Persistent Cough After Inhaling Cleaning Chemicals: What to Do? - Pulmonology

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Inhalation of cleaning agents, persistent cough for several days?


Hello, doctor! About half a month ago, while cleaning the bathroom, I accidentally used a large amount of a mold remover containing sodium hypochlorite along with a small amount of hydrochloric acid.
At that moment, I noticed a very strong and irritating smell and started coughing, but I didn't think much of it and continued to endure the cleaning for about 15 to 20 minutes.
Since then, I have been experiencing coughing symptoms, with phlegm sounds but unable to cough it out effectively.
I visited the clinic twice but did not mention the use of the cleaning agents to the doctors.
Both times, the doctors prescribed antibiotics, but my symptoms did not improve after taking the medication.
Today, I realized that my coughing symptoms started right after I finished cleaning the bathroom.
My family mentioned that coughing for a month would be fine, but I still want to ask the doctor if these symptoms will resolve on their own.

Nìngmíng, 20~29 year old female. Ask Date: 2020/04/18

Dr. Yang Wenda reply Pulmonology


Hello: First, confirm that an X-ray has been taken.
If the results are normal, there should be no concern about chemical exposure causing aspiration injury.
It is recommended to see a pulmonologist and take medications to control the symptoms!

Reply Date: 2020/04/18

More Info


Inhalation of cleaning chemicals, particularly those containing sodium hypochlorite (bleach) and hydrochloric acid, can lead to respiratory irritation and other complications. The symptoms you are experiencing, such as persistent coughing and difficulty expelling phlegm, are not uncommon after exposure to such irritants. It is essential to understand the potential effects of these chemicals on your respiratory system and the appropriate steps you can take to address your symptoms.

When you mixed these two cleaning agents, a chemical reaction likely occurred, producing chlorine gas and other harmful byproducts. Inhaling these substances can irritate the mucous membranes of the respiratory tract, leading to symptoms like coughing, wheezing, and shortness of breath. The cough you are experiencing may be a protective reflex as your body attempts to clear the irritants from your airways. However, if this cough persists for an extended period, it may indicate that your airways are still inflamed or that there is an underlying issue that needs to be addressed.

While some individuals may experience a spontaneous resolution of symptoms over time, this is not guaranteed. Factors such as the extent of exposure, individual sensitivity, and pre-existing respiratory conditions can influence recovery. In your case, since the cough has persisted for over two weeks without improvement, it is advisable to seek further medical evaluation.

Here are some steps you can take to manage your symptoms:
1. Consult a Healthcare Provider: Since you have already seen a doctor twice without improvement, it may be beneficial to consult a specialist, such as a pulmonologist or an ear, nose, and throat (ENT) doctor. They can perform a thorough evaluation, including imaging studies like a chest X-ray, to rule out any significant lung injury or infection.

2. Avoid Irritants: Stay away from environments with strong odors, smoke, or other irritants that could exacerbate your symptoms. Ensure that your living space is well-ventilated and free from chemical fumes.

3. Hydration: Drink plenty of fluids to help thin mucus and facilitate its expulsion. Staying hydrated can also soothe an irritated throat.

4. Cough Management: Over-the-counter cough suppressants or expectorants may provide temporary relief. However, consult with a healthcare provider before starting any new medication.

5. Monitor Symptoms: Keep track of your symptoms, including any changes in the nature of your cough, the presence of fever, or difficulty breathing. If your symptoms worsen, seek medical attention promptly.

6. Consider Allergy Testing: If your cough persists despite treatment, consider discussing the possibility of allergies or asthma with your healthcare provider. They may recommend allergy testing or pulmonary function tests to assess your lung function.

In conclusion, while some cases of cough after chemical exposure may resolve on their own, persistent symptoms warrant further investigation. It is crucial to communicate all relevant details about your exposure to your healthcare provider to ensure an accurate diagnosis and appropriate treatment plan. Your health and well-being are paramount, so do not hesitate to seek help if your symptoms do not improve.

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