Can Chemical Bronchitis or Laryngitis Lead to Full Recovery? - Pulmonology

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Can chemical bronchitis or laryngitis fully recover?


Six weeks ago, I started experiencing coughing symptoms and a sensation of something stuck in my throat, possibly due to using too much bleach to clean the bathroom walls.
These symptoms have persisted until now, and I have not experienced any other symptoms.
Five days later, I decided to get a COVID-19 PCR test, which came back negative.
After three weeks of persistent symptoms, I decided to see a doctor.
The doctor listened to my lungs and said there were no issues and no pneumonia.
A rapid strep test for my throat was also negative.
I informed the doctor about the bleach usage, and he simply said, "good to know." (I have been abroad for the past two years.) The doctor did not say much else and suggested I could buy over-the-counter medications to alleviate my symptoms.
I did not purchase any, as I believe these medications only relieve symptoms and do not expedite recovery, but I did buy vitamin C to take.
During this period, I have been waking up with a lot of phlegm and a tendency to cough, and while running, I would cough but did not feel short of breath (I am an avid long-distance runner and have continued to run 13K every other day).
Recently, this week, I finally stopped coughing while running, and I no longer wake up with excessive phlegm, which is a significant improvement compared to a few weeks ago.
However, I still occasionally have phlegm in my throat, which feels uncomfortable, and I cough occasionally.
Additionally, this week, I have started experiencing excessive saliva production, but I am unsure if this is a psychological effect or related to the laryngitis or bronchitis.
I am also uncertain if I should be concerned about it.
I would like to ask the doctor if the symptoms mentioned above could last a lifetime.
What are the chances of complete recovery? Is there a possibility that this could turn into a chronic condition? I feel frustrated that I have not fully recovered after six weeks and am experiencing this strange symptom of excessive saliva.

jim, 30~39 year old female. Ask Date: 2022/07/17

Dr. Wang Lanfeng reply Pulmonology


Hello: Based on your description, it is currently not possible to determine whether the chemical lung injury was caused by bleach.
However, you have already undergone preliminary examinations, and everything seems fine at the moment.
It is recommended that you focus on symptomatic treatment and monitor your symptoms.
If the symptoms persist, it is advisable to visit a pulmonology clinic.
Thank you.

Reply Date: 2022/07/17

More Info


Chemical bronchitis and laryngitis can indeed lead to full recovery, but the timeline and the extent of recovery can vary significantly from person to person. In your case, it seems that your symptoms began after exposure to bleach, which can irritate the respiratory tract and lead to inflammation. This type of irritation can cause symptoms such as coughing, a sensation of something stuck in the throat, and increased mucus production.

From your description, it appears that you have been experiencing a gradual improvement in your symptoms over the past few weeks. The fact that you are no longer coughing while running and that your morning phlegm production has decreased is a positive sign. However, the lingering sensation of mucus in your throat and occasional coughing, along with the increased saliva production, may still be related to the initial irritation caused by the bleach exposure.


Recovery Timeline and Factors
1. Acute vs. Chronic Symptoms: Acute bronchitis or laryngitis typically resolves within a few weeks, especially if the irritant is removed and the individual avoids further exposure. Chronic symptoms, on the other hand, can develop if the irritation persists or if there is ongoing exposure to irritants. Given that you have been experiencing symptoms for six weeks, it is essential to monitor how they evolve. If they continue to improve, it is likely that you are on the path to full recovery.

2. Individual Variation: Recovery can depend on several factors, including your overall health, any pre-existing respiratory conditions, and your body's response to the irritant. Since you are an active runner and seem to maintain a healthy lifestyle, these factors may contribute positively to your recovery.

3. Psychological Factors: Your concern about the increased saliva production could indeed be influenced by anxiety or stress related to your symptoms. Sometimes, the perception of symptoms can be heightened by psychological factors, especially if you are feeling frustrated about your recovery.


Recommendations for Recovery
1. Avoid Irritants: Continue to avoid exposure to bleach and other strong chemicals. If you need to clean with such substances, ensure that the area is well-ventilated and consider using protective gear.

2. Hydration: Staying well-hydrated can help thin mucus and make it easier to clear from your throat. Drinking warm fluids, such as herbal teas or broths, can also soothe the throat.

3. Over-the-Counter Medications: While you mentioned skepticism about OTC medications, some can provide relief from symptoms. Expectorants can help clear mucus, and throat lozenges can soothe irritation.

4. Consult a Specialist: If symptoms persist or worsen, consider consulting an ear, nose, and throat (ENT) specialist or a pulmonologist. They can provide a more thorough evaluation and may suggest treatments that can expedite your recovery.

5. Monitor Symptoms: Keep track of your symptoms and any changes. If you notice a significant increase in coughing, difficulty breathing, or other concerning symptoms, seek medical attention promptly.


Conclusion
In summary, while it is possible for chemical bronchitis and laryngitis to lead to full recovery, the process can take time. Your current improvement is encouraging, and with continued care and avoidance of irritants, you have a good chance of achieving complete recovery. However, if symptoms persist or you have concerns about your health, do not hesitate to seek further medical advice. Remember, patience is key in the recovery process, and it is essential to listen to your body as you heal.

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