Struggling with Exercise-Induced Coughing
Height: 5’5", Weight: Approximately 135 lbs. Medications: 150 mg of Zoloft, 50 mg of Hydroxyzine as needed, and 70 mcg of Levothyroxine, combined with topical treatments of clindamycin and tretinoin. For several years, I have experienced tightness in my throat and chest along with a persistent cough, particularly after using the treadmill. Interestingly, this reaction does not occur while I’m actually walking; it arises only afterward. My mother believes my symptoms stem purely from a lack of fitness, but I suspect it may be a case of exercise-induced bronchoconstriction. I really wish I could obtain an inhaler to prevent these episodes. I recall mentioning this issue to my physician a while ago, but she appeared indifferent. Additionally, I display some signs of POTS (Postural Orthostatic Tachycardia Syndrome). For example, I often experience a rushing sensation, dizziness, and even visual disturbances, like seeing stars, upon standing too quickly. Hot weather exacerbates my condition, often resulting in blood pooling in my feet, and I tire easily. Despite my mother’s belief that these issues are linked to poor physical condition, I dedicated several months to working out at a gym without any alleviation of my symptoms. I have undergone heart rate assessments while sitting and standing, both of which were deemed normal, along with a routine EKG that also yielded standard results. Consequently, my doctor does not seem worried about my condition. Yet, I am seeking guidance on how to cope with these troubling symptoms.
Answers (1)
2/5/2026, 2:50:39 AM
OpenHealth AI
It sounds like you're dealing with a complex situation involving exercise-induced coughing, possible bronchoconstriction, and symptoms suggestive of POTS. I understand that this can be quite frustrating, especially if you feel like your concerns haven’t been fully addressed.
Summary of Key Points:
- You may be experiencing exercise-induced bronchoconstriction (EIB).
- Symptoms related to POTS could be contributing to your discomfort.
- You have tried addressing your fitness without relief for your symptoms.
Explanation:
Exercise-Induced Bronchoconstriction: This condition occurs when the airways become narrow, causing difficulty breathing and coughing, particularly during or after exercise. It can be triggered by various factors, including exercise intensity, environmental conditions (like cold air), or underlying conditions like asthma.
Postural Orthostatic Tachycardia Syndrome (POTS): POTS often leads to symptoms like dizziness, increased heart rate upon standing, and fatigue. This is due to a malfunction in the autonomic nervous system, leading to challenges with blood circulation.
Next Steps:
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Self-Monitoring: Keep a record of your symptoms related to exercise, noting the intensity, duration, and specific conditions (like weather) during episodes. Tracking these details can help identify triggers and patterns.
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Breathing Techniques: When you feel tightness or a cough coming on, try controlled breathing techniques. Inhale deeply through your nose, hold for a moment, and then exhale slowly through your mouth. This can help ease the tight feeling.
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Hydration and Warm-up: Ensure you are well-hydrated before and after your workouts. Gradually warming up and cooling down can also help minimize symptoms.
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Environmental Adjustments: Pay attention to the environment in which you exercise. If weather or specific surroundings trigger your symptoms, consider modifying your workout environment or time.
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Discuss Inhaler Options: If this hasn’t been adequately addressed, consider reaching out to your healthcare provider again. Share your documentation of symptoms and express your desire to explore the possibility of an inhaler or other preventive medication for EIB, particularly given your ongoing challenges.
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POTS Management: Consult with your doctor about specific measures for managing POTS, such as increasing salt intake (with advice from your doctor), wearing compression garments, and implementing gradual transitions when standing.
Prioritize these steps and take it one day at a time. Remember that it’s important to advocate for yourself regarding healthcare—no concern is too small when it affects your quality of life.
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