Respiratory sounds with sputum during breathing (medical consultation has been sought)?
Hello doctor, I would like to ask about my previous visit to Chang Gung Memorial Hospital where I had an X-ray and sputum test.
I do not have tuberculosis, but it seems my lungs are a bit dirty.
Currently, I am not coughing or producing sputum, but I can hear a rattling sound in my lungs when I breathe, and I cannot seem to expel it.
Will this situation improve in a few days? Could you please help me assess this? Thank you, doctor.
Mr. Zeng, 20~29 year old female. Ask Date: 2016/09/05
Dr. Wu Yingxun reply Pulmonology
Hello: Drinking more water can help make phlegm easier to cough up, which should be better.
Evaluate the symptoms to decide whether a follow-up visit is necessary; at least the X-ray only showed some mild abnormalities.
Reply Date: 2016/09/05
More Info
Persistent phlegm sounds in the lungs can be concerning, especially after a medical evaluation that ruled out serious conditions like tuberculosis. The presence of these sounds, often described as "rales" or "crackles," can indicate various underlying issues related to the respiratory system.
Firstly, it's important to understand that the lungs can produce abnormal sounds due to several reasons, including inflammation, infection, or the presence of mucus. In your case, since you mentioned that you previously had tests that did not indicate tuberculosis but noted that your lungs seem "a bit dirty," it could suggest that there is some residual mucus or inflammation in your airways. This can happen after an infection or due to chronic conditions like asthma or chronic bronchitis.
The fact that you are not currently coughing or producing phlegm is a positive sign. It suggests that your body is managing the situation, but the lingering sounds could be due to mucus that is still present in the airways, which may not be easily expelled. This could be a result of post-nasal drip, where mucus from the sinuses drains into the throat and can affect lung sounds, or it could be due to bronchial inflammation that has not fully resolved.
In many cases, these sounds can improve over time as your lungs clear out any remaining mucus and inflammation. It is essential to stay hydrated, as adequate fluid intake can help thin mucus, making it easier for your body to clear it. Additionally, using a humidifier can help keep the air moist, which may also aid in reducing irritation in the airways.
However, if the sounds persist or worsen, or if you develop new symptoms such as coughing, shortness of breath, or fever, it would be wise to follow up with your healthcare provider. They may recommend further evaluation, such as a follow-up chest X-ray or a pulmonary function test, to assess your lung function and determine if there are any underlying conditions that need to be addressed.
In summary, while it is possible that the phlegm sounds in your lungs will resolve on their own in a few days, it is crucial to monitor your symptoms closely. If you experience any changes or new symptoms, do not hesitate to seek medical attention. Your health and comfort are paramount, and staying proactive about your respiratory health is essential.
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