Breathing Issues: Insights from an ENT Perspective - Otolaryngology

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Hello! It sounds like you're experiencing a range of respiratory issues that can be quite concerning, especially as a young adult. Based on your description, it seems you have been dealing with nasal congestion, difficulty breathing through your nose, and recurrent coughing. Let's break down these symptoms and explore potential underlying causes and solutions.

Firstly, the sensation of needing to take deep breaths or feeling chest tightness when trying to breathe through your nose could indicate nasal obstruction. This can arise from various conditions, including allergic rhinitis, nasal polyps, or even structural issues like a deviated septum. Allergic rhinitis, in particular, can lead to inflammation in the nasal passages, causing them to swell and obstruct airflow, which might explain your difficulty in breathing through your nose and the sensation of chest tightness.

The fact that you have been using your mouth to breathe more often suggests that your nasal passages may not be adequately open, leading to a compensatory mechanism where your body relies on mouth breathing. This can sometimes lead to dry mouth and throat, which can exacerbate coughing, especially if you are not drinking enough fluids, as you mentioned. Dehydration can lead to thicker mucus, making it harder to clear your airways, which might explain the recurrent cough.

The cough you are experiencing could be related to several factors. If it is dry and persistent, it might be due to post-nasal drip, where mucus from the nasal passages drips down the back of your throat, irritating it and causing you to cough. Alternatively, if you are experiencing a productive cough (coughing up mucus), it could indicate an underlying respiratory infection or bronchial irritation.

Given that you have seen an ENT specialist and were told there were no significant issues, it might be worthwhile to seek a second opinion or consult a pulmonologist, especially if your symptoms persist or worsen. A pulmonologist specializes in respiratory issues and can conduct further evaluations, such as pulmonary function tests, to assess your lung capacity and airflow.

In the meantime, here are some strategies you might consider to alleviate your symptoms:
1. Stay Hydrated: Ensure you are drinking plenty of fluids to help thin mucus and keep your throat moist.

2. Nasal Irrigation: Using a saline nasal spray or a neti pot can help clear nasal passages and reduce congestion.

3. Allergy Management: If allergies are suspected, over-the-counter antihistamines or nasal corticosteroids may help reduce inflammation and improve airflow.

4. Breathing Exercises: Practicing deep breathing exercises can help improve lung function and reduce feelings of breathlessness.

5. Avoid Irritants: Stay away from smoke, strong odors, and allergens that may trigger your symptoms.

6. Consult a Specialist: If your symptoms continue, consider seeing a pulmonologist for a comprehensive evaluation.

It's important to listen to your body and seek help when needed. Persistent respiratory symptoms should not be ignored, and finding the right healthcare provider who can address your concerns is crucial. Don't hesitate to advocate for yourself and seek further evaluations if your current treatment plan isn't providing relief.