How to reduce Chest congestion post asthma

Question #11951

46 days ago

164

How to reduce Chest congestion post asthma - #11951

Shubhashis Barik

Between 11-16 August, I was admitted for Type 1 Diabetes at AIIMS, Bhopal. During my hopitalisation, I had a bouts of cough after using toilet at nightime as I had frequent urination often. The cough persisted for 3 weeks long which I consulted pulmonologist. They prescribed me deflazacort tablets, ascodex-SF,Combinhale and rotahaler and told me that I had inflammation in the lungs after checking X-ray Report and PFT . During hospitalisation, the doctors prescribed CBC Test which was shown raised lympoctyes and low platelets . They didn't find any recurrent infections like UTI and other infections. After post-recovery of Asthma, I still suffers from chest pain as if it is pain straight in my heart. Should I consult pulmonologist again?

Chest congestion

Heartburn

300 INR (~3.53 USD)

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Dr. Shayeque Reza

I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.

46 days ago

Your ongoing chest pain could be from muscle inflammation after coughing or mild lung residual inflammation, but since you have Type 1 diabetes, it’s safest to revisit your pulmonologist and also rule out cardiac causes with a simple ECG and check-up.

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Dr. Nirav Jain

I am a qualified medical doctor with MBBS and DNB Diploma in Family Medicine from NBEMS, and my work has always been centered on treating patients in a complete, not just symptom based way. During my DNB training I rotated through almost every core department—Internal medicine, Pediatrics, Obstetrics & Gynecology, Surgery, Orthopedics, ENT, Dermatology, Psychiatry, Emergency medicine. That mix gave me the skill to manage acute illness, long term disease and preventive care together, something I find very important in family practice. In psychiatry I worked closely with patients who struggled with depression, anxiety, stress related problems, insomnia or substance use. I learned not just about medication but also about simple psychotherapy tools, psycho education and how to talk openly without judgement. I still use that exp in family medicine, specially when chronic disease patients also face mental health issues. My time in General surgery included assisting in minor and major procedures, managing wounds, abscess, sutures and emergencies. While I am not a surgeon, this gave me confidence to recognize surgical cases early, provide first line care and refer fast when needed, which makes a big difference in online or OPD settings. Now I work as a consultant in General medicine and Family practice, with focus on both in-person and online consultation. I treat conditions like fever, infections, gastrointestinal complaints, respiratory illness, and also manage diabetes, hypertension, thyroid disorders, and lifestyle related chronic diseases. I see women for PCOS, contraception counseling, menstrual health, and children for common pediatric issues. I also dedicate time to preventive health, lifestyle counseling and diet-sleep-exercise advice, since these small changes affect long term wellness more than we often realize. My key skills include holistic diagnosis, evidence based treatment, chronic disease management, mental health support, preventive medicine and telemedicine communiation. At the center of all this is one thing—patients should feel heard, safe, and guided with care that is both professional and personal.

45 days ago

Hello Shubhasis, I understand your concern. Keeping on mind your multiple issues, it’s better to get evaluated well. So kindly consult your doctor with the following test reports - Repeat Chest X-ray PA view, ECG, CBC, ESR, CRP. The doctor might also do a systemic examination to understand your issues better.
Feel free to reach out again.
Regards,
Dr. Nirav Jain
MBBS. DNB D.Fam.Med

