Hi doctor,
My father is 82 years old. Currently, he is in bed. We use pads for him. He eats well, but he has a cough. So we give him a nebulizer twice daily, but now while nebulization, we can hear the sound of his cough. Please advise.
Hi,
Welcome to icliniq.com.
This cough sound is not precisely cough but a wheeze (what we call it in medical language). Wheeze is a prevalent feature of COPD (chronic obstructive pulmonary disease- bronchial asthma). This could also be a sputum collection in the airway. Is there a previous history of asthma? Also, is it all the time or seasonal? Bronchial asthma is an allergic condition that may run in families. I would advise you to be careful regarding that as well. For now, I would advise you to get a chest examination done. Also, confirm if the patient has any other symptoms like difficulty breathing, runny nose, etc. I would suggest the following investigations,
1.Chest X-ray PA view (posteroanterior view).
2.PFT (pulmonary function test).
3.Chest auscultation.
Continue nebulization for now (thrice daily). Further treatment will be based on the chest X-ray findings. Avoid polluted air. Follow up with the above reports. Thanks.
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