[50F] With persistent cough and shortness of breath

What might be happening

Based on the symptoms you've described, here are some possible explanations:

• Chronic Bronchitis: This is a type of chronic obstructive pulmonary disease (COPD) often caused by long-term smoking. It can lead to a persistent cough with mucus production, which aligns with your symptoms of coughing up brown phlegm. The fact that your symptoms have persisted for two months and are accompanied by shortness of breath suggests that chronic bronchitis could be a possibility. Treatment typically involves bronchodilators, steroids, and quitting smoking, which you've already done.

• Asthma Exacerbation: Your history of asthma, combined with a recent cold, could have led to an exacerbation. This means your asthma symptoms have worsened, causing increased coughing, mucus production, and difficulty breathing. Asthma exacerbations are often treated with inhalers, steroids, and sometimes nebulizer treatments.

• Post-Infectious Cough: After a severe cold, some people experience a lingering cough due to inflammation in the airways. This can last for weeks or even months. While it often resolves on its own, it can be managed with cough suppressants and staying hydrated.

• Gastroesophageal Reflux Disease (GERD): Your history of acid reflux could be contributing to your cough, especially if it worsens when lying down. Acid from the stomach can irritate the throat and airways, leading to a chronic cough. Treatment involves medications like lansoprazole, which you're already taking, and lifestyle changes.

What you can do

1. Consult a Healthcare Provider: It's important to see a doctor to get a formal diagnosis and appropriate treatment. They may recommend tests like a chest X-ray or pulmonary function tests to better understand your condition.

2. Continue Using Your Breathing Machine: Since it provides relief, continue using it as directed by your healthcare provider.

3. Stay Hydrated: Drinking plenty of fluids can help thin mucus, making it easier to cough up.

4. Avoid Irritants: Stay away from smoke, dust, and other environmental irritants that could worsen your symptoms.

5. Elevate Your Head While Sleeping: This can help reduce coughing at night, especially if GERD is contributing to your symptoms.

6. Use MDandMe: Consider using the MDandMe app 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 any of the following:

• Worsening Shortness of Breath: If you find it increasingly difficult to breathe, seek immediate medical care.
• Chest Pain: If the pain in your chest becomes severe or is accompanied by other symptoms like dizziness or sweating, seek urgent care.
• Fever or Chills: These could indicate an infection that needs medical treatment.
• Blood in Phlegm: If you notice blood in your mucus, contact a healthcare provider promptly.

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