Suggest Treatment For Frequent Coughing Spells While Having Heart Disease
I would recommend as follows:
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
I passed carefully through your question and would explain that his symptoms could be related to the heart.
Heart failure and pulmonary edema can mimic this clinical scenario.
Other possible causes to consider would be: a lung infection, chronic inflammation of the airways or asthma, an allergic reaction, gastro-esophageal reflux or any other lung disorder.
Is the cough more prominent after eating or when bending over? This could be indicative of gastro-esophageal reflux. In such case an antiacid of PPI (omeprazole, esomeprazole, etc.) would help.
Is he taking any ACE (ramipril, enalapril, etc.)? These drugs can cause chronic cough as a common adverse effect. In such case it would be necessary to switch to other anti-hypertensive drugs.
Anyway, I would recommend consulting with his doctor for some new tests:
- a chest X ray study and pulmonary function tests
- allergy tests
- a cardiac ultrasound and resting ECG
- NT-pro BNP levels for heart failure
- complete blood count, PCR, ESR for inflammation
- blood oxygen saturation levels .
In case of heart failure and increased NT-pro BNP levels, diuretics would help reduce the couch.
But if allergy tests results positive, an anti-allergic would help improve his situation.
You should discuss with his doctor on the above tests.
Hope you will find this answer helpful!
Kind regards,
Dr. Iliri