What causes coughing up phlegm from chest after sleeping?

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Posted on Fri, 12 Jun 2015 in Ear, Nose and Throat Problems
Question: Since late 2/2015 have had allergies, maybe from the office, dust, dry heat or we are having a drought, hardly any rain, very dry weather. Had took Allegra for about 3 weeks, to help with nasal congestion, sneezing, swollen eyelids. When I go home symptoms improve. Continued with allergies, about 2 weeks ago had a very bad cold, tired, thick clear mucus from nose, stayed home a day or two, got better. Currently, the last two days, I guess I have had a sinus infection all along, now have thick yellow mucus discharge from nasal, and also now chest. Only cough up phlegm from chest after sleeping, and a small amount during daytime, no fever, a little tired but don't really feel sick. Lost sense of taste, I can breathe easily but have congestion in sinus cavities. Also, have a very dry, hot, nagging cough, that does not produce phlegm, almost feels like I can cough myself into laryngitis. At night, can't sleep because of dry cough, took left over medicine doctor gave me from 2013 - Iophen C NR liquid (when had same thing, but running out of cough medication). The mucus has gotten more yellow and thicker since last two days, seems to be progressing. Taking Safeway Care Non-Drowsy Muli-Symtom Cold Relief CF for cough suppressant, expectorant and nasal decongestant. No known allergies, but will get retested next week.
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Answered by Dr. Paparaja S 33 minutes later
Brief Answer:
Could be sinus infection.

Detailed Answer:
Hi,
Welcome to healthcare magic.
I had gone through your question. I can understand your concern.

This could be sinus infection. Cough during lying down could be due to post nasal drip secondary to sinus infection. I recommend the following.
1) Avoid allergens like smoke and dust.
2) Avoid taking refrigerated drinks.
3) A course of antibiotics.
4) Antihistamine like levocetrizine with montelukast. This will control post nasal drip, there by cough and relieve your nasal congestion.
4) Steam inhalation. This will improve sinus ventilation and drainage.
5) Drink plenty of water to prevent dehydration.
You will be fine.

Hope I have answered your question. If you have any questions, I am happy to help.
Wish you a good health and speedy recovery.
Regards,
Dr Paparaja S MBBS MS
Consultant ENT Surgeon
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Paparaja S

ENT Specialist

Practicing since :2010

Answered : 615 Questions

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