I have cough I’m a smoker when I deep breath I cough - #11441

Hello dear See your condition can be simple laryngitis or pharyngitis You can carry on the current medications In addition please take below medications Tuspel plus twice a day 2 teaspoon for 1 week Setupladi chooran once a day in milk for cough control Honey- ginger paste combination for 5 days I have suggested the best medications as per clinical history. In case of no improvement consult pulmonary surgeon in person for better clarification Hopefully you recover soon Regards

your cough is likely a combination of post-infectious throat irritation and smoking-related airway sensitivity. Continue supportive care, but since you are a smoker and already on psychiatric medications, please avoid over-the-counter heavy sedating cough syrups as they may interact with your current medicines. The most important step is to start quitting smoking gradually, as it worsens infections and chronic cough. Thank you.

From what you describe, you have a throat infection with persistent cough. You have been smoking for the past two years, and your chest X-ray done on 19th July was normal. You have already taken a cough syrup for two days along with levocetirizine and montelukast, which helped with sneezing but the cough is still continuing.

Cough after a throat infection can persist for 2–3 weeks, even if the infection itself is resolving. Smoking can irritate the airways and make the cough last longer. Since your chest X-ray was normal recently, serious lung disease is unlikely, but continued smoking does increase your risk of chronic bronchitis and throat irritation. At this stage, the focus should be on supportive care and addressing possible bacterial or allergic components.

Treatment options: • Stop smoking completely – this is the most important step to allow your throat and airways to heal. • Warm saline gargles 2–3 times a day to soothe throat irritation. • Hydration – drink plenty of warm fluids (herbal teas, warm water, soups). • Medications: • If cough is dry and irritating → a non-sedating cough suppressant (like dextromethorphan) can help. • If cough is with phlegm → an expectorant (like ambroxol or guaifenesin) will help loosen mucus. • Levocetirizine and montelukast may be continued if allergy symptoms are frequent. • If throat infection is bacterial (fever, pus on tonsils, severe pain), a doctor may prescribe antibiotics after examining. • Home remedies: honey with warm water, steam inhalation, and avoiding cold drinks can reduce irritation.

When to see a doctor: if cough lasts more than 3 weeks, if there is blood in sputum, chest pain, high fever, or if voice changes persist. your cough seems to be post-infective and worsened by smoking. With the right supportive care and by stopping smoking, it should gradually improve. If it does not settle within 2–3 weeks, you should consult an ENT or chest physician for further evaluation.

Would you like me to also list the exact over-the-counter medicines (with doses) you can safely use for cough relief?

Since your chest X-ray from July was normal and your sneezing has already improved with levocetirizine and montelukast, the persistent cough is most likely due to throat irritation from infection and the effect of smoking. You can take some safe over-the-counter medicines for relief. If the cough is mostly dry and irritating, Dextromethorphan syrup (e.g. Benadryl Dry Cough or Ascoril-D) 5 ml, three times daily after meals for 5–7 days can help. If the cough is with phlegm, an expectorant like Ambroxol + Guaifenesin syrup (e.g. Ascoril-L or Ambroxyl-L) 5 ml, three times daily after meals for 5–7 days is better. Alongside, you can continue Levocetirizine 5 mg once at night for 5 more days if there is any allergy-related irritation. Do warm saline gargles 2–3 times a day, drink warm fluids, and strictly avoid smoking, as it prolongs throat inflammation and cough. If cough persists beyond 2–3 weeks, worsens, or is associated with fever, yellow-green phlegm, chest pain, or blood in sputum, you should see a doctor for further evaluation and possible antibiotics.

1. Persistent cough in smokers, especially when it worsens on deep breathing, should never be ignored.

2. Usual syrups and allergy tablets may reduce sneezing but wont address the underlying lung irritation.

3. Smoking for 2 years can already start causing bronchitis or early airway changes.

4. A proper checkup with tests like chest Xray, lung function, and throat exam is needed.

5. Please book a consultation with me i will review your history, medications, and advise the safest treatment to control your cough and protect your lungs.

Hey there As you are giving history of chronic smoking it might be related with chronic lung disease or might be not can not say conclusively but need to evaluate further to come on a diagnosis i would suggest you to undergo a spirometry test and would suggest you to take some antitusive syrups for the cough problem Regards

Hello friend, Firstly, you know the possible reason for your symptoms that is smoking. So, before starting any evaluation, make sure you reduce or quit smoking. For the symptoms, take: 1. Syrup. Grilinctus 2tsp twice daily for 2-3 days. 2. Steam inhalation twice daily 3. Practice breathing exercises If not resolved, get a Chest X-Ray done and consult a doctor in person to person. tale care

Hello Mr. Manit,

This is resolution cough, I’m sure it’s a dry cough, you’re not getting any sputum with it. It may persist for a few weeks. If you want to suppress your cough, you can take Syp. Pholcodiene Linctus 10 ml thrice a day, or Syp. Pholcodiene Monohydrate 5ml thrice a day. Do gargles with Solution Povidone Iodine in warm water thrice a day and continue Levocetirizne + Montelukast. You may stop the other cough syrup. You’ll be fine in a 5-7 days. And as you are a smoker, and if you’re even willing 10% to quit it, we both can work on it and help you quit smoking forever. I have ample experience in de-addiction treatments with counselling.

A persistent cough after throat infection and smoking history may be due to post-infectious irritation, allergy, or smoking-related bronchitis. Since levocetirizine and montelukast helped your sneezing but the cough persists, you should stay hydrated, avoid smoking, and use steam inhalation for relief. Please consult a pulmonologist or ENT specialist, as they may suggest a chest X-ray, lung function test, or targeted inhalers instead of random syrups, especially given your smoking history.

Persistent cough, especially when you’re a smoker, can be concerning. You’ve mentioned having a normal chest X-ray from July, which is reassuring in terms of ruling out immediate, severe lung issues like pneumonia or lung masses, but it doesn’t eliminate other causes. Your symptoms could be tied to smoker’s cough, which often stems from irritation and inflammation of the airways due to repeated exposure to smoke. The combination of causes also includes the recent infection you suspect in your throat, contributing to your cough. Since you’ve been using levocetirizine, a non-sedating antihistamine, and montelukast, a leukotriene receptor antagonist, those can effectively help with sneezing and some forms of allergic or inflammatory causes of cough. If it’s smoker’s cough, these might not directly target the root cause. It’s critical here to address your smoking habit, as this is the cornerstone of chronic irritation and can significantly affect long-term respiratory health. Smoking cessation is the most impactful step you can take; there are various supports like nicotine replacement, medications like bupropion or varenicline, or counseling programs that can help you quit smoking. Cough syrups may offer symptomatic relief, but ensure they’re appropriate for your condition, often those with expectorants might be recommended if mucus is present. It’s important to properly hydrate, as fluids can aid in thinning secretions and soothing the throat. If your cough persists beyond a few weeks, or if you experience other symptoms like wheezing, significant chest pain, or shortness of breath, a repeat evaluation by a healthcare professional would be wise. They might consider pulmonary function tests or further imaging to rule out or address other chronic respiratory conditions such as COPD. Additionally, given the productivity and potential irritation in the throat, it might be valuable to gargle with warm salty water to reduce mild infections or irritation. If throat pain intensifies or signs of infection like fever persist, a throat examination to rule out bacterial involvement, requiring antibiotics, might be warranted. Always make sure any medication changes are discussed with or confirmed by a healthcare provider, especially when you’re incorporating several non-prescription methodologies or alternative treatment forms like homeopathy.