How to Manage Severe Coughing That Feels Like Choking? - Otolaryngology

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Managing severe coughing that feels like choking can be quite distressing and uncomfortable. Based on the symptoms you've described—persistent coughing, phlegm production, fatigue, loss of appetite, and a sensation of something stuck in your throat—it's essential to approach this situation with a combination of medical advice and self-care strategies.

Firstly, it's important to recognize that your symptoms may be indicative of a viral infection, such as influenza or a similar respiratory illness. The fact that you've already consulted a physician and received a diagnosis is a positive step. It's common for viral infections to cause prolonged coughing, which can persist even after other symptoms have resolved. This is often due to airway sensitivity and inflammation that can linger for weeks.

Here are some strategies to help manage your severe coughing and the choking sensation:
1. Stay Hydrated: Drinking plenty of fluids, especially warm liquids like herbal teas or broths, can help soothe your throat and thin mucus, making it easier to expel. Warm water with honey and lemon can be particularly soothing.

2. Humidify Your Environment: Using a humidifier in your room can help keep the air moist, which may alleviate throat irritation and reduce coughing. Dry air can exacerbate coughing, especially at night.

3. Avoid Irritants: Stay away from smoke, strong odors, and allergens that can trigger coughing. If you smoke, consider quitting, as smoking can significantly worsen respiratory symptoms.

4. Use Over-the-Counter Medications: Depending on your symptoms, over-the-counter medications such as cough suppressants (like dextromethorphan) or expectorants (like guaifenesin) may provide relief. However, consult your doctor before starting any new medication, especially if you are already on prescribed treatments.

5. Practice Controlled Coughing: If you feel a cough coming on, try to control it by taking a deep breath and coughing gently. This can help prevent the sensation of choking and reduce the strain on your throat.

6. Elevate Your Head While Sleeping: Sleeping with your head elevated can help reduce coughing at night. You can use extra pillows or a wedge pillow to achieve this.

7. Gargle Salt Water: Gargling with warm salt water can help soothe a sore throat and may reduce the urge to cough.

8. Consult a Specialist: If your symptoms persist or worsen, consider seeing a specialist, such as an ear, nose, and throat (ENT) doctor or a pulmonologist. They can perform a thorough examination and may recommend further tests, such as a bronchoscopy, to rule out any underlying issues.

9. Follow-Up with Your Doctor: Since you have already seen a physician, it’s crucial to follow up if your symptoms do not improve. Persistent coughing, especially with the sensation of choking, may require further evaluation to rule out conditions like bronchitis, asthma, or even post-nasal drip.

10. Rest and Nutrition: Ensure you are getting adequate rest and nutrition to support your immune system. Eating small, nutritious meals can help maintain your energy levels and improve your overall well-being.

In summary, while managing severe coughing that feels like choking can be challenging, implementing these strategies can provide relief and support your recovery. Always prioritize communication with your healthcare provider to ensure that you receive appropriate care tailored to your specific situation. If you experience any alarming symptoms, such as difficulty breathing, chest pain, or high fever, seek medical attention immediately.