Former US President George HW Bush has been moved to an intensive care unit at a Houston hospital with pneumonia.
Mr Bush was stable and resting comfortably after doctors performed a procedure to clear his airway, his office said on Wednesday.
His wife of 72 years, former first lady Barbara Bush, also was admitted to the same hospital on Wednesday as a precaution after experiencing fatigue and coughing, the office said in a statement.
Mr Bush, who at 92 is America's oldest living ex-president, has been at Houston Methodist Hospital since Saturday after experiencing shortness of breath, family spokesman Jim McGrath said on Wednesday.
Since then, Mr Bush experienced an "acute respiratory problem stemming from pneumonia" and was sedated for the unspecified procedure, his office said.
He will remain in the hospital's intensive care unit for observation, his office said.
Mr Bush and the 91-year-old former first lady marked their 72nd anniversary on January 6.
Mr Bush is the father of former President George W. Bush and former Florida Governor Jeb Bush, who sought the 2016 Republican presidential nomination.
The eldest Bush, a Republican like his sons, was Vice President during Ronald Reagan's two White House terms before being elected president in 1988.
He lost his re-election bid to Bill Clinton, then the Democratic governor of Arkansas, in 1992.
A naval pilot during World War II, Mr Bush became an occasional skydiver after leaving the presidency and marked his 90th birthday by parachuting from a helicopter with a jump partner.
He has used a wheelchair in recent years and was hospitalised twice in 2014, once for seven weeks with pneumonia and again for breathing difficulties. In July 2015, he broke a bone in his neck in a fall at the family home in Maine.
Mr Bush and his wife were already planning to miss President-elect Donald Trump's inauguration on Friday due to health reasons.
"My doctor says if I sit outside in January, it likely will put me six feet under," Mr Bush wrote to Mr Trump on January 10, according to a copy of the letter released on Wednesday.
"Same for Barbara. So I guess we're stuck in Texas."
Mr Trump had been critical of George W and Jeb during the 2016 presidential campaign and their father did not endorse Mr Trump in his race against Democrat Hillary Clinton.