[21F] Experiencing severe dry cough and wheezing

Patient Description

A 21-year-old female presents with a severe, dry cough that she feels originates from her lungs. The cough has been persistent for more than five days. She also reports wheezing. The patient is not currently pregnant and has not identified any specific exacerbating factors for her cough. She denies having a fever or chills. The timing of the cough in relation to day or night has not been specified. No other symptoms have been reported at this time.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible conditions include:

  • Asthma: This is a condition in which your airways narrow and swell and may produce extra mucus. This can make breathing difficult and trigger coughing, wheezing and shortness of breath.

    • Treatment typically involves the use of inhalers to manage symptoms and prevent asthma attacks.
  • Bronchitis: This is an inflammation of the lining of your bronchial tubes, which carry air to and from your lungs. People with bronchitis often cough up thickened mucus, which can be discolored.

    • Treatment usually involves rest, fluids, and in some cases, antibiotics if the bronchitis is caused by a bacterial infection.
  • Pneumonia: This is an infection that inflames the air sacs in one or both lungs. The air sacs may fill with fluid or pus (purulent material), causing cough with phlegm or pus, fever, chills, and difficulty breathing.

    • Treatment typically involves antibiotics, rest, and fluids.

Remember, it's important to consult with a healthcare professional for an accurate diagnosis.

What you can do

  1. Drink plenty of fluids to help loosen the mucus in your lungs
  2. Take over-the-counter cough suppressants to control your cough
  3. Rest and avoid exertion to allow your body to recover

What you should look out for

Seek immediate medical attention if you experience:

  • Difficulty breathing or shortness of breath
  • Chest pain
  • High fever
  • Coughing up blood

Remember, this advice is intended to be general in nature, and specific causes may need different management. Always consult with a healthcare professional for accurate information.

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10 mo ago

People Also Ask


What are the common causes of a persistent dry cough?

Common causes of a persistent dry cough include asthma, bronchitis, pneumonia, allergies, and sometimes viral infections. It's important to consult a healthcare professional for an accurate diagnosis.


How can I differentiate between asthma and bronchitis symptoms?

Asthma often involves wheezing, shortness of breath, and a feeling of tightness in the chest, while bronchitis typically involves a cough that may produce mucus and is often accompanied by fatigue and a sore throat. A healthcare professional can provide a more accurate diagnosis.


When should I seek medical attention for a cough?

You should seek medical attention if you experience difficulty breathing, chest pain, a high fever, or if you are coughing up blood. Persistent symptoms that do not improve with home care should also be evaluated by a healthcare professional.


What home remedies can help alleviate a dry cough?

Home remedies for a dry cough include staying hydrated, using a humidifier, taking over-the-counter cough suppressants, and resting. Honey and warm teas can also soothe the throat and reduce coughing.


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