[26M] With persistent cough and phlegm post-fever

Patient Description

A 26-year-old male reports a moderate, frequent cough with white phlegm that has persisted for several weeks. The cough, which began with yellow phlegm following a fever, has become more frequent, occurring at least twice per minute, and worsens at night. The patient also experiences slight shortness of breath during nighttime. There is a history of childhood asthma, but no asthma attacks have occurred in the past 10 years. The patient has not taken any medications for the cough, except for paracetamol during the fever. No other symptoms, allergies, or adverse reactions to medications have been reported.

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Arora's Assessment

What might be happening

Based on the information you provided, you may be experiencing:

  • Post-viral cough: After a viral infection, such as the common cold or flu, you may have a lingering cough that can last for several weeks. This is due to the inflammation and irritation in your airways caused by the virus. The cough is usually dry but can sometimes produce clear or white mucus.

    • Treatment typically involves symptom management with over-the-counter cough suppressants and staying hydrated. It should resolve on its own over time.
  • Asthma: Given your history of childhood asthma, it's possible that your symptoms could be a mild flare-up. Asthma can cause coughing, wheezing, and shortness of breath, and symptoms can sometimes worsen at night.

    • Treatment involves using prescribed inhalers to control symptoms and prevent flare-ups.
  • Allergies: Allergies can cause a chronic cough with white phlegm, particularly if you're exposed to an allergen regularly.

    • Treatment involves avoiding known allergens and taking antihistamines.
  • Gastroesophageal reflux disease (GERD): GERD can cause a chronic cough, particularly at night or after meals. It occurs when stomach acid backs up into the tube that carries food from your mouth to your stomach.

    • Treatment typically involves lifestyle changes and over-the-counter medication.

What you can do

  1. Try over-the-counter cough suppressants to help manage your symptoms.
  2. Stay hydrated and use a humidifier to help soothe your throat and loosen mucus.
  3. Monitor your symptoms. If your cough persists for more than a few weeks, or if it worsens, you should consult a healthcare professional.
  4. If you have a known allergen, try to avoid it and take antihistamines as needed.

What you should look out for

Seek immediate medical attention if you experience:

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

Remember, while I strive to provide accurate information, I'm not a doctor. Please consult with a healthcare professional for a formal diagnosis and treatment.

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11 mo ago

People Also Ask


What is a post-viral cough and how long does it typically last?

A post-viral cough is a lingering cough that occurs after a viral infection, such as a cold or flu. It is caused by inflammation and irritation in the airways and can last for several weeks. Treatment usually involves managing symptoms with over-the-counter medications and staying hydrated.


Can childhood asthma reoccur in adulthood, and what are the signs?

Yes, childhood asthma can reoccur in adulthood. Signs include coughing, wheezing, shortness of breath, and chest tightness, especially at night or during exercise. If you suspect asthma, consult a healthcare professional for evaluation and management.


How can allergies contribute to a chronic cough?

Allergies can cause a chronic cough by triggering inflammation and mucus production in the airways. This is often due to exposure to allergens such as pollen, dust, or pet dander. Avoiding known allergens and taking antihistamines can help manage symptoms.


What lifestyle changes can help manage GERD-related cough?

To manage GERD-related cough, lifestyle changes such as avoiding large meals, not lying down immediately after eating, elevating the head of the bed, and avoiding trigger foods like spicy or fatty foods can be helpful. Over-the-counter medications may also be recommended to reduce stomach acid.


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