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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Choking And Coughing Up Phlegm During Sleep?

During the day and rarely when sleeping, I cough, choke and gag up phlegm. It s clear and varies in the amount. Sometimes it s so strong my stomach hurts and breathing is a problem until the siege passes. The ENT, Gastroenterologist, Allergist, Dermatologist and Pulmonary Specialist all see me with a borderline, maybe problem. All the meds made me sick. Now what? I m a female age 73.
posted on Sun, 20 Jul 2014
Twitter Sun, 30 Nov 2014 Answered on
Twitter Mon, 1 Dec 2014 Last reviewed on
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General & Family Physician,  's  Response
Hello
As you mentioned that there is cough , clear phlegm and impacted ( gag in throat ) and all reports are clear.
In my opinion at this age of 73 years , particularly during the time of sleeping such symptoms may be due to bronchoconstriction .
As this produces cough ( aggravate during sleep ) , post nasal discharge and gurgling sound with wheezing is the characteristic feature of such bronchoconstriction.
When such patient visit I prescribe syrup containing pseudo-ephedrine with terbutalin+ ambroxol ( this is cough syrup and also bronchodilator),
However , hot coffee and steam inhalation will also provide relief in such typical situation.
In my opinion , since phlegm is clear so no need of any antibiotics.
But this is a prescription drug , so consult your treating physician and get his opinion.
Good luck.
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What Causes Choking And Coughing Up Phlegm During Sleep?

Hello As you mentioned that there is cough , clear phlegm and impacted ( gag in throat ) and all reports are clear. In my opinion at this age of 73 years , particularly during the time of sleeping such symptoms may be due to bronchoconstriction . As this produces cough ( aggravate during sleep ) , post nasal discharge and gurgling sound with wheezing is the characteristic feature of such bronchoconstriction. When such patient visit I prescribe syrup containing pseudo-ephedrine with terbutalin+ ambroxol ( this is cough syrup and also bronchodilator), However , hot coffee and steam inhalation will also provide relief in such typical situation. In my opinion , since phlegm is clear so no need of any antibiotics. But this is a prescription drug , so consult your treating physician and get his opinion. Good luck.