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What Causes Cough With Brown Phlegm After Quitting Smoking?

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Posted on Wed, 24 Sep 2014
Question: Hi,I quit smoking 6 months ago yet I still have a cough,sometimes with coloured phlegm and other times with what looks to still be a tar like brown substance,I'm aged 26 and I smoked 20 a day for 7 years,iv been to my doctor multiple times and have taken antibiotics for chest infections but with no XXXXXXX and have had an x-Ray on my back as there was pain in it for a time that did not show anything on it,your help is appreciated thanks
doctor
Answered by Dr. Shafi Ullah Khan (2 hours later)
Brief Answer:
Bronchitis

Detailed Answer:
Thank you for asking
Smokers have the possibility and odds of getting bronchitis ( bronchial infection) most likely. Response to antibiotics is insufficient as antibiotics alone are not enough.

You need a little work up for sorting out the etiology like
Complete blood count (CBC) with differential
Procalcitonin levels (to distinguish bacterial from nonbacterial infections)
Sputum cytology (if the cough is persistent)
Blood culture (if bacterial superinfection is suspected)
Chest radiography
Bronchoscopy (to exclude foreign body aspiration, tuberculosis, tumors, and other chronic diseases)
Influenza tests
Spirometry
Laryngoscopy (to exclude epiglottitis)

I want you to know that Therapy is generally focused on alleviation of symptoms. Care for acute bronchitis is primarily supportive. Care for chronic bronchitis includes avoidance of environmental irritants.

Agents employed for symptomatic treatment include the following:

Central cough suppressants (eg, codeine and dextromethorphan) – Short-term symptomatic relief of coughing in acute and chronic bronchitis
Short-acting beta-agonists (eg, ipratropium bromide and theophylline) – Control of bronchospasm, dyspnea, and chronic cough in stable patients with chronic bronchitis; a long-acting beta-agonist plus an inhaled corticosteroid can also be offered to control chronic cough
Nonsteroidal anti-inflammatory drugs (NSAIDs) – Treatment of constitutional symptoms of acute bronchitis, including mild-to-moderate pain
Antitussives/expectorants (eg, guaifenesin) – Treatment of cough, dyspnea, and wheezing
Mucolytics – Management of moderate-to-severe COPD, especially in winter
Among otherwise healthy individuals, antibiotics have not demonstrated any consistent benefit in acute bronchitis. The following recommendations have been made with respect to treatment of acute bronchitis with antibiotics:

Acute bronchitis should not be treated with antibiotics unless comorbid conditions pose a risk of serious complications
Antibiotic therapy is recommended in elderly (>65 years) patients with acute cough if they have had a hospitalization in the past year, have diabetes mellitus or congestive heart failure, or are receiving steroids
Antibiotic therapy is recommended in patients with acute exacerbations of chronic bronchitis
In stable patients with chronic bronchitis, long-term prophylactic therapy with antibiotics is not indicated.

Influenza vaccination may reduce the incidence of upper respiratory tract infections and, subsequently, reduce the incidence of acute bacterial bronchitis. It may be less effective in preventing illness than in preventing serious complications and death.

I hope it helps. Seek a pulmonologist for further management,

Take good care of yourself and dont forget to close the discussion please.

May the odds be ever in your favour.
Regards
Khan
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Shafi Ullah Khan

General & Family Physician

Practicing since :2012

Answered : 3613 Questions

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What Causes Cough With Brown Phlegm After Quitting Smoking?

Brief Answer: Bronchitis Detailed Answer: Thank you for asking Smokers have the possibility and odds of getting bronchitis ( bronchial infection) most likely. Response to antibiotics is insufficient as antibiotics alone are not enough. You need a little work up for sorting out the etiology like Complete blood count (CBC) with differential Procalcitonin levels (to distinguish bacterial from nonbacterial infections) Sputum cytology (if the cough is persistent) Blood culture (if bacterial superinfection is suspected) Chest radiography Bronchoscopy (to exclude foreign body aspiration, tuberculosis, tumors, and other chronic diseases) Influenza tests Spirometry Laryngoscopy (to exclude epiglottitis) I want you to know that Therapy is generally focused on alleviation of symptoms. Care for acute bronchitis is primarily supportive. Care for chronic bronchitis includes avoidance of environmental irritants. Agents employed for symptomatic treatment include the following: Central cough suppressants (eg, codeine and dextromethorphan) – Short-term symptomatic relief of coughing in acute and chronic bronchitis Short-acting beta-agonists (eg, ipratropium bromide and theophylline) – Control of bronchospasm, dyspnea, and chronic cough in stable patients with chronic bronchitis; a long-acting beta-agonist plus an inhaled corticosteroid can also be offered to control chronic cough Nonsteroidal anti-inflammatory drugs (NSAIDs) – Treatment of constitutional symptoms of acute bronchitis, including mild-to-moderate pain Antitussives/expectorants (eg, guaifenesin) – Treatment of cough, dyspnea, and wheezing Mucolytics – Management of moderate-to-severe COPD, especially in winter Among otherwise healthy individuals, antibiotics have not demonstrated any consistent benefit in acute bronchitis. The following recommendations have been made with respect to treatment of acute bronchitis with antibiotics: Acute bronchitis should not be treated with antibiotics unless comorbid conditions pose a risk of serious complications Antibiotic therapy is recommended in elderly (>65 years) patients with acute cough if they have had a hospitalization in the past year, have diabetes mellitus or congestive heart failure, or are receiving steroids Antibiotic therapy is recommended in patients with acute exacerbations of chronic bronchitis In stable patients with chronic bronchitis, long-term prophylactic therapy with antibiotics is not indicated. Influenza vaccination may reduce the incidence of upper respiratory tract infections and, subsequently, reduce the incidence of acute bacterial bronchitis. It may be less effective in preventing illness than in preventing serious complications and death. I hope it helps. Seek a pulmonologist for further management, Take good care of yourself and dont forget to close the discussion please. May the odds be ever in your favour. Regards Khan