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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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On Z-pack For Bronchitis, Persisting Cough, Difficulty In Bringing Up Phlegm. Is It Progressing To Pneumonia?

My dad is 90. He had a cold for which I took him to an immediate care facility last Monday 1/14. The doctor there gave him a Zpack of antibiotics and said it was bronchitis . Dad finished the antibiotics on Friday and is still coughin (mostly at night) and can not get the phelgm up. What does come up is extremely thick and yellow/green. He is also complaining of pain in his left side so I m thinking he strained a muscle coughing. I ve been giving him Rubitussin expectorant but it doesn t seem to be helping. He s finally sleeping now (up most of the night) but should I get him up and take him back to the ICC? I m afraid this is progressing into pneumonia .
Mon, 28 Jan 2013
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General & Family Physician 's  Response
Hi, thanks for using healthcare magic

In the elderly , progression to pneumonia is possible because of the impaired immune system.
In most persons the use of a mucolytic would be helpful. These medications can be combined with oral b agonist that re open the air ways because airway closure is a common cause of persistent coughing.
It may be best to take him to the doctor for an assesment.

I hope this helps
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On Z-pack For Bronchitis, Persisting Cough, Difficulty In Bringing Up Phlegm. Is It Progressing To Pneumonia?

Hi, thanks for using healthcare magic In the elderly , progression to pneumonia is possible because of the impaired immune system. In most persons the use of a mucolytic would be helpful. These medications can be combined with oral b agonist that re open the air ways because airway closure is a common cause of persistent coughing. It may be best to take him to the doctor for an assesment. I hope this helps