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What would be a possible cause of excess coughing of mucus and blood in an 82 year old male? He was admitted to the hospital for this with several tests and sent home on dialysis. He has congestive heart failure and failing kidneys. Is the bloody congestive cough just something he has to live with? Are there any other possible causes that could be investigated? Ruled out cancer, leaky heart valve, bronchitis. Tried symbacort and antibiotics which had no affect.


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replied February 24th, 2019
Lungs and Respiratory Disorders Answer A64831
In patients with severe heart failure, since the heart is unable to pump out blood the backflow might cause fluid build up in the lung , and hence this presents as persistent cough, orthopnea (breathlessness in the sleeping position), lack of sleep, etc.

Such conditions can predispose to recurrent lung infections too.

Proper supportive care, diuretic therapy can help to manage the condition to a certain extent in such conditions where the prognosis is not good.

I hope this helps.


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