks. But I had nagging congestion for five weeks. Finally, it got better. I started to have a dry cough two weeks ago, and it is not going away.
So my doctor prescribed Benzo 200 mg three times a day, along with Allegra for allergies and Pepcid 20 mg at night. I started taking this medication yesterday. For coughing, I started using NyQuil cough and Robitussin.
But both of them helped me. Now I am taking Albuterol every four hours for coughing. Do I need to use Albuterol even without having a cough?
I was diagnosed with mild asthma five years ago. Most of the time, I did not require inhalers. But after getting a COVID-19 infection, it is getting worse.
What can I do for my dry cough? I have a cough in the morning and evening. But I do not have a cough while sleeping. I checked my oxygen saturation every four hours, and I had a value of 98 percent.
Please help.
Thank you.
Hi,
Welcome back to icliniq.com.
As you suffer from a cough in the morning and evening, you can take an inhaler every six or eight hours twice daily. You can use Albuterol based on the severity. You are a patient with mild asthma.
But medication is not required for controlling asthma status in your life, except for COVID-19-positive patients. Dry cough is the primary symptom of COVID-19. Then it becomes intractable, causing breathlessness in patients.
Finally, the patient develops life-threatening atypical pneumonia. COVID-19 usually attacks the respiratory system first and then other systems. You need to take Albuterol to prevent the development of respiratory distress.
As your oxygen saturation is 98 percent, this is good news for your recovery from COVID-19. For cough and nasal congestion, you can take Montelukast with or without a Corticosteroid inhaler.
I hope this clarifies your concern.
Please feel free to reach out if you have any further questions.
Thank you.
Patient's Query
Hi doctor,
Thank you for your guidance.
I called an ambulance to my residence when I was having shortness of breath. When the ambulance came, they checked my oxygen level, and it was 100 percent. The rest of my vitals were normal.
I do not have a fever, but I have had a dry cough and nasal congestion. I do not know whether it was due to anxiety, as I was unable to breathe through my nose for 25 minutes. I used Albuterol before going to the ambulance, and it did not help me.
I decided to stay at home as I was afraid to go to the hospital. Still, I have nasal congestion and a mild dry cough. Albuterol worked for me in the short term.
What to do to improve my health? It has been 13 days now after having a positive result for COVID-19, and I have not noticed any major improvement in me. I do not know what to do. I have had nasal congestion for five weeks and coughing for two weeks. What can I do?
We appreciate your comments and use them to make patient care better.
Thank you.
Hi,
Welcome back to icliniq.com.
Thank you for your detailed feedback.
You can use Flonaspray twice daily for immediate relief from nasal congestion, and you can take Montelukast with Allegra. You seem to have post-viral asthenia. Fatigue or post-viral asthenia is very common when a person is infected with a major viral infection like COVID-19.
It may last for a few weeks to a few months. So you always have weakness and fatigue in the body, and it subsides with the passage of time. Albuterol is a short-acting bronchodilator, and it lasts for four hours. You can use a Seretide inhaler twice daily.
It is a combination of long-acting bronchodilator Salmeterol and Fluticasone. It will give you a long time of relief.
I hope this clarifies your concern.
Please feel free to reach out if you have any further questions.
Thank you.
Patient's Query
Hi doctor,
Thank you for your guidance.
I am going to see my doctor to extend my quarantine.
How long will it take for me to have a full recovery? Do I need to take a chest X-ray for my dry cough? The technician in the ambulance heard a clear sound in my lungs, and they told me that I do not require hospitalization. Please help.
Thank you.
Hi,
Welcome back to icliniq.com.
I can understand your concern.
Continue taking medications along with your current medications. You need to do a chest X-ray to detect the respiratory abnormalities. I think that you will recover fully within 15 to 30 days.
I hope this clarifies your concern.
Please feel free to reach out if you have any further questions.
Thank you.
Patient's Query
Hi doctor,
Thank you for helping me.
Hi,
Welcome back to iclniq.com.
I can understand your concern.
You do not need to admit yourself to the hospital as you do not have a fever and, importantly, your oxygen saturation is 98 percent. Your weakness and cough will subside soon.
I hope this clarifies your concern.
Please feel free to reach out if you have any further questions.
Thank you.
Patient's Query
Hi doctor,
Thank you for your guidance.
I was prescribed Symbicort 160/45. It should be used in the morning with one puff. I decided to use it today. I used it without priming. Can I have any negative impact on my body for using it without priming? Please help.
Thank you.
Hi,
Welcome back to icliniq.com.
I can understand your concern.
Symbicort 160/4.5 (Budesonide and Formoterol dihydrate) is a combination of a steroid and a long-acting bronchodilator. It is used to prevent bronchospasm in asthma patients. But you need to gargle after using it, as it can cause oral thrush later on.
I hope this clarifies your concern.
Please feel free to reach out if you have any further questions.
Thank you.
Patient's Query
Hi doctor,
Thank you for your guidance.
I used it without priming it. Will it have any negative impact on my lungs?
Please help.
Thank you.
Hi,
Welcome back to icliniq.com.
I can understand your concern.
Priming means the first time. Using a new inhaler will help you prevent bronchospasm and control your cough within a short time.
I hope this clarifies your concern.
Please feel free to reach out if you have any further questions.
Thank you.
Patient's Query
Hi doctor,
Thank you for your guidance.
For using it for the first time, it is necessary to shake it and spray it (priming). I did not do it. I used it without priming it. I used it as soon as I opened it.
Please help.
Thank you.
Hi,
Welcome back to icliniq.com.
I can understand your concern.
You should shake the canister to mix the solutions well, so you get a proper dosage of the solutions. As you have not shaken it for the first time, it is fine. For the next time, you should shake well before using and gargle after using it to prevent the development of oral thrush.
I hope this clarifies your concern.
Please feel free to reach out if you have any further questions.
Thank you.
Patient's Query
Hi doctor,
Thank you for helping me a lot.
Hi,
Welcome back to icliniq.com.
You are always welcome. Have a follow-up at any time.
Thank you.
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Answered byDr. Muhammad Zubayer Alam
Medically reviewed byDr. Sneha Kannan
Same symptoms don't mean you have the same problem. Consult a doctor now!
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