[35F] With persistent cough and green phlegm

Patient Description

A 35-year-old female presents with a persistent cough and excessive green phlegm lasting for 9 days. The cough began suddenly and has not changed in frequency or intensity. The patient experiences mild shortness of breath and chest pressure for the past 3 days, which does not change with coughing or deep breathing. She reports a low-grade fever, fatigue, chills, and night sweats. No recent travel or exposure to smoke. The patient has been taking Tylenol (500mg every 4 to 6 hours), ibuprofen (400mg twice a day), and throat spray (approximately 5 times an hour) to manage symptoms. No history of respiratory conditions or chronic illnesses. No known allergies or adverse reactions to medications.

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Arora's Assessment

What might be happening

Based on the symptoms you've described—low-grade fever, constant coughing with green phlegm, fatigue, chest pressure, and chills—it's possible that you may be experiencing:

  • Acute Bronchitis: This is an inflammation of the bronchial tubes, often following a cold or respiratory infection. The green phlegm suggests that your body is fighting an infection, which is common in bronchitis. The cough and fatigue are also typical symptoms.

    • Treatment usually involves rest, fluids, and over-the-counter medications to manage symptoms. In some cases, a doctor may prescribe antibiotics if a bacterial infection is suspected.
  • Pneumonia: This is a lung infection that can cause similar symptoms, including cough with phlegm, fever, and chest discomfort. The presence of green phlegm and chest pressure could indicate a more serious infection like pneumonia.

    • Treatment often involves antibiotics if it's bacterial, and supportive care such as rest and fluids.

It's important to note that these are just possibilities, and a healthcare professional can provide a more accurate diagnosis.

What you can do

  1. Stay Hydrated: Drink plenty of fluids to help thin the mucus in your lungs and make it easier to cough up.
  2. Rest: Ensure you get plenty of rest to help your body fight the infection.
  3. Humidify the Air: Use a humidifier to keep the air moist, which can help ease your cough and breathing.
  4. Over-the-Counter Medications: Continue using medications like Tylenol and ibuprofen to manage fever and discomfort, but follow the recommended dosages.
  5. Symptom Tracking: Use MDandMe to journal your symptoms, track your progress, and share this information with your healthcare provider.

What you should look out for

Seek medical attention if you experience:

  • Worsening shortness of breath or difficulty breathing
  • High fever or persistent fever despite medication
  • Chest pain that becomes severe or doesn't improve
  • Confusion or feeling faint

These could be signs of a more serious condition that requires prompt medical evaluation. Remember, it's always best to consult with a healthcare professional for a formal diagnosis and treatment plan.

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2 mo ago


People Also Ask


What are the common symptoms of acute bronchitis?

Common symptoms of acute bronchitis include a persistent cough, production of mucus (which can be clear, white, yellow, or green), fatigue, shortness of breath, slight fever and chills, and chest discomfort.


How can I differentiate between bronchitis and pneumonia?

Bronchitis and pneumonia can have similar symptoms, but pneumonia often presents with more severe symptoms such as higher fever, more pronounced shortness of breath, and chest pain. A healthcare provider can perform tests like a chest X-ray to differentiate between the two.


When should I seek medical attention for a persistent cough?

You should seek medical attention if your cough persists for more than a few weeks, if you experience worsening shortness of breath, high fever, chest pain, or if you feel faint or confused. These could be signs of a more serious condition.


What home remedies can help alleviate symptoms of a respiratory infection?

Home remedies for respiratory infections include staying hydrated, using a humidifier, resting, and taking over-the-counter medications to manage symptoms. Warm teas, honey, and saltwater gargles can also help soothe the throat and reduce coughing.


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