[40F] With lingering cough and throat clearing post-pneumonia

What might be happening

Based on the symptoms and history you've provided, here are some possible explanations for your lingering cough and constant need to clear your throat:

1. Postnasal Drip: This condition occurs when excess mucus from the nose drips down the back of the throat, causing irritation and a need to clear the throat. It can also lead to a persistent cough. Common causes include allergies, sinus infections, and irritants like smoke.

2. Chronic Bronchitis: Given your smoking history, chronic bronchitis is a possibility. This condition involves inflammation of the bronchial tubes, leading to a persistent cough and mucus production. It is a type of chronic obstructive pulmonary disease (COPD).

3. Gastroesophageal Reflux Disease (GERD): GERD can cause a chronic cough and throat clearing due to acid reflux irritating the throat. You mentioned experiencing heartburn, which is a common symptom of GERD.

4. Lung Damage from Chemical Exposure: The incident where you burned your lungs with a mixture of Dawn dish soap and bleach could have caused lasting damage, contributing to your symptoms.

5. Smoking-Related Lung Issues: Long-term smoking can lead to various lung conditions, including chronic bronchitis, emphysema, and lung cancer. These conditions can cause a persistent cough and other respiratory symptoms.

What you can do

Postnasal Drip:

• Stay Hydrated: Drink plenty of fluids to thin the mucus.
• Use a Humidifier: Adding moisture to the air can help reduce irritation.
• Saline Nasal Spray: This can help clear out mucus from your nasal passages.
• Avoid Irritants: Try to avoid smoke, strong odors, and other irritants that can worsen your symptoms.

Chronic Bronchitis:

• Quit Smoking: Continue your efforts to quit smoking, as this is the most important step you can take to improve your lung health.
• Stay Active: Regular exercise can help improve your lung function.
• Avoid Lung Irritants: Stay away from smoke, dust, and other pollutants.
• Consult a Doctor: A healthcare provider can prescribe medications like bronchodilators or steroids to help manage symptoms.

GERD:

• Dietary Changes: Avoid foods and drinks that trigger acid reflux, such as spicy foods, caffeine, and alcohol.
• Elevate Your Head: When sleeping, elevate the head of your bed to prevent acid from flowing back into your throat.
• Over-the-Counter Medications: Antacids or acid reducers can help manage symptoms.
• Consult a Doctor: A healthcare provider can recommend stronger medications or further testing if needed.

Lung Damage from Chemical Exposure:

• Avoid Further Exposure: Stay away from chemicals and irritants that can worsen your symptoms.
• Consult a Doctor: A healthcare provider can assess the extent of the damage and recommend appropriate treatments.

General Tips:

• Track Your Symptoms: Use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.
• Stay Informed: Educate yourself about your condition and treatment options.
• Seek Medical Advice: Always consult with a healthcare professional for a formal diagnosis and treatment plan.

What you should look out for

Given the severity and persistence of your symptoms, you should seek medical care as soon as possible. Reasons to seek care even more urgently include:

• Worsening Symptoms: If your cough, wheezing, or chest tightness worsens.
• New Symptoms: If you develop new symptoms like shortness of breath, significant weight loss, or coughing up blood.
• Infection Signs: If you experience fever, chills, or other signs of infection.

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