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Dr Hayat
Dr Hayat, Specialty Dr Internal and Critical Care Medicine
Category: Medical
Satisfied Customers: 236
Experience:  Expert
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I am really worried about lung scarring since my covid

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Hi. I am really worried about lung scarring since my covid pneumonia and how i am recovering. Can i discuss this please and ask your opinon

Hi ...Dr Hayat here..May I know your age and gender plz

Customer: replied 8 days ago.
Hi. Female and 46

Ok. . When did you have this covid?

Customer: replied 8 days ago.
6 september. I was in hospital 10 days. I was in initially for three. My sats held up even tho i had really bad cracking ( like frying onions noise from my mouth )
Customer: replied 8 days ago.
Then i was readmitted 2 am following morning
Customer: replied 8 days ago.
I was on oxygen for 6 days. Starting level 4.5

Ok. How are you now ?

Customer: replied 8 days ago.
Not the best. I had ten days of dexemesazone and amox. And two weeks after i felt my right lung get heavy
Customer: replied 8 days ago.
i am on mid course of Amox
Customer: replied 8 days ago.
Again.
Customer: replied 8 days ago.
I have more energy. But my lung is not feeling good. Its slightly wheezy

Ok. What are your symptoms now

Customer: replied 8 days ago.
feels like a cloth round it
Customer: replied 8 days ago.
Feels harder to breathe out. A slight wheeze on breatheout.
And like a cloth round my right lung on breathe in p

Ok. Any difficulty in exertion or climbing stairs or walking in terms of shortness of breath ?

Customer: replied 8 days ago.
Stairs arent too bad a bit out of breath after 23 steps up at normal pace.
Walking is hard outside as my lung feels clothySats are 96-98

Any fever? Sputum production?

Customer: replied 8 days ago.
There is no fever. Had sputum until a day or two ago. Lot less now. I can only talk for 15 mins and i lose my voice
Customer: replied 8 days ago.
My temp is 36 c

Ok. Did you have any scans ? Like ct scan of your chest

Customer: replied 8 days ago.
Yea i did

Have you got the report or films ?

Customer: replied 8 days ago.
They said widespread pneumonia. No clotting. That was day 5 in hospital i think
Customer: replied 8 days ago.
No. Sadly
Customer: replied 8 days ago.
Im so scared as im a drummer and a singer to profession
Customer: replied 8 days ago.
I am also burpy as well

Ok. At the moment your lungs are in the process of healing...You need a referral from your GP to the respiratory physician specifically for anti fibrosis therapy...mainly steroids for an extended duration..and there are some other drugs too that can be considered here...esp keeping in view your profession..

Customer: replied 8 days ago.
Yeah. I hope my doc does it. She said she would listen to my lungs on Monday. And then decide if i need an xray.
Customer: replied 8 days ago.
Can you help in any way. Im in Scotland. What steroid do i need etc
Customer: replied 8 days ago.
I wasnt vaccinated. Which is a nightmare. So i am very worried

You will need prednisone but that needs a prescription..but before that you need to get a few blood tests and possibly a repeat ct scan too

Customer: replied 8 days ago.
Ok. I got a blood test last week. All clear apart from crp is 40
Customer: replied 8 days ago.
really is a small wheeze and breathlessness on exertion bad at my stage ? Is so odd its more one lung

Will have to see. Unfortunately it's difficult to say without me having physically seen you

Customer: replied 8 days ago.
I know. I understand. What are the chances of this being scarring ? With my age etc and what happened ?
Customer: replied 8 days ago.
Sadly i am obese.
Customer: replied 8 days ago.
Are there any symptoms for me to monitor to suggest scarring ?

Well it will need a CT ..can't be picked up without that I fear ..

So to summarise,  I would go to the GP and request a referral to the respiratory physician and a CT SCAN..then take it from there..

Customer: replied 8 days ago.
Oh gosh ok so an xray is no use ? That is what my gp was planning.
Customer: replied 8 days ago.
Ok
Customer: replied 8 days ago.
Thank you. For your help.

Xray us too crude in picking up subtle things..

Customer: replied 8 days ago.
Ok. I will ask for a CT i hope she agrees.

Is there anything else you need to ask ? As have to go to work tomorrow :)

Customer: replied 8 days ago.
Oh gosh no that is fine. Sorry :) Thank you.

Pleasure.  Feel free to contact if you have any further queries or need to follow up..Best wishes

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