### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I have cvid and have been on IvIG for a little over four years i frequently run a temperature as well as constant nausea and diarrhea at least 1 migrain a week most recently I have experienced chest pain I don t think this is a heart attackand lower back pain lightheadedness and some difficulty breathing

### output:

Treatment for CVID-1)IG may be administered intravenously or subcutaneously. Solutions of 3-12% intravenous immunoglobulin (IVG) can be used on a regular basis to maintain a trough level of 400-500 mg/DL in adults. A dose of 400-600 mg/kg every 2-4 weeks is usually required. In patients with structural lung damage, a trough level of 700-800 mg/DL is required.2)Cyclosporin A has been successfully used in patients with AVID and lymphoid interstitial pneumonitis. The administration of anti-CD20 monoclonal antibody has been used to treat autoimmune thrombocytopenia and neutropenia.3)Antimicrobial therapy should be initiated at the first sign of infection. A narrow spectrum of Chat Doctor.  The prophylactic use of antibiotics should be avoided because of an increased risk of infection with fungi or other resistant organisms. Specific therapy is often necessary to target the organ system involved. For instance, patients with chronic lung disease often develop airway obstructive disease that requires treatment with inhaled corticosteroids and other asthma medications4)Surgery is required to treat the complications of common variable immunodeficiency (AVID). Chronic sinusitis may require endoscopic sinus surgery. Severe autoimmune thrombocytopenia or hemolytic anemia can be treated with splenectomy. Biopsy should be considered to exclude infection or malignancy in enlarging lymph nodes. If you have any doubts let me know. Thanks