Is It Coughing? Throat Clearing and Health Risks - Pulmonology

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Is this considered a cough?


Is the action of slowly sucking phlegm out of my throat considered coughing? A few months ago, I had an X-ray done, and there were no issues.
Previously, I had been forcefully coughing up blood-tinged sputum, and once I had blood-tinged foam.
Recently, I read online that blood-tinged foam is definitely a bad sign.
I want to know if constant forceful coughing and gum issues always result in blood-tinged sputum? Does having blood-tinged foam indicate other problems? Additionally, I started smoking at 15 and have a smoking history of 7 years, having quit for just over a year now.
I want to know if my smoking history is considered long, given that I smoked about 15-16 cigarettes daily for the last 4 years (with some days smoking an extra 10 or more when out with friends) and did not smoke on weekends.
Am I at high risk? (Since I started smoking before turning 18...) I read online that smoking has a significant genetic impact.
If my smoking history has caused genetic mutations in important genes, should I have check-ups every 2-3 months? I really regret it and am very scared.
I hope to get an answer as I am very concerned and think about it constantly...
Thank you very much.

davis, 20~29 year old female. Ask Date: 2017/08/18

Dr. Wu Yingxun reply Pulmonology


Hello: 1.
I regret it and am afraid, so I will quit smoking.
After quitting, my physical condition will improve.
2.
Is there post-nasal drip? A chest X-ray (CXR) should be done to check for any issues.
Coughing forcefully may cause bleeding; a CT scan should be performed if necessary.

Reply Date: 2017/08/18

More Info


Coughing and throat clearing are common reflex actions that help clear mucus and irritants from the airways. However, when these actions become frequent or are accompanied by other symptoms, they may indicate underlying health issues that require attention.
From your description, it seems you have been experiencing a persistent need to clear your throat, which you refer to as "umum." This action can be a form of coughing, especially if it involves expelling mucus. The presence of blood in your sputum, even if it is just a small amount or appears as blood-tinged mucus, is concerning and should not be ignored. Blood-tinged sputum can arise from various causes, including infections, bronchitis, or more serious conditions like lung cancer, especially in individuals with a history of smoking.

You mentioned that you had an X-ray a few months ago that showed no issues, which is a positive sign. However, if you continue to experience symptoms like coughing up blood or blood-tinged sputum, it is crucial to follow up with a healthcare provider for further evaluation. They may recommend additional tests, such as a CT scan or bronchoscopy, to investigate the cause of your symptoms more thoroughly.

Regarding your smoking history, starting at the age of 15 and smoking for seven years puts you at a higher risk for respiratory issues and other health complications. While you have quit smoking for over a year, it's important to recognize that the effects of smoking can linger, and the risk of developing smoking-related diseases may still be present. The fact that you smoked a significant number of cigarettes daily, especially during your late teenage years, can contribute to long-term health risks, including chronic obstructive pulmonary disease (COPD) and lung cancer.

As for your concerns about genetic mutations due to smoking, research indicates that smoking can indeed lead to genetic changes that may increase the risk of certain diseases. However, the extent of this risk can vary based on individual factors, including genetics, overall health, and lifestyle choices. Regular health check-ups are advisable, especially for someone with your smoking history. A healthcare provider may recommend pulmonary function tests or other screenings to monitor your lung health.

In terms of managing your anxiety about these health concerns, it is essential to address both the physical and psychological aspects. It is common to feel anxious about health issues, especially when they involve symptoms like coughing up blood. Seeking support from a healthcare professional can help you navigate these feelings and provide reassurance. They can also guide you on how to manage your anxiety and improve your overall well-being.

In summary, while throat clearing and coughing can be normal, persistent symptoms, especially those involving blood, warrant further investigation. Your smoking history does increase your risk for respiratory issues, and regular check-ups are a good practice. Don't hesitate to reach out to a healthcare provider to discuss your symptoms and concerns; they can provide the necessary evaluations and support to help you feel more at ease.

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