Chronic cough
My father is about 48 years old and has a smoking history of 30 years.
He quit smoking over three years ago.
For the past four to five years, he has occasionally coughed, with a maximum of about ten coughs in a day.
According to my mother, his coughing symptoms have improved significantly since he quit smoking; before quitting, he would cough so much that he couldn't sleep.
Now, he only coughs occasionally, typically just one or two coughs at a time.
When he catches a cold, his coughing becomes more severe, but after taking cold medication, it improves to occasional coughs again.
When asked about his symptoms, he only mentions that his throat feels dry and itchy, which makes him want to cough, and he often clears his throat.
His overall mental state and appetite are very good.
He finds that consuming cold foods makes him cough more easily.
Although my father says it's nothing serious and just feels a bit of dryness and itchiness in his throat, without any chest pain or difficulty breathing, as his children, we are still quite worried.
I would like to ask the doctor if these symptoms could be related to lung disease.
Shang, 40~49 year old female. Ask Date: 2020/10/09
Dr. Yang Wenda reply Pulmonology
Hello: It may be related to the lungs, and an X-ray is needed to rule out significant lung diseases.
If necessary, a pulmonary function test can also be arranged to check for obstructive lung diseases.
It is recommended to see a pulmonologist!
Reply Date: 2020/10/09
More Info
Chronic cough is a common concern for individuals with a history of smoking, and it can persist even after quitting. In your father's case, having smoked for 30 years and now being smoke-free for over three years, it is not unusual for him to experience occasional coughing. This can be attributed to several factors related to the body's recovery process after quitting smoking.
When a person stops smoking, the lungs begin to heal and clear out the accumulated tar and toxins from years of exposure to cigarette smoke. This process can lead to increased mucus production and irritation in the airways, resulting in a chronic cough. The cough may be more pronounced during certain times, such as when he has a cold or experiences changes in weather, which can exacerbate respiratory symptoms. The fact that your father’s cough has improved since quitting smoking is a positive sign, indicating that his lungs are likely recovering.
The symptoms described, such as a dry, itchy throat and occasional coughing, are common among former smokers. The throat may feel dry due to the lack of moisture, especially if he consumes cold foods or drinks, which can trigger a cough reflex. Additionally, the act of clearing the throat frequently is often a habit developed over time, especially in response to irritation caused by smoking.
While your father does not report any alarming symptoms such as chest pain or difficulty breathing, it is essential to remain vigilant. Chronic cough can sometimes be a sign of underlying lung conditions, such as chronic bronchitis or even early signs of chronic obstructive pulmonary disease (COPD), especially in long-term smokers. However, given that he has undergone chest X-rays and other imaging studies that have returned normal results, this is reassuring.
To further support his lung health, it may be beneficial for your father to engage in regular physical activity, maintain a healthy diet, and stay hydrated. These practices can help improve lung function and overall well-being. Additionally, if he continues to experience bothersome symptoms, it may be worthwhile for him to consult a healthcare professional specializing in respiratory health. They can conduct a thorough evaluation and possibly recommend treatments such as inhalers or other medications to alleviate symptoms if necessary.
In summary, while your father's occasional cough is likely a result of his previous smoking history and the natural healing process of the lungs, it is essential to monitor his symptoms. Encouraging him to maintain a healthy lifestyle and seek medical advice if symptoms worsen or change can help ensure his continued recovery and lung health.
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