[29F] With severe wet cough and mild nasal congestion

Patient Description

A 29-year-old female presents with a severe wet cough producing green mucus, which began with a throat tickle on Monday. The cough is exacerbated to the point of choking and causes chest pain after prolonged episodes. She also reports mild nasal congestion that is aggravated by warm air and is worse during the day, becoming stuffy at night. The patient has difficulty clearing her throat and experiences increased coughing with extended talking. Additionally, the coughing is impacting her sleep. There is no reported fever, chills, or noticeable changes in skin or lip coloration. The patient has not observed any wheezing or whistling sounds while breathing but mentions slight wheezing may be present.

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Arora's Assessment

What might be happening

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

  • Acute Bronchitis: This is an inflammation of the bronchi in your lungs, usually caused by a viral infection. Symptoms include a wet cough that brings up mucus, shortness of breath, wheezing, and chest discomfort.

    • Treatment typically involves rest, fluids, and over-the-counter medication to manage symptoms. Antibiotics are not usually necessary unless a bacterial infection is suspected.
  • 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 a cough with phlegm or pus, fever, chills, and difficulty breathing.

    • Treatment for pneumonia includes antibiotics (if it's caused by a bacterial infection), fever reducers, and cough medicine.
  • COVID-19: The coronavirus disease 2019 (COVID-19) can cause a wide range of symptoms, including cough, difficulty breathing, and fever. Some people may experience only mild symptoms, while others may have severe illness.

    • Treatment for mild cases involves managing symptoms at home, while severe cases may require hospitalization.

What you can do

  • Consult a healthcare professional: Given the severity of your cough and the difficulty breathing you're experiencing, it's important to seek medical attention as soon as possible. They can provide a proper diagnosis and appropriate treatment.

  • Rest and hydrate: Make sure to get plenty of rest and stay hydrated. This can help your body fight off an infection.

  • Over-the-counter medication: Over-the-counter cough suppressants can help manage your cough, but it's important to consult with a healthcare professional before starting any new medication.

What you should look out for

  • Worsening symptoms: If your symptoms worsen, seek immediate medical attention. This includes an increase in the severity of your cough, difficulty breathing, or the development of a high fever.

  • Difficulty breathing: If you have trouble breathing, or if you notice any changes in the color of your skin or lips (such as them turning blue or very pale), seek immediate medical attention.

Remember, 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 examination, testing, and care recommendations.

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11 mo ago

People Also Ask


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

A wet cough with green mucus is often caused by an infection in the respiratory tract, such as acute bronchitis or pneumonia. It can also be due to sinus infections or other conditions that lead to mucus production.


How can I differentiate between acute bronchitis and pneumonia?

Acute bronchitis typically involves a persistent cough with mucus, chest discomfort, and sometimes wheezing, but usually does not cause high fever. Pneumonia, on the other hand, often presents with a more severe cough, fever, chills, and difficulty breathing. A healthcare provider can perform tests like a chest X-ray to differentiate between the two.


What home remedies can help alleviate a severe cough?

Home remedies for a severe cough include staying hydrated, using a humidifier, drinking warm fluids like tea with honey, and resting. Over-the-counter cough suppressants may also help, but it's important to consult with a healthcare professional before using them.


When should I seek medical attention for a cough?

You should seek medical attention for a cough if it is severe, persistent, or accompanied by symptoms like difficulty breathing, chest pain, high fever, or if you notice changes in skin or lip coloration. Immediate medical attention is necessary if you experience any signs of respiratory distress.


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