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Dr. Kavyasri

I am working as a rehab therapist and over the years my focus turned strongly towards kids rehab, because I feel children need a diff kind of care, patience and approach when they are struggling with conditions that limit their growth or daily activity. Many pt I see come with long history of delays, difficulty in movement, sometimes speech or motor problems, and it can be overwhelming for families. I try to design therapy in a way that is not only clinical but also practical for parents to follow at home. I have seen that combining structured rehabilitation techniques with flexible methods suited to each child bring good results, and that is something I keep repeating to myself when I plan any session. Every kid progress differently, sometimes slow sometimes suddenly fast, and in that moment my job is to keep adjusting the plan without losing sight of the bigger goal. In practice I work on exercises that strengthen mobility, balance and coordination, also focus on daily life activities like grasping, walking, or posture correction. Parents often ask me about timeline for cure but I learned to explain that rehab is less about rushing and more about sustaining. Still, I feel proud when many of my patients recover with visible improvement and even reach milestones that were earlier delayed. That satisfaction is hard to put in words, but it makes the long hours of therapy worth it. Communication is also a big part of my work, since families need reassurance, guidance and clarity at every stage. I treat each case as unique, there is no single way that fit all, and that flexibility in treatment is what I consider my strength. Mistaks happen, sometimes I change plans midway, sometimes I realise a certain method is not working and I quickly shift, but that trial and correction actually helps the child get what is best for them. My way of treatment may look simple from outside but it is rooted in consistent effort, empathy and experience with many children who trusted me in their journey.

45 days ago

Its good to consult again!
Do breathing exercises morning and evening everyday this helps in relieving chest congestion!

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Dr. Bharat Joshi

I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.

46 days ago

Hello dear
See as per clinical history the test reports says viral or bacterial infection.
Since the pain is migrating towards heart so there can be chances of myocardial infarction which has cough also.
So I suggest you have consultation in person with pulmonary surgeon and cardiologist also for confirmation
There may be requirement of following tests
Serum troponin
Serum cpk mm
Serum LDH
Fevi1/2
Spirometry
Cbc
Rbs
Please share the result with the concerned physician only
Regards

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Dr. Neeraj Agarwal

I’m an MBBS graduate with a deep commitment to providing meaningful, patient-first care. My clinical training has given me a solid understanding of how to assess and manage a wide variety of health conditions—both common and complex. But beyond just clinical skills, I’ve always believed that the heart of medicine lies in listening. That’s what I try to bring into every consultation: not just treatment, but genuine attention to the person in front of me. I have gained experience across general medicine, paediatrics, emergency care and preventive health. I have treated patients of different age groups and backgrounds, which has helped shaped a more flexible, to diagnosis and management. Whether someone comes with a new symptom or a routine check-up, I aim to deliver evidence-based treatment, explained clearly and tailored to the lifestyle. I’m especially focused on making care accessible and comfortable. Too often, patients feel rushed or confused when they leave a doctor’s office—I try to do the opposite. Taking time to explain options, risks, or even just what’s going on in simple terms is something I take seriously. Communication, I think, is just as important as any prescription. I actively stay updated with current medical guidelines and research, and I’ve been exploring areas of holistic care and preventive medicine too. The more we can do to catch problems early—or better yet, avoid them—the better the outcome for everyone. I’ve seen how small lifestyle changes, when supported properly, can make a big difference to long-term health. There’s still a lot to learn, of course. I think every good doctor keeps learning. But every patient I see teaches me something new, and I carry those lessons forward—with honesty, empathy, and the intent to keep improving.

46 days ago

Hello,your chest pain can be due to past inflammation and issues
For this you need to revisit your pulmonologist as winter are approaching too
This can be also due to opportunistic infection like tb or fungal infection
Kindly get a chest xray or chest ct

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Dr. Perambalur Ayyadurai Rohith

I am a general physician with more than 10 yr of clinical experiance, and in this time I worked with patients from all age groups, from young kids to elderly with multiple chronic issues. My practice has been wide, but I gradually developed deeper intrest in diabetology. I spend much of my day focusing on prevention, early diagnosis and management of diabetes, using lifestyle modification, medical therapy and regular monitoring. Many patients come worried about complications, and I try to explain things in simple language, whether it is diet, excercise, or understanding lab reports, so they dont feel lost. I also conduct detailed diagnostic evaluation and use evidence based protocols to make sure treatment is reliable and updated, even if sometimes I double check myself when results dont match the clinical picture. Apart from regular OPD practice, I gained strong experiance in occupational health. Over years I worked with multiple companies handling pre employment checks, annual medical exams, workplace wellness programs, and ensuring compliance with industrial health and safety standards. It is diffrent from hospital practice, but equally important, because healthy workers mean safe and productive workplace. I run medical surveillance programs and health awareness sessions in collaboration with corporates, and this also gave me exposure to preventive strategies on a large scale. For me, patient care is not just treatment but building trust. My career revolve around preventive medicine, ethical clinical practice, and continuous learning. I keep myself updated with modern medical protocols, but I also value listening to patient worries, since medicine is not only about lab values but also about how a person feels in daily life. I make mistakes in words sometimes, but in my work I try to be very precise. At end of day, my aim is to provide care that is accessible, evidence based and truly centered on patient well being.

