50 yr female with no comorbid illness has H/O cough and BLN for 2 wks.

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Dozens of conditions can cause a recurrent, lingering cough, but the lion's share are caused by just five: postnasal drip, asthma, gastroesophageal reflux disease (GERD), chronic bronchitis, and treatment with ACE inhibitors, used for high blood pressure.Don't ignore a chronic cough — but don't panic just because your cough lingers for more than three or four weeks. Most often, the puzzle can be solved without elaborate tests, and the problem can be corrected with simple treatments. In fact, you may be able to diagnose and treat yourself, especially if postnasal drip or gastroesophageal reflux is the culprit. Even so, your doctor can also help. In most cases, it won't take much more than a stethoscope and a treatment trial or two. But if your cough is accompanied by sputum production, bloody sputum, fever, weight loss, night sweats, breathlessness, undue fatigue, or chest pain, you should dignose without delay.advise:- chest X ray,sputum culture,CBC Normal medication reducing cough:-If you don't think that coughing is a common complaint, just head to the nearest drugstore. You'll find a bewildering array of syrups, sprays, tablets, and lozenges designed to control coughing. You'll also see a steady stream of customers coughing up lots of money to purchase products that may be ineffective. Many cough remedies contain expectorants, compounds intended to loosen sputum, making it easier to clear. Guaifenesin is the most popular expectorant. Unfortunately, there is little scientific evidence that expectorants are effective. You'll probably do just as well by using a humidifier and drinking lots of water. Cough suppressants are also very popular. Nonprescription agents such as dextromethorphan can partially suppress the cough reflex, promoting patient comfort. Prescription cough syrups with codeine tend to be more effective. When used appropriately, cough suppressants can reduce discomfort; remember, though, that because coughing can serve a useful function, it should not always be suppressed. Medicated lozenges and cough drops are among the most widely sold cough remedies. These products contain various combinations of menthol, camphor, eucalyptus oil, honey, and other ingredients. Like with liquid cough medicines, some also contain topical anesthetics. Despite their popularity, there is no evidence that medicated cough drops are more effective than simple hard candies.

Thank you doctor
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As shown in x ray it seems cardiomegaly

X Ray chest

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