### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
my husband developed a cough last November after a cabinet fell on him and fractured his eye socket. He has been on one antibiotic or another ever since. He had a ct of sinus and found them blocked. Took ent prescribed treatment but cough persists. He has had keflex, ceftin, levoquin, cipro, vancomicin iv, and cipro again. This cough gets worse when he eats or lies down. It gets him up about once an hour at night. The cough is productive with clear, moderately thick mucus. Chest xray shows pneumonia appearamce, but not really pneumonia. Cough does not respond to antihistamine or cough suppressants. He has copd and bronchiosasis and MMD1. He is following all the rules to avoid reflux. What weird thing could be wrong? Lack of sleep and persistent couging is going to kill him. He sees a pulmonalogist. Any ideas?

### output:

Thanks for your question can completely understand your husbands problemCOPD with BRONCHIECTASIS diabetics are prone to recurrent infections as compared to normal population, and in your husbands case cause of cough is COPD with bronchiectasis in this case cough reflex is a protective mechanism as he has to clear up secretions which if it gets retained will lead to recurrent infections, so first thing is cough is a protective and clearing up mechanism. Now second thing sputum .if sputum is yellow or green that means infective cause, so antibiotics need to be started .in case of COPD cough suppressants or antihistamines won't help, treatment for that is bronchodilatation which can be offered to the patient in the form of inhalers that will reduce the cough and will help in bronchus to dilate and that will ease the septum clearance also so u can have inhaler forecourt forte 400 one puff twice a day inhaler geotropism 9 micrograms one puff daily these inhalers can be taken by a device called as VT spacer tablet Mackinac 600 mg BD this would help your husband a lot any other queries please ask me again