Ongoing Phlegmy Cough for Over a Month with No Additional Symptoms
Hello, I’m a 22-year-old woman currently on medications including methylphenidate, pregabalin, and duloxetine. I’m not a smoker. It all began on Christmas Eve when I noticed a tickling sensation in my throat after just five minutes in front of a fan due to the heat. At first, I assumed it was just dryness, but the irritation lingered, and soon after, I found myself coughing quite a bit, often bringing up phlegm. Additionally, my voice suddenly became very hoarse for a day or two. In the second or third week of January, I developed a stuffy and runny nose and decided to take some cold medication, which resulted in me expelling a large amount of phlegm. The nasal congestion eventually subsided, and while my cough lessened, it didn’t completely disappear, and I continued to cough up phlegm intermittently. By the last week of January, I returned to my school and visited a clinic where I received a prescription for medication and cough syrup. While I did feel some relief, the persistent itchiness in my throat remains, and it continues to feel extremely dry. Just a few days ago, my cough returned, and I’m at a loss for what to do next. It’s been about a month and a half, and I’m quite frustrated. I should also mention that on Christmas morning, we discovered what appeared to be black mold in my room, where I had been sleeping for roughly two weeks. We stopped using that space while it was being addressed, but it adds to my concerns about my ongoing symptoms.
Answers (1)
2/12/2026, 4:00:50 AM
OpenHealth AI
It sounds like you’ve been dealing with a persistent cough and throat irritation for an extended period, which can be frustrating. Given your history and the recent exposure to black mold, it’s important to consider several factors that could be contributing to your symptoms.
Main Points:
- Your ongoing cough might relate to an allergic or irritant reaction, especially due to past mold exposure.
- Dry throat and persistent cough can occur from several causes, including post-nasal drip, allergies, and even side effects from medications.
- Addressing your environment and hydration can be initial steps to help alleviate your symptoms.
Explanation:
- Black Mold Exposure: It’s known that mold spores can trigger respiratory issues, particularly in sensitive individuals. Even after leaving the affected area, it’s possible that your body is still reacting to the irritants.
- Persistent Cough: The cough you’re experiencing may be related to inflammation in your throat or sinuses, often worsened by dry air or allergens. Sometimes, medications like duloxetine and pregabalin can cause dryness or throat irritation as side effects.
- Phlegm Production: Coughing up phlegm suggests that your body is trying to clear irritants or mucus from your airways, which is common after viral infections or due to nasal congestion.
Next Steps:
- Improve Hydration: Ensure you drink plenty of fluids (water, herbal teas) to help soothe your throat and thin mucus.
- Humidify Your Environment: Use a humidifier in your room to add moisture to the air. This can help relieve dry throat and reduce coughing. Ensure the humidifier is clean to avoid introducing new irritants.
- Consider Allergy Management: If allergies are suspected, over-the-counter antihistamines may help reduce post-nasal drip and throat irritation. Look for brands that do not cause sedation, especially since you are on other medications.
- Monitor Symptoms: Keep track of your cough, noting any changes in frequency, color of phlegm, or any additional symptoms like fever or shortness of breath. If symptoms worsen, adjust your approach.
- Environmental Considerations: If black mold was present, ensure that the area has been fully cleaned and that your living space is free from mold and other allergens. Consider using air purifiers to help clear allergens from the air.
If the cough persists beyond a few more weeks despite these measures, it would be advisable to follow up for further evaluation or adjustments to your current medications. Remember, maintaining an environment free from irritants and practicing self-care can significantly alleviate respiratory symptoms.
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