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Constant excessive phlegm with heart burn - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
User :   After getting over H1N1 I have had a constant excessive phlegm problem. During H1N1 I had this and I was throwing up constantly from it, now after H1N1 (half a year later) I still have constant phlegm that at times makes me want to throw up (thou I have not). It seems dependent of the food I eat which I find odd, if I drink coffee for instance that is the worst... Not sure what this is or how to treat it
Doctor :   Hello.
User :   Hi
Doctor :   Let me read your query.
Doctor :   Do you have any other associated symptoms like fever, cold etc?
User :   Nothing else.. I do have minor heart burn maybe once every 2-3 weeks which I think its too frequent. Sometimes it is barely noticeable but it is their which made me question acid reflux possibilities but I am not sure if that can cause phlegm issues.
Doctor :   Do you smoke?
User :   I used to infrequently, if I do now it would be once in three months. So it is extremely rare.
Doctor :   Ok.
Doctor :   Can you describe the phlegm in terms of amount, color, thickness, smell.
User :   I will usually cough it up about 4 times a day, usually its very light yellow almost never dark... If I drink coffee which affects it the most I usually have to cough small amounts up about 15+times within an hour.
Doctor :   Ok.
Doctor :   How old are you?
User :   The coffee I drink has a fair amount of sugar in it, but it never bothered me too much before this..
User :   24
Doctor :   Do you have any past history of allergy or asthma?
Doctor :   Any past history of sinusitis?
User :   Ive had seasonal allergies and some bad allergies to mold but nothing beyond that, no asthma.
Doctor :   Ok.
User :   No
Doctor :   Excess amount of phlegm is caused due to irritation
Doctor :   Do you have burning sensation in throat or in stomach?
User :   Rarely in the throat, its more of a hear burn feeling and its usually light when it happens (barely noticable), and that happens once every 2-3 wks.
User :   heart*
Doctor :   Even hurried intake of food will also cause in increase phlegm.
User :   I ate pizza one night late (1AM) and noticed instant phlegm after eating.
Doctor :   Did you try any antacid for your heartburn?
Doctor :   Like tums.
User :   Sorry about that...
User :   No I haven't, I didn't have any at the time.
Doctor :   Take tums 2 tsp 3 times a day after each meal for a week.
Doctor :   Avoid dust and allergen.
User :   I tend to eat more often than 3 times, should I take one after each or 3 times according to time of day?
Doctor :   3 times.
User :   Ok
Doctor :   Do you eat in a hurry?
User :   I used to, that was before this thou. I eat slightly faster than average I would say now but not by much.
User :   Eg when I drink coffee, I drink it slower than most actually due to the problem. (now I do not drink it)
Doctor :   That also could probably a cause.
Doctor :   I meant food.
User :   Ok
Doctor :   Do you consume alcohol?
User :   I was consuming it once a week, I have cut that off... I noticed the day after I would have more phlegm than usual.
Doctor :   Avoid coffee for some time now.
Doctor :   Do you have sore throat?
User :   Also one odd thing, is that when I workout (I do weight lifting) this also causes me to produce phlegm
User :   If it is a hard/difficult session, the harder the session is the more phlegm.
User :   No
User :   The only thing that helps then is excess water.. and that help some.
Doctor :   Phlegm is increased if there is increased congestion in the respiratory tract.
Doctor :   Which can happen during workout.
User :   Yes that makes sense
User :   Oxygen transport correcT?
Doctor :   Try out these tips.
Doctor :   Do steam inhalation around 3 times a day.
Doctor :   Gargle with salt water 3 times a day.
Doctor :   do these for a week.
Doctor :   keep your self hydrated.
Doctor :   That is drink at lest 2 to 3 liters of water a day.
User :   Should I do the tums also?
Doctor :   Yes.
User :   Ok
Doctor :   Tums is a antacid for heartburn.
Doctor :   Did you follow what i have said?
User :   The respiratory thing, could this be helped as well by increasing Vo2max with cardiovascular workout?
User :   Yep
Doctor :   It has nothing to do with that.
Doctor :   One of the reasons for increased phlegm after workout is dehydration.
Doctor :   It causes the phlegm to become thick.
User :   Ok
Doctor :   So keep your self hydrate during workout.
User :   Ok I will try these.
Doctor :   Is there anything else?
User :   Thats all, thanks for your time.
Doctor :   Thanks for consulting me. Bye for now.
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