Question

A 55-year-old patient is unable to lie down while sleeping and experiences difficulty breathing at night, with a noisy throat that causes insomnia. They have previously taken azithromycin and Jingzhi expectorant cough syrup, but the effectiveness of the treatment and changes in the condition were not detailed. What could be the possible causes? How should the treatment be approached?

Answer

Based on the patient’s symptoms, possible causes include heart and lung dysfunction, which may be due to chronic bronchitis, bronchial asthma, or other pulmonary diseases. It could also be related to coronary heart disease or other cardiac inflammatory conditions. It is recommended that the patient undergo detailed electrocardiograms, chest X-rays, blood tests, and echocardiograms to determine the cause. The treatment plan may include the use of cardiotonic drugs, diuretics, vasodilator medications, and oxygen therapy. It is advised that the patient visit a hospital for examination and treatment as soon as possible and use medications under a doctor’s guidance.