Post-Illness Coughing and Choking Sensations: When to Seek Further Lung Evaluation? - Pulmonology

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Post-illness coughing and choking sensations can be concerning, especially after experiencing pneumonia and sinusitis. Given your history of respiratory issues, it is important to monitor your symptoms closely and consider further evaluation if they persist or worsen.
From your description, it seems that you are experiencing ongoing symptoms such as post-nasal drip, white phlegm, and a choking sensation when speaking or eating. These symptoms can be indicative of several conditions, including residual effects from your previous lung infection, chronic bronchitis, or even asthma. The fact that you feel short of breath when talking for extended periods may suggest that your airways are still sensitive or inflamed, which can occur after respiratory infections.

In terms of diagnostic imaging, your chest X-rays taken before and after hospitalization appear to show no significant abnormalities at a glance. However, X-rays may not always provide a complete picture of lung health, especially in cases of subtle changes in lung function or inflammation. If you continue to experience symptoms such as coughing, choking, or shortness of breath, it would be prudent to seek further evaluation. A follow-up with a pulmonologist could be beneficial, as they may recommend additional tests such as a CT scan of the chest, pulmonary function tests, or even a bronchoscopy if necessary.

Additionally, it is important to consider the possibility of post-infectious cough, which can occur after respiratory infections. This type of cough can persist for weeks or even months after the initial illness and is often due to airway hyperreactivity or residual inflammation. In such cases, treatment may include inhaled corticosteroids or bronchodilators to help alleviate symptoms.

Moreover, if you are experiencing significant post-nasal drip, it may be worthwhile to address the sinus issues as well. Chronic sinusitis can lead to ongoing respiratory symptoms, and managing this condition may help improve your overall lung health. Over-the-counter antihistamines or nasal corticosteroids can be effective in reducing nasal congestion and post-nasal drip.

In summary, while your initial imaging does not show significant abnormalities, your ongoing symptoms warrant further evaluation. It is advisable to consult with a healthcare professional who can assess your condition comprehensively and determine if additional tests or treatments are necessary. Early intervention can help prevent complications and improve your quality of life. Remember to monitor your symptoms closely and seek medical attention if you experience any new or worsening symptoms, such as increased shortness of breath, chest pain, or fever.