Usually, elderly people with a lot of white phlegm are mostly caused by chronic bronchitis or lung diseases, and need to be treated according to the cause with anti-infection, cough and phlegm relief.
1. Chronic bronchitis: the main symptoms are coughing, coughing up sputum, shortness of breath, which can be a lot of white sputum. When it is clear that there is a bacterial infection, you can use levofloxacin, ceftriaxone and other drugs for anti-infective treatment. If the sputum is thick and sticky and not easy to cough up, it is necessary to cooperate with expectorant drugs such as aminoglutethimide acetylcysteine hydrochloride to suppress cough and expectorant.
2. Lung diseases: some lung diseases can also appear white sputum, such as chronic obstructive pulmonary disease, lung fungal (Candida albicans) infection, tuberculosis infection of the lungs, etc. Different lung diseases use different drugs.
White sputum caused by chronic obstructive pulmonary disease can be treated with oral aminophylline, ambroxol and other medicines, or nebulized inhalation treatment with albuterol; when combined with infections, active anti-infection treatment is also needed.
White sputum caused by fungal infection in the lungs can be treated with fluconazole and caspofungin.
White sputum caused by tuberculosis infection in the lungs can be treated with a quadruple combination of isoniazid, ethambutol, rifampicin and pyrazinamide for anti-tuberculosis treatment.
There are many causes of white sputum in the elderly, it is recommended to go to the hospital to take chest radiographs or chest CT for examination, to clarify the cause of the disease and then carry out targeted treatment, so as to avoid delaying the condition. The above drugs should be used under the guidance of a physician.