Does my pharynx work?

Could you be developing a touch of asthma? I'm sure, since you are under treatment for CF, that the issue has come up before. Hey, the docs are working for you; nothing wrong with raising the issue again. And if you do have a relaxed soft palate, there are two options: sleeping with an assistive device ( positive air pressure device) - and if that does not prove satisfactory, surgery. I happen to be awaiting evaluation by the Veteran's Administration health center in my community for just that surgical option. Good luck.

I am with muslim doctor on the ginger, by god's will it will help. However I would like to make an addition, which I heard. That the ginger treatment is a lot more effective if it is drank cold.

How to make a cold tea out of ginger?

It would have to be soaked overnight for 12 hours. Note: a tea made this way should not be kept for more than 2-3 days or as soon as the taste changes. Also keep the vessel where you store the tea covered.

May God cure you.

Don't guess at any symptoms. See your doctor to evaluate your condition.

hello,sorry for ur hard times,hope ur health gets better soon:

i have few questions:how old r u?

1-is ur cough dry or productive?

2- how frequent is it?

what increases the cough and what decreases it?

is it persistant? whats its severity?

are you smoker?alcoholic/?any drug abuse?

do u have any STD?

Cystic fibrosis (CF) is a rare genetic disease. It causes the body to produce a thick, sticky mucus that clogs the lungs, leading

to infection, and blocks the pancreas, stopping digestive enzymes from reaching the intestines where they are required to digest food. (Source: Genes and Disease by the National Center for Biotechnology)

it produces:

Thick sticky mucus - particularly in airways and inside the digestive tract

Respiratory symptoms - from airway damage and infections due to sticky mucus

Coughing

Productive cough with thick mucus

Recurrent respiratory infections

Respiratory symptoms reflect obstructive changes in the lungs: wheezy respirations; a dry, nonproductive paroxysmal cough; dyspnea; and tachypnea. These changes stem from thick, tenacious secretions in the bronchioles and alveoli and eventually lead to severe atelectasis and emphysema.

whats more important then your symptoms that u should really take care of is:Sweat gland dysfunction is the most consistent abnormality. Increased concentrations of sodium and chloride in the sweat lead to hyponatremia and hypochloremia and can eventually induce fatal shock and arrhythmias, especially in hot weather.

now i dont want u 2 worry ,i will tell u what 2 do so as not to suffer from this disease again:

CT scanning of sinuses (axial and coronal views without contrast)

More than 90% of patients with CF exhibit radiographic evidence of chronic sinusitis as evidenced by opacification, medial displacement of the lateral nasal wall in the middle meatus, and uncinate process demineralization (April, 1993).

Transantral maxillary sinus aspirates of 20 patients with CF showed that organisms most commonly cultured were Pseudomonas species (65%), nontypeable Haemophilus influenzae (50%), alpha-hemolytic streptococci (25%), and anaerobes such as Peptostreptococcus and Bacteroides species (25%). Organisms found in patients with CF were sensitive to the same antibiotics used for patients without CF, except for the Pseudomonas species (Shapiro, 1982).

Attempt aggressive medical management prior to surgical intervention. Patients may report chronic purulent nasal discharge or cough, but initiate therapy whenever they experience a subjective increase in nasal obstruction, cough, or drainage. Oral antibiotics effective against Pseudomonas species and staphylococci, coupled with aggressive nasal toilet, may improve symptoms.

To combat electrolyte losses in sweat, salt foods generously and, in hot weather, administer sodium supplements.

Management of pulmonary dysfunction includes :

Nasal toilet

Because mucociliary clearance is chronically impaired, irrigations are critical and should be a daily routine as patients begin to develop sinonasal symptoms. Nasal saline irrigations serve to decrease bacterial colonization, wash away inspissated secretions that lead to obstruction, and temporarily aid in ameliorating vasoconstriction. Irrigation is also required after any surgical intervention because surgery enlarges sinus ostia but does not address underlying defects in mucociliary clearance.

Some authors advocate irrigations with antipseudomonal antibiotics such as tobramycin, and these anecdotally appear effective in decreasing bacterial colonization (Lewiston, 1991).

chest physiotherapy, postural drainage, and breathing exercises several times daily to aid removal of secretions from lungs. Antihistamines are contraindicated because they have a drying effect on mucous membranes, making expectoration of mucus difficult or impossible. Aerosol therapy includes intermittent nebulizer treatments before postural drainage to loosen secretions.

Dornase alfa or DNase (recombinant human deoxyribonuclease), genetically engineered pulmonary enzymes given by aerosol nebulizer, helps thin airway mucus, improving lung function and reducing the risk of pulmonary infection.

Treatment of pulmonary infection requires:

❑ broad-spectrum antimicrobials

❑ oxygen therapy as needed

❑ loosening and removal of mucopurulent secretions, using an intermittent nebulizer and postural drainage to relieve obstruction. Use of a mist tent is controversial because mist particles may become trapped in the esophagus and stomach and never even reach the lungs.

Initiate surgical therapy if medical therapy is ineffective

Lung transplantation may be considered in some cases. Genetic research is ongoing, with researchers hoping to cure cystic fibrosis by artificially inserting a “healthy” gene into a person through gene therapy. The gene would be inserted by using an intranasal form.

The Cystic Fibrosis Foundation can provide educational and support services.

females may become pregnant (due to increased life expectancies). As a result, more cystic fibrosis patients are now facing difficult reproductive decisions. u may need genetic counseling if u 're considering having children.

Research indicates that the genetic defect responsible for cystic fibrosis has also been identified in individuals experiencing some forms of unexplained pancreatitis.

i have read your profile and i wish u the best of luck in ur career,

lastly our prophet mohamed pbuh advised us to use ginger for any chest or respiratory symptoms please try it ,im sure it will help u i tried it with my patients alreadt with excellent results,put half smal tea spoon of ginger on a boiling water in a 200 cc glass,

i will pray for you that u get cured soon,

if u had further questions im at ur service any times.

urs dr mhmd riad

see your gp.