Difficulty breathing with phlegm in the throat?
Hello, I've recently been experiencing difficulty breathing and a sensation of not getting enough air.
Sometimes I feel like there's phlegm in my throat that I can't cough up.
I visited a family medicine doctor who mentioned it could be post-nasal drip or allergies.
The medication helped temporarily, but the symptoms returned after finishing the medication.
I tend to be more anxious, and I've been smoking for ten years.
In the past, I occasionally had similar symptoms, but they didn't last long.
Do I need to undergo any specific tests? I had a comprehensive health check-up two to three years ago, and there were no significant issues at that time.
Xiao Hao, 20~29 year old female. Ask Date: 2021/07/04
Dr. Yang Wenda reply Pulmonology
Hello: No special examination is needed.
Try to quit smoking and avoid consuming too many cold foods and beverages; this should help improve your condition!
Reply Date: 2021/07/04
More Info
Breathing difficulties, especially when accompanied by sensations of tightness in the chest or the feeling of not being able to take a full breath, can be concerning and may indicate underlying health issues. Based on your description, it seems you are experiencing symptoms that could be related to several factors, including anxiety, allergies, or even respiratory conditions.
Firstly, the sensation of not being able to breathe deeply or feeling like you are not getting enough air can often be exacerbated by anxiety. Anxiety can lead to hyperventilation, where you breathe too quickly or too shallowly, which can create a feeling of breathlessness. This is particularly common in individuals who are predisposed to anxiety disorders. If you find that your breathing difficulties are often accompanied by feelings of panic or anxiety, it may be beneficial to address the anxiety component through relaxation techniques, cognitive behavioral therapy, or even medication if recommended by a healthcare professional.
The presence of phlegm and the sensation of post-nasal drip (where mucus drips down the back of your throat) can also contribute to your breathing difficulties. This can be caused by allergies, sinus infections, or other respiratory issues. If you have been diagnosed with allergies, it is essential to manage them effectively, which may include avoiding allergens, using antihistamines, or nasal corticosteroids as prescribed by your doctor. If your symptoms persist despite treatment, it might be worth revisiting your healthcare provider for further evaluation.
Given your history of smoking, it is also crucial to consider the potential impact of tobacco use on your respiratory health. Smoking can lead to chronic bronchitis, emphysema, and other respiratory conditions that may cause persistent cough, phlegm production, and breathing difficulties. If you are still smoking, I strongly encourage you to seek resources to help you quit, as this can significantly improve your lung function and overall health.
Since you mentioned that you had a full health check-up a couple of years ago with no significant issues, it may be time to consider a follow-up, especially if your symptoms have changed or worsened. A thorough evaluation by a healthcare professional, including a physical examination and possibly pulmonary function tests, can help determine if there are any underlying respiratory conditions that need to be addressed.
In summary, your symptoms could be multifactorial, involving anxiety, allergies, and possibly the effects of smoking. It is essential to take a comprehensive approach to your health by addressing both the physical and psychological aspects of your symptoms. Consulting with a healthcare provider who can evaluate your symptoms in detail and recommend appropriate tests or treatments is a crucial next step. Additionally, consider lifestyle changes such as quitting smoking, managing stress, and avoiding known allergens to improve your overall respiratory health.
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