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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffering From Persistent Cough, Developed Bronchitis. Taken Antibiotics, No Relief. Solution For Cough?

My father is in his mid 50 s, and has a persistent cough for the past 3-4 months. He has been to many doctors, and they said that he was recovering (2 months ago) from pneumonia , and that he developed bronchitis . He has been on many rounds of antibiotics , and still has the cough. He doesn t cough up anything most of the time, but he can not make it through a sentence without coughing. This morning he woke up with swollen ankles also. We have seen many doctors and he still suffers from this debilitating cough. Please help us.
Thu, 3 Jan 2013
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Internal Medicine Specialist 's  Response
Hi,
Thanks for posting your query.
Presence of cough along with ankle swelling may be due to persistent bronchitis with effect on heart or may be due to primarily heart disease.
Presence of pedal edema is in favor of heart involvement.
You should consult with internal medicine specialist/ cardiologist and should go for thorough check up.
He should also go for chest x ray, ECG, 2 D echo and coronary angiography.
He should take diuretics along with cough suppressants for relief of symptoms.
He should also restrict salt intake and should take low fat diet.
He should also consult with physiotherapist for faster recovery.
Take care,
Dr. Mayank Bhargava
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General & Family Physician Dr. Kulbir Singh's  Response
Hello and thanks
Along with medication, home care and precautions plays an important role in curing bronchial pneumonia.
1. Keep your father in warm condition and protect him from changing weather.
2. Do regular chest physiotherapy to reduce cough and bronchial spasm.
3. Take regular steam inhalation and nebulizer as per advise.
4. Use bronchodilators to reduce spasm and ultimately cough.
Finally get echocardiography to rule out whether heart is not a factor for cough and swelling in feet.
Best Wishes
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Suffering From Persistent Cough, Developed Bronchitis. Taken Antibiotics, No Relief. Solution For Cough?

Hi, Thanks for posting your query. Presence of cough along with ankle swelling may be due to persistent bronchitis with effect on heart or may be due to primarily heart disease. Presence of pedal edema is in favor of heart involvement. You should consult with internal medicine specialist/ cardiologist and should go for thorough check up. He should also go for chest x ray, ECG, 2 D echo and coronary angiography. He should take diuretics along with cough suppressants for relief of symptoms. He should also restrict salt intake and should take low fat diet. He should also consult with physiotherapist for faster recovery. Take care, Dr. Mayank Bhargava