instruction: hello doctor my father is 61 years old known case of cod with hypertension he has been on dialysis for a couple of weeks sum total of ten dialysis have been done out of which one dialysis was done using an online hemodiafiltration technique his creatinine has subsequently reduced from 6 to 5 however he had pneumonia patch in the right lung and took antibiotics and has recovered from that but he has been coughing quite a lot with only secretions coming out and no sputum there is some fluid in his lungs for which he has been advised to go for edf and mild pericardial effusion aft for to is negative can you please suggest what can be the cause of severe coughing shortness of breath and the treatment for the same if needed I can send out the ray to you for evaluation he is currently on flavedon minipress al metolar or torsemide 40 vitamins and calcium tablets his lab report shows tac is raised to 12 which was earlier please help
output: hi welcome to icliniq com there could be a few causes for the wet cough with phlegm despite taking antibiotics for pneumonia the opacity in the lung takes a few weeks to completely disappear the cough in such a case can last for a month if the patient has no fever I will not worry chef congestive heart failure is also one of the causes in elderly patients in addition to environmental factors I would advise you to continue supporting treatment for cough as advised by your doctor if there is fever in such a case you must report back to the doctor to rule out any other cause if the ray reviled plural effusion then probably other continuation like to tuberculosis etc should be considered you can send me the chest ray to comment better I hope this helps