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6/17/2025, 12:30:33 PMMale25-34

To summarize, I am a 23-year-old Hispanic male, weighing 180 pounds and standing at 5’8”. Since I turned 18, I underwent a bronchoscopy which revealed a collapsing lung. I have a habit of smoking a considerable amount of marijuana mixed with grabba, which is a type of cured tobacco. This has resulted in me frequently producing a significant amount of brown phlegm. Additionally, I suffer from ongoing post-nasal drip due to allergies and gastroesophageal reflux disease (GERD), both of which exacerbate my condition. Every morning, I wake up unable to breathe properly, as my chest feels congested with thick brown mucous. I often find myself rushing to the bathroom to clear my airways because the phlegm obstructs my breathing while I sleep. I reside in New York City and regularly visit Presbyterian Hospital; recent chest X-rays showed no signs of pneumonia. However, I have been dealing with the same symptoms since my late teens. Whenever I inhale, there's an unsettling sensation in my chest that requires me to constantly cough to expel the phlegm. My living space tends to be dusty, though I have an air purifier. I usually sleep near my air conditioning unit, but I intend to rearrange my room in hopes of alleviating some of my symptoms. If necessary, I'd be willing to share images of the phlegm I've been coughing up. It’s becoming increasingly frustrating as my ability to breathe seems to be deteriorating. When I’m outdoors or at other people's homes or work, I generally feel fine, but once I return home, I struggle with a barrage of mucus issues. I also experienced significant flooding in my house, which may have led to mold growth. I am scheduled for an allergy test on the 30th of this month, hoping to find some answers.

InsomniaPsychiatryDepression

Answers (1)

Cony

6/17/2025, 12:30:57 PM

OpenHealth AI

Thank you for sharing the details of your situation. It sounds like you're dealing with a complex set of symptoms that are affecting your breathing and overall quality of life. The brown phlegm, chest congestion, and difficulty breathing, especially upon waking, highlight a significant respiratory challenge. Here’s a structured response addressing your concerns and offering actionable steps.

Main Points:

  1. Your respiratory symptoms may be related to smoking, allergies, and possibly environmental factors.
  2. It’s essential to manage these symptoms proactively while you await your allergy test.

Explanation:

The combination of smoking marijuana mixed with tobacco, post-nasal drip from allergies, and GERD can lead to chronic respiratory symptoms, including excessive mucus production. The brown color of the phlegm may indicate irritants in your lungs or could be a result of chronic exposure to tobacco, which can cause lung inflammation. The notable change in symptoms based on your environment suggests that allergens or irritants in your living space, like dust or mold, might be exacerbating your condition.

Next Steps:

  1. Limit or Cease Smoking: Reducing or stopping smoking, including marijuana and tobacco, would be among the most effective ways to improve your lung health. This can significantly reduce mucus production and lung irritation over time.

  2. Improve Environmental Quality:

    • Clean Your Living Space: Address any dust accumulation regularly. Use a vacuum with a HEPA filter and consider professional cleaning for areas that may harbor mold due to flooding.
    • Control Humidity: Ensure your home is adequately ventilated and keep humidity levels low to discourage mold growth. A dehumidifier can help if humidity is an issue.
    • Position Your Air Purifier: Make sure your air purifier is adequately sized for your room and is functioning correctly.
  3. Hydration and Warm Beverages: Stay well-hydrated, as drinking plenty of fluids can help thin mucus. Warm teas or broths can also soothe your throat and ease mucus production.

  4. Monitor Dietary Habits: Since you have GERD, avoid foods that trigger your symptoms, particularly close to bedtime. Consider keeping a food diary to identify any specific triggers.

  5. Track Your Symptoms: Keep a journal of your symptoms, including how they change based on your environment, activities, and any potential triggers. This may be helpful during your upcoming allergy test.

  6. Consider Allergy Management: Once you have the results of your allergy test, work with your healthcare provider to develop a tailored plan for managing your allergies, which may include medications or lifestyle changes.

  7. Seek Support: If you find that these issues are impacting your mental health (stress, frustration, insomnia), don’t hesitate to reach out for mental health support. Therapy or support groups can provide coping strategies.

It’s understandable to feel frustrated with these persistent symptoms. By making some adjustments in your lifestyle and environment, you can take control of your symptoms while awaiting further medical advice. Please focus on the actions outlined above to help alleviate your current discomfort. Let me know if you need any further clarification or assistance.

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