[27M] With persistent wet cough and difficulty swallowing

Patient Description

A 27-year-old male has been experiencing a moderate, persistent wet cough with green phlegm for three weeks, occurring about every 10 minutes throughout the day. The cough is exacerbated by phlegm buildup. The patient has also reported the onset of difficulty swallowing solid foods starting today. The patient has been using Guaifenesin to alleviate phlegm presence. There is no associated fever, chills, shortness of breath, chest pain, hemoptysis, wheezing, or weight loss. The patient has no known allergies, no current medications, and no past medical history of smoking, travel, or contact with sick individuals.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

  • Bronchitis: This is an inflammation of the bronchial tubes, the air passages between the nose and the lungs. It's often caused by a viral or bacterial infection. Symptoms can include coughing up thickened mucus, which can be discolored. Treatment usually involves rest, paracetamol (or ibuprofen) and plenty of fluids. Antibiotics are not usually needed unless the bronchitis is likely to be bacterial rather than viral.

  • Pneumonia: This is an infection that inflames the air sacs in one or both lungs, which may fill with fluid. Symptoms can be similar to bronchitis, but pneumonia is more likely to cause a high fever, sweating and shaking chills, and shortness of breath. Treatment is usually with antibiotics.

  • Postnasal drip: This is when the body produces more mucus, which can trigger a cough. It can also cause you to have a sore throat and a difficulty swallowing. Treatment is usually with decongestants and antihistamines.

What you can do

  • Continue taking over-the-counter cough suppressants and expectorants like guaifenesin to help with your symptoms.
  • Drink plenty of fluids and use a humidifier to help loosen the mucus in your lungs.
  • Rest and avoid exertion to give your body a chance to recover.
  • Avoid irritants such as smoke and dust as these can make your cough worse.

What you should look out for

  • If your symptoms persist for more than 3 weeks, you should seek medical attention.
  • If you develop a high fever, chest pain, or difficulty breathing, seek immediate medical attention.
  • If you cough up blood, seek immediate medical attention.

Please remember that while I strive to provide accurate and helpful health information, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examinations, treatment, testing, and care recommendations.

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10 mo ago

People Also Ask


What are the common causes of a persistent wet cough with green phlegm?

A persistent wet cough with green phlegm can be caused by conditions such as bronchitis, pneumonia, or postnasal drip. These conditions often involve inflammation or infection of the respiratory tract, leading to increased mucus production.


How can difficulty swallowing be related to respiratory issues?

Difficulty swallowing can be related to respiratory issues like postnasal drip, where excess mucus from the nasal passages drips down the throat, causing irritation and swallowing difficulties. It can also be a sign of more serious conditions if accompanied by other symptoms.


When should I seek medical attention for a persistent cough?

You should seek medical attention for a persistent cough if it lasts more than three weeks, or if you develop additional symptoms such as a high fever, chest pain, difficulty breathing, or if you cough up blood.


What are some effective home remedies for managing a persistent cough?

Effective home remedies for managing a persistent cough include staying hydrated, using a humidifier, taking over-the-counter expectorants like guaifenesin, resting, and avoiding irritants such as smoke and dust.


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