Managing Cough and Mucus After Tracheostomy in Teens: What to Expect

Will suctioning phlegm from the throat lead to bronchial constriction?

In adolescents who have undergone tracheostomy, it is common to experience increased mucus production and persistent coughing.
This can be particularly pronounced immediately following the procedure.
While most available information pertains to older adults aged 60-70, younger patients may also exhibit similar symptoms.
Regarding anesthesia, tracheostomy procedures can be performed under local anesthesia, which may be different from previous surgeries that utilized general anesthesia.
If you are sensitive and prone to coughing with minimal stimulation, it is important to communicate this with your surgical team.
They can take measures to minimize discomfort and manage coughing during the procedure.
The removal of the tracheostomy tube and subsequent suturing can cause some discomfort, but this varies by individual.
Post-operative care is crucial; it typically involves keeping the area clean and dry, monitoring for signs of infection, and following any specific instructions provided by your healthcare provider.
If you have not experienced local anesthesia before, discussing your concerns with your healthcare team can help alleviate anxiety and ensure proper management during recovery.
Thank you for your inquiry.

Ming., 10~19 year old female. Ask Date: 2022/07/23

Dr. Li Jiaxuan reply Otolaryngology

First of all, congratulations on successfully having your tracheostomy sutured; it wasn't as difficult as you imagined.
You can take cough suppressants to help alleviate your cough a bit.
The sutured tracheostomy will take about 3 to 6 months for the fascia, soft tissue, and skin to thicken and become less sensitive.
After the suturing, be careful to avoid any external injuries or impacts, and avoid overly stimulating the trachea (such as through vigorous exercise or consuming cold foods).
Wishing you a safe recovery.

Reply Date: 2022/07/23

More Info

Managing cough and mucus after a tracheostomy in teenagers can be a complex process, and it’s understandable to have concerns, especially given the differences in age and physiological responses compared to older adults.

Cough and Mucus Production Post-Tracheostomy
After a tracheostomy, it is common for patients to experience increased mucus production and coughing. This is primarily due to the fact that the tracheostomy bypasses the upper airway, which normally helps to filter, humidify, and warm the air we breathe. As a result, the air entering the lungs is drier and can lead to irritation of the airways, prompting the body to produce more mucus as a protective mechanism.
In teenagers, the response might be similar to that of adults, but younger patients may have more reactive airways. Therefore, it is not unusual for a teenager to experience significant mucus production and coughing after the procedure. This can last for several weeks as the body adjusts to the new breathing method.

Duration of Symptoms
Typically, the increased mucus production and coughing should gradually decrease as the tracheostomy site heals and the body adapts. However, it is essential to monitor the situation closely. If the cough is persistent, worsening, or accompanied by other symptoms such as fever, increased shortness of breath, or changes in the color or consistency of the mucus, it is crucial to consult a healthcare provider.

Sensitivity and Cough Reflex
Regarding your concern about sensitivity and the potential for coughing during the procedure, it is important to communicate your sensitivity to the medical team. They can take measures to minimize discomfort and manage your cough reflex during the procedure. Local anesthesia is typically used to numb the area, which should help reduce the sensation that triggers coughing.

Post-Operative Care
After the tracheostomy and subsequent closure, proper care is essential for optimal healing. Here are some tips for post-operative care:
1. Hydration: Staying well-hydrated can help thin mucus, making it easier to clear from the airways. Encourage fluid intake unless contraindicated by your healthcare provider.

2. Humidification: Using a humidifier in your living space can help keep the air moist, which may reduce irritation in the airways and decrease mucus production.

3. Avoid Irritants: Stay away from smoke, strong odors, and other irritants that can exacerbate coughing and mucus production.

4. Cough Management: If you find yourself coughing excessively, discuss with your doctor the possibility of using cough suppressants or expectorants as needed.

5. Follow-Up Care: Regular follow-up appointments with your healthcare provider are crucial to monitor your recovery and address any concerns that arise.

6. Wound Care: Keep the tracheostomy site clean and dry. Follow your healthcare provider's instructions on how to care for the incision site to prevent infection.

Conclusion
In summary, while it is common to experience increased mucus and coughing after a tracheostomy, these symptoms should gradually improve as healing progresses. It is vital to maintain open communication with your healthcare team regarding your symptoms and any concerns you may have. They can provide tailored advice and interventions to ensure a smooth recovery. If you have any specific worries or if symptoms persist, do not hesitate to seek medical advice.

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