Brief Answer:
COPD and Pneumonia are possibilities
Detailed Answer:
Hello,
I admire your worry on this respect. You are aged (83 years) and in this age group it is very usual to have chest disorders especially Chronic Obstructive Pulmonary Disorder (COPD). Cough which is not getting relieved is very much indicative of COPD. I want to know the following points specially -
1. Are you a smoker?
2. Is there expectoration with cough and if yes then what is its colour?
3. Is there any pedal swelling?
4. Is there any breathlessness?
Crepitations may be due to pneumonia or
heart failure. For pneumonia you have more chance to have community acquired pneumonia for which you need to take
Co-amoxiclav (625 mg TDS for 5 days) along with
clarithromycin or
azithromycin which you are taking right now.
You need to
consult a pulmonologist (chest specialist) immediately and get examined by him and kindly go through the following suggested tests for better evaluation of your lung condition to get an answer of your problem -
1. Chest X-ray (PA view)
2.
Spirometry with bronchodialation (Pulmonary Function Test)
3. ECG in 12 leads
4.
Hemoglobin, total count, differential count, ESR
5. Fasting Blood sugar, Urea, Creatinine
After these report being done You can consult me with reports.
God bless you. Get well soon.
Regards
Dr Arnab Maji