HomeAnswersInternal Medicinechest congestionIs working with chemical fumes the cause of my lung congestion?

I work with chemical fumes, and I get lung congestion with white blobs in my sputum. Kindly help.

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Published At September 15, 2021
Reviewed AtSeptember 15, 2021

Patient's Query

Hi doctor,

I have slight congestion in lungs, and I cough out clear mucus with white blobs. I am under treatment for GERD. I work with chemical fumes. I consulted a doctor, and he said everything is normal. I had bronchiectasis during my childhood. I am taking Lansoprazole currently.

Kindly help me to get relief from this.

Thanks.

Hi,

Welcome to icliniq.com.

I can understand your concern. According to your statement, you have been suffering from coughing with mucus, occasionally a snoring feeling, and noise in the left lower back. You are a known case of GERD (gastroesophageal reflux disease). You had a history of bronchiectasis. Normal peak flow scores range between around 400 and 700 liters/minute. As your peak flow rate is 120%, it is within the normal range.

Such types of complications usually occurs because of asthma, COPD (chronic obstructive pulmonary disorder), allergens, or irritants. And the treatment depends upon the causes.

I suggest you get CBC (complete blood count), chest CT (computed tomography), ECG (electrocardiogram), ECHO (echocardiogram), and arterial blood gas analysis to detect the underlying causes for your present sufferings and then treat them accordingly.

You can take tablet Cetirizine and tablet Montelukast to subside your cough.

Take care.

Patient's Query

Hi doctor,

Thanks for the suggestion.

I wish that it is not COPD. I walk seven miles a day for five days a week, and I am never out of breath. I do work with chemicals, so hoping it is just some sort of irritation. My symptoms have never got worse in the past five months.

Hi,

Welcome back to icliniq.com.

I also hope so. Do not be worried at all. Nothing has been confirmed yet.You can undergo the investigations mentioned above to exclude the causes. Repeated exposure to the chemical fumes may cause such type of symptoms.

You can take a vacation for few days and stay away from your present working environment to notice the improvement. If you see improvement after staying away from your current workplace, it is evident that the irritants are causing your present sufferings.

Patient's Query

Hi doctor,

Thanks for your suggestion.

I have one more concern. I have costochondritis and lower back strains. But most of my symptoms are relieved when I play. Why is it so?

Kindly help.

Hi,

Welcome back to icliniq.com.

Costochondritis may cause chest pain and breathing problems. You may experience pain in the front of your chest, and it may radiate to your back or belly after exercise, trauma, or respiratory infection. You may experience pain while taking a deep breath or coughing. Breathing difficulties also may result from costochondritis.

Painkillers like tablets Ibuprofen, Naproxen, or Aceclofenac, Steroid, topical analgesic cream, and hot compresses on the painful area may help subside costochondritis symptoms.

Patient's Query

Hi doctor,

Thanks for the reply.

I am getting better. I have no symptoms like cough or phlegm; the wheezing has only been a few times and sometimes nothing at all.

Thanks again.

Hi,

Welcome back to icliniq.com.

Anxiety can cause respiratory problems and wheeze due to hyperventilation. The act of breathing too quickly is known as hyperventilation, which may result from anxiety and stress. Anxiety, stress, or other strong emotions can aggravate asthma status or respiratory problems such as shortness of breath, rapid breathing, chest tightness, or wheezing.

After undergoing the investigations mentioned above, if investigation reports show no positive results or confirm any diagnosis, you can consult with a professional psychiatrist for counseling and psychotherapy.

Take care.

Patient's Query

Hello doctor,

I have a Costochondritis problem. I have had this feeling for years that while talking deeply, there is more chest wall vibration on my right than the left side. I am not sure if that makes any difference.

Hi,

Welcome back to icliniq.com.

We have two lungs, and they are different in size. The left lung is smaller than that of the right lung. The extra space on the left side allows room for the heart and is protected by the rib cage.

Costochondritis is the cartilage inflammation that connects the rib to the sternum or breastbone. Costochondritis can be aggravated by any activity that causes pressure on the chest area, such as strenuous exercises, simple movements, loud laughing or talking, stress, anxiety, and many more. Like some other causes, anxiety can also cause globus sensation.

I have already suggested you undergo some investigations, and those investigation results will help to find out the exact underlying causes for your present sufferings and then treat them accordingly.

If all investigation reports become normal, it will be better to visit a professional psychiatrist to exclude any psychiatric disorders and psychotherapy.

You can take painkillers like Ibuprofen, Naproxen, or Aceclofenac for subsiding your costochondritis. Doing regular exercise, stress management, yoga or meditation, etc., may help you relieve your present sufferings.

Patient's Query

Hello doctor,

I wanted to know if the chest wall vibration more on the right than the left when holding a hand on the chest while talking in a deeper voice is a normal feeling. I have no other symptoms other than anxiety.

Hi,

Welcome back to icliniq.com.

The vocal or tactile fremitus is the vibration developed by the voice and transmitted to the chest wall, where it is felt or detected by the hand in the form of tactile vibration called fremitus.

It is normal to find a greater amount of vocal fremitus at the apex of the right lung than usual. Again, a greater amount of vocal fremitus on the right lung than the left lung may result from consolidation due to pneumonia, tuberculosis, and many more.

The investigations, as mentioned earlier, may help to exclude the causes. As you have no symptoms of consolidation, increased vocal fremitus on the right lung may result from normal physical phenomena. You may undergo the investigations, which will help to subside your present sufferings. You should consult with a professional psychiatrist for psychotherapy and stress or anxiety management.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Muhammad Zubayer Alam
Dr. Muhammad Zubayer Alam

Pulmonology (Asthma Doctors)

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