Question
A 55-year-old patient cannot lie down to sleep at night, experiencing throat noises and difficulty falling asleep. The patient has been treated with azithromycin and Jingzhizhuyan. They are seeking an understanding of their condition and appropriate medication advice. Past treatment history and outcomes include:
- Treatment medications: azithromycin and Jingzhizhuyan
- Focus of concern: Diagnosis of the condition and medication advice sought
Answer
Based on the patient’s description, they may have heart and lung function impairment. To determine whether it is cardiogenic or pulmonary, it is necessary to consider the patient’s medical history. If the patient has chronic bronchitis, asthma, or other pulmonary diseases, they may develop pulmonary heart disease; if the patient has heart tissue disease such as coronary heart disease, it may be heart failure causing cardiogenic respiratory distress. Here are some suggestions:
- Treat the underlying disease, such as preventing infections and controlling the progression of the underlying disease.
- It is possible to use symptomatic treatment, such as digitalis glycosides like digoxin, diuretics like hydrochlorothiazide or furosemide, vasodilators like nitroglycerin or amyl nitrite or salbutamol to alleviate symptoms.
- It is recommended to undergo electrocardiogram, chest X-ray, echocardiogram, and complete blood count tests in a hospital to further understand the condition.
- Oxygen therapy at home is also an effective method. If there are any questions or concerns, please feel free to ask anytime online.