Question: I had an urgent care nurse practitioner hear a plural rub upon listening to my lungs. I've had only a night cough for several months. No other symptoms.
Is there any scenario where a plural rub isn't a serious disease?
Since I've been coughing for several months and no pain, he didn't think it was pleurisy or pneumonia.
I do have asthma and severe allergies to many things.

Can allergic cough cause them to hear plural rub sound? Thanks

I went to Dr the next day and she didn’t hear anything upon listening to my chest.

Nurse practitioner in the first appointment didn’t have me cough. The dr asked if nurse Practitioner had me cough upon hearing clear lungs.

I haven’t coughed in 3 nights.

If it was something serious like disease, wouldn’t I have cough other times like during the day? Or other symptoms?

I have panic disorder and just had a divorce finalized. The night cough started when I really started to panic about divorce several months ago which led me to think emotionally induced asthma coupled with the extreme allergies.

Thank you for any additional information.

Thank you for your response.

I had 4 nights without coughing. Tonight I have the cough again. If it was emphysema, COPD, bronchetitis or some other permanent condition or cancer, could the cough be sporadic or consistent?

Also I had bloodwork drawn. My ALP liver enzyme was mildly raised to 121. I don’t drink alcohol or take acetaminophen. What I read online sounds very bad. Especially if something was wrong with my lungs. What are your thoughts on this.

Thank you.

I saw that my lab from 2019 ALP was 111 then lower in last few years. 121 is considered within normal range for some labs? Or is that always high? Are you thinking high ALP, especially if it increases in a month, might indicate cancer? I did read journal articles about that. Thanks.

Thank you for answering all my questions.

On some nights I have no cough. Last week there were 4 nights in a row. Then a few nights of it. Then non again for a few nights. Last night, I was up later doing stressful work. It came on where it feels difficult to breathe. I cough up thick phlegm. I use the Nebulizer and it’s better so I can sleep. It feels irritated the next day but always clears in the morning (even though it can feel still inflamed).

Can these symptoms be consistent with lung cancer, COPD, or any other lung disease? Where it has this unusual non-pattern since August.

I don’t remember if I shared this but I have CPTSD with the anxiety and recently got divorced. I’m under a lot of stress and anxiety. I do have the history of allergic asthma but didn’t have to use an inhaler for 30 years. I did my best to avoid things I was allergic too but I still was able to get help with allergy medicine alone.

My main question, which I know you already addressed somewhat, is whether these breathing issues could be consistent with the lung conditions mentioned above especially considering the 121 ALP level. Thank you for your time.