My 56-year-old hypertensive uncle is having a cough. Kindly help.
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Q. How to manage symptoms in hypertensive patients?

Answered by
Dr. Vandana Andrews
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Mar 14, 2024 and last reviewed on: Mar 18, 2024

Hello doctor,

My uncle is 56 years old and has been diagnosed with hypertension for the past three years. He is currently taking Telmisartan as prescribed. Lately, he has been having severe cough with mucus, mild fever, sweats more during the night, and also has lost 6.61 pounds in the past two weeks, which is causing a lot of worry. I want to ask a few questions:

  1. How to identify the cause for such symptoms, and please suggest ways to treat this condition?

  2. What steps can we take to ensure effective management and recovery for my uncle?

Kindly suggest.

Thank you.

#

Hello,

Welcome to icliniq.com.

I can understand your concern.

Based on your symptoms, your uncle may have an upper respiratory infection or bronchitis. However, it is essential to rule out other potential causes, such as heart failure, pneumonia, and Tuberculosis.

Here are some steps you can take to identify the cause and ensure effective management and recovery:

  1. Consult a Healthcare Provider: Encourage your uncle to schedule an appointment with his healthcare provider as soon as possible. They can perform a physical exam, listen to his lungs, and order tests such as chest X-rays or blood tests to help diagnose the cause of his symptoms.

  2. Follow-up Appointments: If your uncle is diagnosed with an upper respiratory infection or bronchitis, his healthcare provider may recommend follow-up appointments to monitor his symptoms and ensure that the infection resolves. They may also recommend over-the-counter medications such as cough suppressants or expectorants to manage symptoms.

  3. Adjust Medication: In some cases, individuals with hypertension may need to adjust their medication regimen during an upper respiratory infection or bronchitis due to potential drug interactions. Your uncle's healthcare provider can provide guidance on any necessary medication adjustments.

  4. Lifestyle Changes: Encourage your uncle to make lifestyle changes that can help manage his hypertension and support his recovery from the respiratory infection or bronchitis. This can include eating a healthy diet, getting enough sleep, managing stress, and quitting smoking if applicable.

Lower respiratory infections, such as bronchitis and pneumonia, can be more serious than upper respiratory infections and may require more intensive treatment. Here are some steps that may help manage lower respiratory infections:

  1. Antibiotics: In some cases, antibiotics may be prescribed to treat bacterial infections. However, it is essential to note that antibiotics are not effective against viral infections, such as the flu or common cold. Your healthcare provider can determine whether antibiotics are necessary based on the specific cause of the infection.

  2. Cough Medication: Cough suppressants or expectorants may be prescribed to manage coughing and help clear mucus from the lungs.

  3. Bronchodilators: Bronchodilators may be prescribed to help open up the airways and make breathing easier for individuals with bronchitis or asthma.

  4. Oxygen Therapy: In severe cases of pneumonia, oxygen therapy may be necessary to help improve breathing and prevent complications such as respiratory failure.

  5. Fluid Intake: Encourage your loved one to drink plenty of fluids to help prevent dehydration, which can worsen symptoms and complicate recovery.

  6. Rest: Encourage your loved one to rest as much as possible to allow their body to focus on healing.

  7. Follow-up Appointments: Healthcare provider may recommend follow-up appointments to monitor symptoms and ensure that the infection resolves completely. They may also recommend lung function tests or other diagnostic procedures to evaluate lung function and identify any underlying conditions that may have contributed to the infection.

Remember, it is essential to prioritize your loved one's health and follow their healthcare provider's recommendations for managing their symptoms and underlying conditions.

I hope this information will help you.

Thank you.


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