Cough and Throat Tightness: When to Seek Medical Help - Otolaryngology

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It sounds like you are experiencing a complex set of symptoms that have persisted for several weeks, and I understand your concern regarding your health and that of your family. Let's break down your questions and symptoms to provide some clarity and guidance.

1. Coughing and Throat Tightness: Your ongoing cough with yellow phlegm for three weeks, along with throat tightness, could be indicative of a respiratory infection, possibly bronchitis or even a post-viral cough. The fact that you have a history of asthma and have been prescribed a bronchodilator suggests that your airways may be reactive, which can be exacerbated by respiratory infections. If you are still coughing and experiencing tightness in your throat, it is advisable to use the bronchodilator as prescribed, especially if you feel that your breathing is not as easy as it should be. You can generally take cold medications while using your asthma inhaler, but it's best to consult your healthcare provider about specific medications to avoid any potential interactions.

2. Choking on Water: The sensation of choking when drinking water could be related to inflammation in your throat due to your ongoing illness. This could also be a sign of a more significant issue, such as difficulty swallowing (dysphagia), which can occur with throat inflammation. If this symptom persists, it would be wise to discuss it with your doctor, as they may want to evaluate your swallowing function further.

3. Tightness Around the Collarbone: The tightness you are feeling around your collarbone could be related to muscle tension, anxiety, or even referred pain from your respiratory symptoms. Given your history of liver transplantation and the concern for complications, it is essential to monitor this symptom closely. If the tightness worsens or is accompanied by significant breathing difficulties, chest pain, or other concerning symptoms, seek medical attention promptly.

4. Family Symptoms: The persistent coughs in your family members, including your son and husband, suggest a possible viral infection that may be circulating among you. Given that your son has been diagnosed with middle ear infection and sinusitis, it is not uncommon for respiratory infections to lead to secondary infections like these. The yellow nasal discharge indicates that there may be a bacterial component, especially if the symptoms have lasted beyond 10 days. It would be prudent for your family to follow up with a healthcare provider to assess whether further treatment or evaluation is necessary.

In summary, your symptoms of cough, throat tightness, and the sensation of choking on liquids warrant further evaluation, especially given your medical history. It is crucial to communicate openly with your healthcare provider about your symptoms and any changes you notice. They may recommend additional tests, such as a chest X-ray or pulmonary function tests, to rule out any underlying issues.
Additionally, considering the ongoing respiratory symptoms in your family, it may be beneficial for everyone to be evaluated to determine if there is a common infectious cause that needs addressing. In the meantime, ensure you stay hydrated, rest, and manage your symptoms with the appropriate medications as advised by your healthcare provider.