[32F] With chronic cough and wheezing

What might be happening

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

• Asthma: Given your history of asthma as a child and the presence of wheezing, shortness of breath, and a cough that worsens at night, it's possible that your asthma has returned or is flaring up. Asthma can cause the airways to become inflamed and narrow, leading to these symptoms.

  • Treatment: Asthma is typically managed with inhalers (both rescue and maintenance types), and sometimes oral medications. Your doctor may also recommend lifestyle changes to avoid triggers.

• Chronic Sinusitis: Since you have a history of chronic sinusitis, it's possible that postnasal drip from sinusitis is contributing to your cough, especially at night when you are lying down.

  • Treatment: Treatment for chronic sinusitis may include nasal corticosteroids, saline nasal irrigation, and sometimes antibiotics if a bacterial infection is present.

• Gastroesophageal Reflux Disease (GERD): GERD can cause a chronic cough, especially when lying down, due to acid reflux irritating the throat and airways.

  • Treatment: GERD is often managed with lifestyle changes (such as avoiding certain foods and not eating before bed), antacids, and medications that reduce stomach acid.

• Post-Infectious Cough: Sometimes, a cough can persist for weeks after a respiratory infection, even if the infection itself has resolved.

  • Treatment: This type of cough usually resolves on its own, but staying hydrated and using cough suppressants can help manage 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 in the meantime:

1. Continue Using Your Inhalers: Since your inhalers have been somewhat effective, continue using them as prescribed. Make sure to follow up with your doctor to ensure you are using the correct type and dosage.
2. Elevate Your Head While Sleeping: To help reduce coughing at night, try elevating the head of your bed or using extra pillows to keep your head and chest elevated.
3. Stay Hydrated: Drinking plenty of fluids can help thin mucus and soothe your throat.
4. Avoid Irritants: Try to avoid exposure to smoke, strong odors, and other potential irritants that could worsen your symptoms.
5. Use a Humidifier: Adding moisture to the air with a humidifier can help soothe irritated airways.
6. Monitor Your Symptoms: Keep track of your symptoms using the MDandMe journal. This can help you identify any patterns or triggers and provide useful information to your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

• Severe Shortness of Breath: If you find it difficult to breathe or your shortness of breath worsens, seek medical help immediately.
• Chest Pain: If you experience chest pain, especially if it is severe or accompanied by other symptoms like dizziness or fainting, seek emergency care.
• Persistent or Worsening Symptoms: If your symptoms do not improve or worsen despite treatment, consult your healthcare provider.
• New or Unexplained Symptoms: If you develop new symptoms such as fever, chills, or significant weight loss, seek medical advice.

Remember, while I can provide information and suggestions, it's important to consult a healthcare professional for a formal diagnosis and treatment plan. If you have any further questions or need additional support, feel free to continue the conversation.