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Cough-Induced Vomiting Concerns

6/29/2025, 9:50:17 PMMale25-34

Age: 27, Height: 5’1", Weight: 165 lbs. I recently stopped vaping to expedite my recovery from bronchitis and typically consume alcohol on a few evenings each week. After being diagnosed with bronchitis a couple of weeks ago, I was prescribed a five-day course of azithromycin and codeine cough syrup, which initially helped improve my condition. However, I'm still struggling with a persistent cough that leads to severe gagging in the mornings, often resulting in vomiting. I'm reaching out for guidance, as I suffer from emetophobia—the fear of vomiting—and my anxiety levels have surged significantly due to this issue. I am at my wit’s end and need support.

AsthmaCOPDInternal Medicine

Answers (1)

Cony

6/29/2025, 9:50:34 PM

OpenHealth AI

I'm really sorry to hear about your ongoing struggles with coughing and vomiting, especially with your underlying anxiety about vomiting (emetophobia). It's understandable to feel overwhelmed in this situation. Let's break down what's happening and explore some steps you can take to manage your symptoms and reduce your anxiety.

Main Points:

  • Your persistent cough post-bronchitis is concerning and may need further attention.
  • The coughing fits and subsequent vomiting can be distressing, especially considering your emetophobia.
  • It’s important to focus on both symptom relief and anxiety management.

Explanation:

Your cough may still be a result of bronchial inflammation following the infection, and while the medications you were prescribed helped initially, it's not unusual for a cough to linger longer. Coughing can trigger gag reflexes, leading to vomiting, which seems to be exacerbating your anxiety and fear of vomiting. Additionally, your recent cessation of vaping was a positive step for your respiratory health, but it could also lead to temporary increases in coughing as your lungs recuperate.

Priority Next Steps:

  1. Hydration: Drink plenty of fluids to soothe your throat and keep mucus thin. Warm liquids, such as herbal teas or broths, may also help.

  2. Soothing Remedies:

    • Try honey (if you're not allergic) to coat your throat, which can ease coughing. Mix it into warm water or tea.
    • Use a humidifier in your bedroom to add moisture to the air, which can reduce irritation in your airways.
  3. Elevate Your Head at Night: Sleep with your head elevated to help reduce coughing when lying down. This can prevent mucus from accumulating in your throat.

  4. Cough Management: Consider over-the-counter medications aimed at specific symptoms if you haven’t already. A cough suppressant can help reduce the urge to cough, especially at night.

  5. Monitor Symptoms: Keep a diary of your cough episodes, noting what times they occur and any potential triggers (like allergens or fumes), which can help you identify patterns.

  6. Relaxation Techniques: Incorporate relaxation exercises such as deep breathing, meditation, or even gentle yoga, which can help manage anxiety and reduce the physical tension that can exacerbate coughing fits.

  7. Follow-up on Your Cough: If your cough continues or worsens, consider reaching out to a healthcare provider to discuss your ongoing symptoms. There might be additional treatment options to explore.

Remember, this is a phase you're going through, and it’s okay to seek support. Consider speaking with a mental health professional about your emetophobia to find coping strategies if needed. You’re taking important steps toward recovery by addressing your health concerns, and I'm here if you have more questions or need further support.

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