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Chronic cough in elderly needs proper evaluation. Causes may include infection, asthma, GERD, heart issues, TB Advice: Home visit by physician is appropriate Basic tests: Chest X-ray, CBC, oxygen levels Avoid self-medication

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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.

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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.

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.

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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.

Discuss with general physician locally or visit a nursing home to provide this facility.

Do consult Steam inhalation Salt water gargling Rest for 3 days

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Rule out asthma or Copd

Can help you, kindly consult and provide detailed history for proper diagnosis and further management

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Is she taking any other medication?? Kindly consult for further evaluation

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Avoid fried and spicy food Water intake more Do connect and consult

Consult online will guide you Need proper history and evaluation for further suggestions

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Any other history?

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