I have chronic cough with breathlessness problem. Please suggest treatment.

Hello,

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According to your statement, you are suffering from chronic cough for almost a year now that makes you breathless. You did not mention here about your family history, working history, living history, allergic history, smoking history, and the factors that make you breathless sometimes. There is no history of nutritional status, night sweating or weight loss.

As we know, chronic persistent cough that occurs most of the days for three months for two successive years is called chronic bronchitis. Again, COPD (chronic obstructive pulmonary disease) includes chronic bronchitis along with emphysema. So, my probable diagnosis is COPD.

COPD can be confirmed by reversibility test, as it is irreversible so FEV1 will be <15% after Salbutamol or steroid trial. You should undergo lung function test that will reveal FEV1/FVC <0.7%, TLC-increased, RV-increased, CXR, sputum for C/S, blood gas analysis, etc.

By using Salbutamol or anticholinergic inhaler, corticosteroid or oral steroid intake, occasionally oxygen inhalation, you may control your chronic cough to some extent. Please inform me about your investigation results as soon as possible.