Persistent Cough After Cold: When to See a Lung Specialist? - Pulmonology

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I have had a cold for almost two months?


Hello doctor, I started having a cold around mid-May.
I felt better for a while, but the cold relapsed shortly after.
I've visited 4 to 5 clinics, and my symptoms have improved.
Although I'm no longer experiencing a runny nose or sore throat, I have a dry cough every morning that feels like it could make me vomit.
Additionally, whenever I drink something cold, I start to produce phlegm and cough.
What could be the issue? Should I get my lungs checked? Thank you.

Tian, 20~29 year old female. Ask Date: 2008/07/18

Dr. Qu Changke reply Pulmonology


Hello: I recommend that you visit the pulmonology outpatient clinic for further evaluation and to arrange additional tests as needed.

Reply Date: 2008/07/18

More Info


Persistent cough after a cold can be quite distressing, especially when it interferes with daily activities and sleep. Based on your description, it seems that you have been experiencing a lingering cough following a cold that has evolved into a more concerning issue. Given that you have already consulted multiple clinics and your symptoms have persisted, it may be time to consider seeing a lung specialist, also known as a pulmonologist.

There are several potential reasons for a persistent cough after a cold. One common cause is post-viral cough, which can occur after an upper respiratory infection. This type of cough can linger for weeks or even months after the initial infection has resolved. The cough is often due to residual inflammation in the airways, which can be exacerbated by irritants such as cold air, strong odors, or even certain foods and drinks, like cold beverages, which you mentioned trigger your symptoms.

Another possibility is that you may be experiencing bronchial hyperreactivity, a condition where the airways become overly sensitive following an infection. This can lead to coughing, wheezing, and difficulty breathing, especially when exposed to cold air or irritants. In some cases, this can be a precursor to asthma, particularly if you have a history of allergies or if asthma runs in your family.

Additionally, if you are producing phlegm, it could indicate that your airways are still inflamed or that there is an underlying condition such as chronic bronchitis or even an infection that has not fully resolved. The presence of phlegm, especially if it is colored or has a foul odor, may warrant further investigation to rule out any bacterial infections or other lung issues.

Given your symptoms of persistent cough, especially if it is accompanied by difficulty breathing or if you are experiencing significant discomfort, it is advisable to see a pulmonologist. They can perform a thorough evaluation, which may include a physical examination, lung function tests, and imaging studies such as a chest X-ray or CT scan to assess the condition of your lungs and airways.

In the meantime, there are several self-care measures you can take to help alleviate your symptoms. Staying hydrated is crucial, as it helps thin mucus and makes it easier to expel. Using a humidifier in your home can also help keep the airways moist and reduce irritation. Avoiding known irritants, such as smoke, strong perfumes, and cold air, can also be beneficial. If you find that certain foods or drinks trigger your cough, it may be wise to avoid them until you have a clearer understanding of your condition.

In summary, while it is common for a cough to linger after a cold, the persistence and severity of your symptoms suggest that a consultation with a lung specialist is warranted. They can provide a comprehensive assessment and guide you toward appropriate treatment options to help manage your cough and improve your quality of life.

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