Tb test chest xray mandatory ...cbc allergy rule out...whole body checkup and tumour markers too...provide good food fluids and sleep.rule out copd or heart failure.cvs renal liver examination too..rheumatoid arthritis tooo..
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At 65 years of age, a continuous cough along with general weakness should never be ignored, especially when it has been going on for some time. There can be many possible causes, such as:
Chest infection (bacterial or viral)
Bronchitis or pneumonia
Asthma or COPD( most likely in this age and presentation)
Tuberculosis (TB) – very important to rule out in elderly patients
Heart-related causes
Acid reflux (GERD)
Anemia or general nutritional deficiency
Since she is elderly and underweight (47 kg), proper clinical examination is very important before starting any treatment.
What should be done first:
A doctor should visit and examine her at home or in clinic and check:
Oxygen level (SpO₂)
Blood pressure, pulse, temperature
Chest examination
General weakness and nutritional status
Investigations that may be required:
The doctor may advise:
Chest X-ray
Blood tests (CBC, ESR/CRP, sugar levels)
Sputum test if cough is productive
Possibly ECG if weakness is significant
These tests will help identify the exact cause instead of giving only cough syrup, which is not enough.
Treatment:
Treatment will depend on the cause:
If infection → proper antibiotics + supportive medicines
If asthma/COPD → inhalers and specific medicines
If weakness/anemia → supplements and diet correction
If acidity → anti-reflux treatment
About home visit:
If she is weak or unable to travel, a home visit by a physician is a very good idea. The doctor can:
Do full examination
Start treatment immediately
Advise necessary tests
Decide if hospital visit/admission is needed or not
Seek urgent medical attention immediately if any of these are present:
Breathlessness
Fever not settling
Chest pain
Blood in cough
Very poor appetite or extreme weakness
Oxygen level below 94%
Helpful tips for now:
Ensure adequate fluids and light nutritious food
Avoid cold drinks, dust, smoke
Keep her warm
Do not self-medicate or delay evaluation
Nebulisation with hot water and vicks in it.
Kindly provide a detailed history including patient’s comorbidities and history present medications. chronic cough and weakness include various differential diagnosis like .
Chronic bronchitis / COPD
• Bronchial asthma (late onset)
• Tuberculosis (esp. reactivation)
• Bronchiectasis
• Interstitial lung disease
• Lung malignancy
• Valvular disease (MR, AS in elderly)
• Atrial fibrillation
I understand your concern due to health issues it wud be difficult for your mother to mobilize at this time .. kindly consult I need more investigations to rule out the diagnosis
Kindly consult for proper advice and medication
In a 65-year-old, continuous cough with generalized weakness is NOT something to ignore.
Common causes include chest infection, pneumonia, uncontrolled asthma/COPD, post-COVID complications, heart-related issues, anemia, or electrolyte imbalance. Elderly patients can worsen quickly if not assessed properly.
A home visit by a doctor is appropriate and recommended if she is weak, unable to travel, or coughing continuously.
Next Steps
• Full clinical examination (chest, oxygen level, BP, pulse)
• Assessment for infection or breathing difficulty
• Start appropriate medicines (not trial-and-error syrups)
• Decide if tests or hospital care are required
Health Tips
• Arrange a home visit doctor consultation urgently
• If home visit is not immediately available, she should be seen the same day at a clinic or hospital
• Avoid self-starting antibiotics or strong cough suppressants
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No such doctor available right now.
Adv
Hrct chest
Blood test cbc, crp, esr
Seroflow inheller two puffs two times for long term.
Theophylline tab two times a day after food for 3 weeks.
tab azee 500 one per day for five days.
Nebulization with duoline n budecort respule two times for 5 days. This is best.
Age 65 and continuous cough need continuous evaluation and monitoring ,
Elaborate the history of patient , is there any history of asthama , bronchitis in family ??
Need proper evaluation .
Consult me on practo
Arrange a home visit by a physician as soon as possible for full examination, vitals check, chest auscultation, and review of current medicines. The doctor may advise basic tests like chest X-ray, blood tests, oxygen saturation, and ECG based on findings.
Next Steps
If home visit gets delayed, possible visit nearby clinic as early as possible
If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a detailed free discussion
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
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