46 days ago

After asthma, chest congestion and mild chest pain are common due to airway inflammation and muscle strain.
Continue inhaler and breathing exercises as advised to keep lungs clear and strong.
Drink warm water, do steam inhalation twice daily, and avoid cold air or smoke.
If chest pain feels deep or near the heart, get an ECG and review with your pulmonologist to rule out any cardiac strain.
Recovery takes time, but regular followup and good sugar control help prevent recurrence.

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Dr. Arsha K Isac

I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.

46 days ago

Hello Subhashis,
Yes, you should consult your pulmonologist again for persistent chest pain .
It can be due to inflammation or muscle strain due to cough. But since you are diabetic and asthmatic, it is wise to consult your pulmonologist/cardiologist.
Thank you

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Dr. Abhishek Gill

I am a doctor with 5 years total experience, mostly split between Emergency and Obstetrics & Gynaecology—and honestly both keep you on your toes in totally different ways. In the ER, you don’t get time to second-guess much. Things come at you fast—trauma, active bleeding, breathlessness, collapsed vitals—and you learn to think, act, then think again. But in Obs/Gyn, it’s more layered. One moment you’re handling routine antenatal care, the next you're managing obstructed labour at 3am with everything depending on timing. I try not to treat anyone like "just another case." I take proper history—like actual, detailed listening—and then move step by step. Exam, investigations only if needed (not just because), and explaining things clearly to the patient and attenders. Not gonna lie, sometimes I do repeat myself twice or thrice. People are stressed, they don’t hear it all the first time. Communication I’d say is one of my stronger areas, but not in some fancy textbook way. Just knowing *how* to talk, when to pause, when not to overload info. Like with a first-time mother in pain who doesn’t care about medical terms—she just wants to know if her baby’s okay. Those moments taught me more about medicine than most of my exams. I handle postpartum issues, early pregnancy complications, PCOD, menstrual complaints, emergency contraception consults too—bit of everything. And in casualty shifts, I’ve done everything from inserting Ryle’s tubes to managing hypertensive crises. You have to stay sharp. But also know when to slow down and re-evalutate something that doesn’t fit right. Counselling’s part of the job too. Sometimes patients need reassurance more than a prescription. Sometimes they just need honesty, even if the answer isn't simple. I don’t pretend to have all the answers, but I do care enough to find them. Bit by bit. Every single day.

45 days ago

Hello
After your hospitalisation, you are experiencing similar complaints. You must visit your treating doctor.
Chest pain can be due to various causes and it needs proper evaluation.
Take care

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Dr. Yuvraj Rathore

I am Dr. Yuvraj Rathore, a medical professional with a bit more than 4 years of clinical experiance. Sometimes it feels like much longer honestly — the kind of learning that only comes from working long nights, emergencies, and quiet OPD mornings where you actually talk to patients, not just treat them. I spent 3 years as a Junior Resident in the Department of Surgery at Government Medical College, Dungarpur. Those were intense days — assisting in surgeries, managing pre and post-op cases, handling inpatient care, and running through emergency cases where every decision mattered (and had to be fast). I learned not just the techniques but how to stay calm when things got messy. Surgical OPD became like a second home — dressing wounds, following up post-surgery patients, and sometimes just listening to someone who was scared about a diagnosis. After that, I worked for a year as a Medical Officer at a Community Health Centre (CHC). It was a very diffirent pace — more about continuity of care than crisis response. I provided primary healthcare, managed acute & chronic illnesses, and worked on preventive and promotive health services for rural families. You don’t realize how much small interventions matter till you see a diabetic patient come back stable after months. Medicine for me isn’t only about procedures or prescriptions — it’s about attention, patience, and being honest with the person in front of you. I like to balance clinical precision with empathy, and maybe that’s why I never really rush consultations, even when the line outside is long. Right now I’m focused on deepening my surgical knowledge while keeping my general practice roots strong. Every patient still teaches me something new — some days it’s about pathology, other days it’s about humanity. Maybe that’s why I still feel curious every single day I walk into the ward or clinic.

