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Suggest Treatment For Pneumonia And Cough
my husband developed a cough last November after a cabinet fell on him and fractured his eye socket. He has been on one antibiotic or another ever since. He had a ct of sinus and found them blocked. Took ent prescribed treatment but cough persists. He has had keflex, ceftin, levoquin, cipro, vancomicin iv, and cipro again. This cough gets worse when he eats or lies down. It gets him up about once an hour at night. The cough is productive with clear, moderately thick mucus. Chest xray shows pneumonia appearamce, but not really pneumonia. Cough does not respond to antihistamine or cough suppressants. He has copd and bronchiosasis and MMD1. He is following all the rules to avoid reflux. What weird thing could be wrong? Lack of sleep and persistent couging is going to kill him. He sees a pulmonalogist. Any ideas?
Thu, 2 Jul 2015
thanks for ur question
I can completely understand ur husbands problem
COPD with BRONCHIECTASIS
diabetics are prone to reccurent infections as compared to normal population,and in ur husbands case cause of cough is copd with bronchiectasis in this case cough reflex is a protective mechanism as he has to clear up secretions which if gets retained will lead to recurrent infections so first thing is cough is a protective and clearing up mechanism.now second thing sputum .if sputum is yellow or green that means infective cause so antibiotics need to be started .in case of copd cough suppressants or antihistaminics wont help ,treatment for that is bronchodilatation which can be offered to the patient in the form of inhalers that will reduce the cough and will help in bronchus to dilate and that will ease the sptum clearance also so u can have
inhaler foracort forte 400 one puff twice a day
inhaler tiotropium 9 micrograms one puff daily
these inhalers can be taken by a device called as vt spacer
tablet mucinac 600 mg bd
this would help ur husband a lot any other queries please ask me again
I can completely understand ur husbands problem
COPD with BRONCHIECTASIS
diabetics are prone to reccurent infections as compared to normal population,and in ur husbands case cause of cough is copd with bronchiectasis in this case cough reflex is a protective mechanism as he has to clear up secretions which if gets retained will lead to recurrent infections so first thing is cough is a protective and clearing up mechanism.now second thing sputum .if sputum is yellow or green that means infective cause so antibiotics need to be started .in case of copd cough suppressants or antihistaminics wont help ,treatment for that is bronchodilatation which can be offered to the patient in the form of inhalers that will reduce the cough and will help in bronchus to dilate and that will ease the sptum clearance also so u can have
inhaler foracort forte 400 one puff twice a day
inhaler tiotropium 9 micrograms one puff daily
these inhalers can be taken by a device called as vt spacer
tablet mucinac 600 mg bd
this would help ur husband a lot any other queries please ask me again
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