Q. How to go about the treatment in a patient with chronic cough?

Answered by
Dr. Amolkumar W Diwan
and medically reviewed by Dr. Sneha Kannan
This is a premium question & answer published on Feb 23, 2016 and last reviewed on: May 06, 2019

Hi doctor,

My mother underwent gallbladder surgery 10 months ago. From past 3 months she started having chronic cough. She tried many home remedies. She did not recover completely. I took my mother recently for a health checkup. As I suspected the chest report was not absolutely fine. But, the doctor was not at all concerned about her cough and said everything is normal. Why is it so? I want to know what is the meaning of this x- ray report and what should be our next step? Presently she is under medication for thyroid as well as diabetes. I have attached her reports. Kindly have a look at them and suggest how to go about the treatment. Thank you.

#

Hello,

Welcome to icliniq.com.

Thanks for choosing this platform.

As you said your mother is having chronic cough 4 months after surgery. It can be just coincidental finding as her x-ray (attachment removed to protect patient identity) is showing prominent basal vascular markings and cough can be aggravated by surgery.

The x-ray findings are suggestive of interstitial lung disease called lung fibrosis which can be confirmed only after HRCT (high-resolution computed tomography) scan of chest.

So at the earliest, I advise you to do HRCT scan of chest to rule out IPF (idiopathic pulmonary fibrosis). Once the diagnosis is made, treatment can be started accordingly.

IPF or lung fibrosis is a chronic and progressive condition. So, diagnosis should be made as early as possible.Talk to your pulmonologist regarding further investigations and treatment. He will guide you better as frequent follow-up visits are required for monitoring the disease.


The Probable causes:

Autoimmunity.

Investigations to be done:

HRCT chest to rule out IPF.

Differential diagnosis:

Interstitial pneumonia.

Probable diagnosis:

IPF (idiopathic pulmonary fibrosis).

Treatment plan:

1. Steroids
2. Immunosuppressants.

Preventive measures:

Strict control of BP and blood sugar is a must.


Was this answer helpful?

 | 

Related Questions:
Is bronchoscopy and tube necessary in a pneumonia patient with COPD?

.. gone through the history of your father's illness you have provided (attachment removed to protect patient identity). The X-ray reports are suggestive of pneumonia. At this stage, on initial antibiotics and supportive treatment, if he has not impr...   Read full

Can I have a fast recovery in MS if I use steroids?

.. gone through your MRI report (attachment removed to protect patient identity). It indicates a new exacerbation of MS (also called relapse). As there are new plaques on your MRI which are enhanced by Gadolinium, I would recommend hospitalization an...   Read full

My doctor advised Humira for RA. Is that right?

.. your query and attached report (attachment removed to protect patient identity), my opinion is as follows: The C-reactive protein level is highly elevated indicating ongoing high level of damage in the tissues of the body. Now, the immediate need ...   Read full

 

This is a sponsored Ad. icliniq or icliniq doctors do not endorse the content in the Ad.

Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Related Questions & Answers


Am I suffering from pneumonia?

Query: Hi doctor, I am having fever for about a month now. So, I have done a master health checkup and the report shows raised PLBS 184, SGPT 121, LDL 112 and fatty liver. My chest x-ray PA view shows right lower zone soft tissue opacity. Because of the soft tissue opacity fever pack, thyroid profile, bloo...  Read Full »

My son has nephrotic syndrome with focal segmental glomerulosclerosis. Please advice.

Query: Hello doctor, My 12 year old son is suffering from nephrotic syndrome since the last seven years. Two years ago, when his biopsy was done, the result said FSGS. His creatinine levels at that time was 4. Now it is raised to 10.1. He is currently taking Calcium, Folic acid, Pantoprazole, Sodium bicar...  Read Full »

Can you suggest a skin whitening cream that does not contain steroids?

Query: Hello doctor, I am a 27 year old female. My skin appears very dull. Can you suggest a whitening cream that does not contain steroid, which I can use on a regular basis?  Read Full »

Also Read


Sinusitis - Causes, Symptoms and Treatment
Sinusitis is the infection of the air cavities within the nasal passages. Normally, the healthy sinuses are filled with ...  Read more»
Asthma and Its Rising Incidence
This article explains about asthma and its causes. It also focuses on the benefits of starting early treatment to lead a...  Read more»
Parkinson's Disease: Historical Aspects and Current Treatment Approaches
This article discusses the historical aspects of Parkinsonism and, the evidence based approaches currently available for...  Read more»

Ask your health query to a doctor online?

Ask a Pulmonologist Now

* guaranteed answer within 4 hours.

Disclaimer: All health Q&As published on this website are not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.