45 days ago

Hello Shubhashish
Assessment:
•	Likely post-inflammatory chest pain or musculoskeletal pain due to prolonged coughing or residual airway irritation.
•	However, in a Type 1 diabetic, chest pain must also rule out cardiac causes (especially if pain is central, persistent, or associated with exertion, sweating, or breathlessness).
Advice:
1.	Yes, consult Pulmonologist again for review — to assess lung recovery and repeat chest exam, X-ray, or PFT if needed.
2.	If chest pain is pressure-like, radiating, or worsens with exertion, cardiology evaluation and ECG + cardiac enzymes should be done to rule out cardiac causes.
3.	Continue good diabetes control — poor glycemic control can delay recovery and worsen inflammation.
4.	Avoid exposure to dust, smoke, perfumes, cold air.
5.	Maintain regular breathing exercises and hydration.

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Dr. Aarav Deshmukh

I am a general physician with 8 years of practice, mostly in urban clinics and semi-rural setups. I began working right after MBBS in a govt hospital in Kerala, and wow — first few months were chaotic, not gonna lie. Since then, I’ve seen 1000s of patients with all kinds of cases — fevers, uncontrolled diabetes, asthma, infections, you name it. I usually work with working-class patients, and that changed how I treat — people don’t always have time or money for fancy tests, so I focus on smart clinical diagnosis and practical treatment. Over time, I’ve developed an interest in preventive care — like helping young adults with early metabolic issues. I also counsel a lot on diet, sleep, and stress — more than half the problems start there anyway. I did a certification in evidence-based practice last year, and I keep learning stuff online. I’m not perfect (nobody is), but I care. I show up, I listen, I adjust when I’m wrong. Every patient needs something slightly different. That’s what keeps this work alive for me.

44 days ago

Re-consulting a pulmonologist might be a good idea given your ongoing chest pain, especially considering your recent history of lung inflammation and asthma. Chest pain can arise from different issues, but it’s important to rule out any potential complications or other conditions that could be contributing, such as an evolving lung issue or cardiac concern, particularly in the context of your type 1 diabetes which can involve additional cardiovascular risks. While the previously prescribed treatments such as deflazacort and inhalers like Combihale are effective for controlling inflammation and asthma symptoms, ongoing chest pain should be evaluated further to ensure that it’s not an indication of something more serious.
Since you’re experiencing pain that seems cardiac, it’s crucial to also consider cardiovascular evaluation. You could schedule a follow-up for detailed analysis including repeating the pulmonary function tests or possibly further imaging. Meanwhile, keep track of any other symptoms that accompany the chest pain like shortness of breath, palpitations, or dizziness. These could offer further clues.
In general, managing any form of chronic inflammatory condition in conjunction with diabetes does require vigilant monitoring and sometimes adjustments in medication. Making sure your blood glucose levels are well-controlled is equally important as high blood sugar can contribute to inflammation and pain. Additionally, aim to avoid irritants like smoke or allergens which may exacerbate lung troubles. Lastly, keeping your healthcare team informed of all symptoms is the key - they can coordinate to adjust treatments to best suit your combined medical needs.

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Dr. Prasannajeet Singh Shekhawat

I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.

43 days ago

Hello Shubhashis
Nothing to worry dear…
Yeah its better to visit your pulmonologist again and done with your chest x ray once again…
Treatment is going fine dear… nothing to worry about…
And please add some ayurvedic treatment too with that… it will help you to get better results soon
Thank you

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