Persistent cough
I have been experiencing thirst issues since high school, which feels like a sensation of clearing my throat.
Initially, the doctor said it was just caused by allergic rhinitis and post-nasal drip.
I had a health check-up before school started, and then I had a fever last September and October, but it resolved.
However, I still feel thirsty, and when I take a deep breath, I feel the urge to cough.
I also have allergy symptoms like a runny nose and sneezing.
Recently, my voice has become very hoarse, and if I cough forcefully, I feel a vibration in my chest.
I don't usually produce phlegm, but I have noticed a slightly yellowish discharge with a rusty taste in my mouth, and I'm unsure if it's mucus or phlegm.
Additionally, I feel a pressure sensation in the lower right side of my rib cage.
My sitting posture isn't very good, and I'm wondering if that could be a contributing factor.
I also occasionally experience a tight feeling in the center of my chest and sometimes feel short of breath, especially when I eat quickly.
Should I go to the hospital for a detailed examination? Thank you.
Kai, 20~29 year old female. Ask Date: 2017/01/25
Dr. Kang Zhongxi reply Traditional Chinese Medicine
This user has been experiencing a cough for about 3-4 years (since high school) and should first visit a pulmonology clinic for examination.
They may also consider treatment at a traditional Chinese medicine clinic.
It is recommended to gargle with saline solution regularly; maintain a light diet and avoid fried and spicy foods; refrain from smoking and drinking alcohol; drink plenty of warm water, rest more, and enhance overall body resistance.
Wishing for a speedy recovery.
Sincerely, Dr.
Chung-Hsi Kao, Department of Traditional Chinese Medicine, Miaoli Hospital, Ministry of Health and Welfare.
Reply Date: 2017/01/25
More Info
Based on the symptoms you've described, it sounds like you are experiencing a complex interplay of respiratory issues that may be related to allergies, post-nasal drip, and possibly an underlying respiratory condition. Persistent cough, throat irritation, and the sensation of not being able to take a full breath can be concerning, and it's important to address these symptoms appropriately.
Understanding Your Symptoms
1. Chronic Cough and Throat Clearing: The sensation of needing to clear your throat frequently, along with a persistent cough, can often be attributed to post-nasal drip, which occurs when mucus from the nasal passages drips down the back of the throat. This can be exacerbated by allergies, leading to inflammation and irritation in the throat.
2. Allergic Rhinitis: Your history of allergies, including symptoms like runny nose and sneezing, suggests that allergic rhinitis could be a significant factor in your current symptoms. Allergens can lead to increased mucus production, which can contribute to coughing and throat discomfort.
3. Chest Discomfort and Breathing Issues: The feelings of pressure in your chest and the sensation of not being able to take a full breath can be concerning. These symptoms may indicate bronchial irritation or even asthma, particularly if they worsen with physical activity or certain triggers.
4. Taste and Color of Mucus: The presence of yellow mucus and a metallic or rusty taste could indicate an infection or significant inflammation in the respiratory tract. This is particularly relevant if you have been experiencing these symptoms for an extended period.
When to Seek Medical Attention
Given the persistence and complexity of your symptoms, it is advisable to seek medical attention. Here are some specific indicators that warrant a visit to a healthcare provider:
- Duration of Symptoms: If your cough has persisted for more than three weeks without improvement, it is important to consult a doctor. Chronic cough can be a sign of underlying conditions that need to be addressed.
- Breathing Difficulties: If you experience episodes of shortness of breath, wheezing, or a feeling of tightness in your chest, these are significant symptoms that should not be ignored. They could indicate asthma or another respiratory condition that requires treatment.
- Changes in Mucus: If you notice changes in the color or consistency of your mucus, especially if it becomes green or brown, or if you experience blood in your mucus, you should seek medical evaluation.
- Associated Symptoms: If you develop fever, chills, or significant fatigue, these could indicate an infection that may require antibiotics or other treatment.
Recommended Actions
1. Consult an Allergist or Pulmonologist: Given your history of allergies and respiratory symptoms, it may be beneficial to see a specialist who can perform specific tests to determine the underlying causes of your symptoms. This may include allergy testing, pulmonary function tests, or imaging studies like a chest X-ray.
2. Lifestyle Modifications: Improving your posture, especially while sitting, can help alleviate some of the pressure you feel in your chest. Additionally, staying hydrated and using a humidifier can help soothe your throat and reduce coughing.
3. Medication: Over-the-counter antihistamines or nasal corticosteroids may help manage your allergy symptoms and reduce post-nasal drip. If asthma is suspected, a bronchodilator may be prescribed.
4. Monitor Symptoms: Keep a diary of your symptoms, noting any triggers that worsen your condition, such as certain foods, environmental factors, or physical activities. This information can be valuable for your healthcare provider.
In conclusion, while some respiratory symptoms can be managed at home, persistent issues, especially those affecting your breathing and quality of life, should be evaluated by a healthcare professional. Early intervention can lead to better management of your symptoms and overall health.
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