Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
137 Doctors are Online

What causes coughing at night?

User rating for this question
Excellent
Answered by

Internal Medicine Specialist
Practicing since : 1980
Answered : 1357 Questions
Question
My husband is 54 a heavy smoker an coughs daily ,nighly,an early mornings,its a loud heavy cough.Has had blood tests all clear,he on high blood pressure tablets an takes Ventalin an seretide but not working,sleeps for up tp 2hrs a day wen not working,breatheless,suppose to have chest xray but didn't go.
Posted Fri, 28 Mar 2014 in General Health
 
 
Answered by Dr. Rakesh Karanwal 1 hour later
Brief Answer: He needs hospitalization, urgent tests+treatment Detailed Answer: Hi Mrs. XXXXXXX Thanks for your query. I fully understand your concerns for your husband. Summarizing your husband's case : he is a chronic smoker and drinker, known hypertensive and asthmatic, now having persistent cough with breathlessness on minimal exertion and not responding to anti-asthmatic drugs. These symptoms are suggestive of the following possibilities:- 1. Chronic Obstructive Pulmonary Disease (COPD) with possible Right heart failure (condition is called Cor Pulmonale). It is possible that symptoms have aggravated following a viral/bacterial chest infection. The problem has been compounded by reduced immunity of the body due to chronic heavy alcohol intake. See his tongue and fingers/nails if they have turned blue, which denotes respiratory distress and an emergency. 2. Onset of coronary artery disease, in the background of chronic smoking, hypertension, high cholesterol, chronic heavy alcohol consumption and underlying lung functions' compromise. He needs an urgent tests including, Chest X-ray (for evidence of infection and lungs' status), an ECG + 2-D Echo (for evidence of right-sided heart compromise), Pulmonary Function Test, blood gas analysis and, Sputum examination for evidence of any infection. Ambulatory treatment at home is NOT likely to improve his condition. Hence, the problems should NOT be taken lightly. I strongly recommend that he be persuaded and convinced to get hospitalized at the earliest, as he requires a course of aggressive antibiotics, Ventilin + Seretide in nebulized form to open up the air-passages and, continuous oxygen inhalation under pressure since his oxygen level in the blood is low. Let the Pulmonologist and Cardiologist examine him thoroughly, carry out the advised tests in order to determine the severity of the disease and institute urgent appropriate treatment as required. Hope I have addressed to your concerns to your complete satisfaction and you find my response helpful and informative. I will be happy to answer further queries, if any. Fond regards and have a nice day, Col (Dr.) Rakesh Karanwal
Above answer was peer-reviewed by
 
Follow-up: What causes coughing at night? 4 hours later
Thank u so much ,I will be making sure he has a chest xray an all else u have suggested..
 
 
Answered by Dr. Rakesh Karanwal 3 hours later
Brief Answer: Please do so at the earliest. Detailed Answer: Well Mrs. XXXXXXX I shall be looking forward to the test reports. Wishing your husband a speedy recovery.
Above answer was peer-reviewed by
 
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Treatment/Therapy
Lab Tests

The user accepted the expert's answer

Ask a Doctor Now

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor