[27M] With ear popping and nighttime wet cough

What might be happening

Based on the symptoms you have described—ear popping, a wet cough at night, excess sweating, and fatigue—here are some possible explanations:

• Upper Respiratory Infection (URI): This is a common cause of cough, especially if it is wet and occurs at night. The ear popping could be due to congestion in the Eustachian tubes, which connect the middle ear to the back of the nose. Fatigue and excess sweating can also be symptoms of an infection.

  • Treatment: URIs are often viral and resolve on their own. Treatment typically includes rest, hydration, and over-the-counter medications to relieve symptoms. If bacterial, antibiotics may be prescribed by a doctor.

• Postnasal Drip: This occurs when excess mucus from the nose drips down the back of the throat, causing a cough, especially at night. Ear popping can also be a symptom due to the connection between the nasal passages and the ears.

  • Treatment: Over-the-counter antihistamines or decongestants can help reduce mucus production. Staying hydrated and using a humidifier can also be beneficial.

• Asthma: Exercise-induced asthma can cause coughing, especially during physical activity. The ear popping might be unrelated but could be due to changes in pressure or congestion.

  • Treatment: Inhalers prescribed by a doctor can help manage asthma symptoms. Avoiding known triggers and using a peak flow meter to monitor lung function can also be helpful.

• Gastroesophageal Reflux Disease (GERD): GERD can cause a chronic cough, especially at night when lying down. Ear popping is less commonly associated but could be due to pressure changes.

  • Treatment: Lifestyle changes such as avoiding large meals before bed, elevating the head while sleeping, and taking antacids or other medications prescribed by a doctor can help manage GERD symptoms.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take to manage your symptoms:

1. Stay Hydrated: Drink plenty of fluids to help thin mucus and keep your throat moist.
2. Use a Humidifier: Adding moisture to the air can help ease coughing and congestion.
3. Elevate Your Head: When sleeping, use extra pillows to keep your head elevated, which can help reduce coughing at night.
4. Avoid Triggers: If you suspect certain activities or foods are making your symptoms worse, try to avoid them.
5. Over-the-Counter Medications: Consider using decongestants, antihistamines, or cough suppressants to relieve symptoms.
6. Track Your Symptoms: Use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.

What you should look out for

Seek medical attention if you experience any of the following:

• Worsening Symptoms: If your cough, ear popping, or other symptoms worsen or do not improve after a week.
• High Fever: A fever over 100.4°F that does not go down with over-the-counter medications.
• Shortness of Breath: Difficulty breathing or wheezing, especially if it occurs suddenly.
• Chest Pain: Any chest pain, especially if it is severe or accompanied by other symptoms like shortness of breath.

Remember, while I can provide information and suggestions, it's important to consult a healthcare professional for a formal diagnosis and treatment plan.