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Medication for old person suffering from severe cough - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3632 Questions
User :   Hi,
I need to get the consultation online regarding to my father health.
Doctor :   hi
Doctor :   how can i help you?
Doctor :   Dr.xxxx here.
Doctor :   please proceed with your health query
User :   Hi Dr.xxxx
User :   My father is 60 years now
User :   Having Diabetes and HTN from past 13 years.
User :   Has undergone PTCA to RCA 2years back.
Doctor :   please proceed with detailed history about your father with details of age, location, height, weight, details of past medical illness and treatment if any.
User :   He is in Bangalore, India.
User :   Weight around 80 KG
Doctor :   ok
User :   Height around 5.4
Doctor :   ok
User :   He is suffering from sever cough from past 1 year and till now it is not recovered.
Doctor :   ok
User :   He is taking deriphylline tablet often. But this is also seems to be useless now.
Doctor :   ok
User :   Before he taken variety of cough syrups but nothing helped out.
User :   Can u please tell me what needs to do now.
User :   Regarding Medication he is taking: User :   Diabets: OHA + Insulin (Human Mixtard IU 40, 25U in morning 15 units in night times) along with Metformin 850, Glimperide 2mg, Rosiglitazone 2mg 2 times daily.
User :   For HTN - Hydrochlorothiazide 1 time in morning
User :   25mg
Doctor :   ok
User :   Please tell me what needs to do now.
Doctor :   his medications seems to be fine
Doctor :   when was his last sugars checked?
Doctor :   were they normal?
User :   around 5-10 days back and FBS it was around 216
User :   I know it is little bit hight.
Doctor :   was anytime PFT (pulmonary function test) done for his complaint of constant cough?
User :   no
Doctor :   it is quite high, and not 'bit high'
Doctor :   sugras have to be under good control, it reduces chences of infection
User :   ok
Doctor :   if sugars are high, body secretions act as culture media for infection agents to thrive
Doctor :   you need to do these: User :   OK Doctor. I will take care for the control of sugar.
User :   His BP varies as once it is around 150/90 and sometimes around 100/60
Doctor :   1) get his sugars under control with medication dose adjustments and regular follow up along with a strict diabetic diet and exercise\.
Doctor :   2) similarly for BP control, maintain a BP reading diary recording Bp daily morning and evening
Doctor :   look for fkuctuations
User :   ok
Doctor :   and get the medications changed or dose adjusted as needed
User :   ok
Doctor :   3) Diet control with low carbohydrate, low fat, low salt and low oil has to be maintained
User :   thats OK doctor. Please tell me for the Cough related things.
Doctor :   4) get hin to a chest specialist pr a pulmonologist, get the PFT test and chest x-rays done to look for causes for cough
Doctor :   it will show if any lung pathology is going on on
User :   ok
Doctor :   once confirmed, treatment can be directed in the right way
User :   can u tell me where in Bangalore. I can do this type of testing?
User :   And the Doctor Name.
Doctor :   any of the multispeciality hospitals wil have this facility
Doctor :   where are you located in bangalore?
User :   I am in xxxxx
Doctor :   WWW.WWWW.WW
Doctor :   this link willgive you list of mutispeciality hospitals in bangalore
User :   ok
Doctor :   WWW.WWWW.WW
Doctor :   this link with give you list of pulmonologist in Bangalore
Doctor :   you can follow the link given to consult with doctor
User :   ok
User :   Can I get the appointment to meet u in personal?
User :   can u treat my father illness doctor?
Doctor :   no, I am not available for personal appintments.
User :   ok
Doctor :   I am available to assist you online though live discussion
Doctor :   is there anything else I can help you with?
User :   one sec
User :   He gets vomiting sensation while coughing and a little bit of breathlessness
User :   what to do for this?
Doctor :   yes it is common to have these symptoms due to strain while coughing
Doctor :   and increase in abdomen and chest pressure
User :   and also a chest pain
User :   and feeling of tiereness
Doctor :   the cough has to be controlled he wil be fine
User :   is there any other investigations need to be done. Please tell me doctor.
User :   Because just a medicine for cough is not advisible according to me. He needs detailed investigation.
Doctor :   get the above sugested investigations done
Doctor :   and if needed the pulmonologist might also ask to do a AEC count and complete blood test
User :   ok.
User :   Thanks for ur great support Dr..
User :   Can u please send this chat transcript to my mail ID?
Doctor :   you can get access to this transcript yourself
Doctor :   by goint to 'accounts and settings page
Doctor :   and clicking on caht history
Doctor :   you can export this to your mail id
User :   ok. Then thanks doctor.
User :   have a nice day.
User :   bye
Doctor :   if you are not able to do it, you can drop a mail to
Doctor :   custoner care
User :   ok
Doctor :   is there anything else i can help you with?
Doctor :   they will get in touch with you and send it accross to you
User :   ok. Nothing else doctor. Is this chat only for this session ? Do I need to pay for another chat If I want to have?
Doctor :   yes, if you want to chat agian after this 30 minutes are over, you will need to pay again
User :   ok doctor bye for now.
Doctor :   you can opt to take better package if you want to continue discussion with us
User :   ok
Doctor :   like the 7 day, or monthly or annual package
Doctor :   depending on your requirement
Doctor :   thanks for consulting me. bye for now.
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