What's the matter with my old cough and phlegm?
Recently, the health issue of "old cough with phlegm" has become a hot topic on the Internet. Many netizens report that long-term cough accompanied by phlegm troubles their daily life. This article will structurally analyze this issue in terms of causes, symptoms, treatment and prevention, and combine it with popular discussion data from the entire Internet in the past 10 days to provide you with a comprehensive answer.
1. Common causes of old cough with phlegm

Long-term cough with phlegm may be related to the following diseases or lifestyle habits:
| Cause classification | specific reasons | Proportion (discussion data of the entire network) |
|---|---|---|
| respiratory diseases | Chronic bronchitis, asthma, pneumonia, etc. | 42% |
| environmental factors | Air pollution, smoking, dust exposure | 28% |
| Digestive system problems | Gastroesophageal reflux (GERD) | 15% |
| Others | Allergies, drug side effects, etc. | 15% |
2. Symptom characteristics and identification
According to the analysis of hot search keywords in the medical category in the past 10 days, the symptom characteristics that netizens are most concerned about are as follows:
| Symptoms | May be associated with diseases | Recommended inspection items |
|---|---|---|
| White frothy sputum | chronic bronchitis | Pulmonary function test |
| Yellow-green purulent sputum | bacterial infection | Sputum culture + drug sensitivity |
| Worse when lying down at night | gastroesophageal reflux | 24-hour pH monitoring |
| Accompanied by asthma | Asthma/COPD | bronchial provocation test |
3. Comparison of treatment options (based on guidelines from tertiary hospitals)
| Treatment | Applicable situations | effectiveness |
|---|---|---|
| antibiotic treatment | When evidence of bacterial infection is clear | 85% effective in the short term |
| Bronchodilators | patients with airway spasm | 72% symptoms relieved |
| Expectorants | Thick sputum that is difficult to cough | 68% improved experience |
| Traditional Chinese Medicine Conditioning | chronic non-infectious cough | 61% effective in the long term |
4. Hot search list of preventive measures
Based on the playback volume data of health short videos in the past 10 days, the most popular prevention methods include:
| Precautions | execution difficulty | attention index |
|---|---|---|
| Quit smoking and avoid secondhand smoke | high | 9.8/10 |
| Air purifier use | in | 8.7/10 |
| Honey Ginger Tea Therapy | low | 9.2/10 |
| abdominal breathing training | in | 7.5/10 |
5. Special precautions
1.Be wary of red flags:When bloody sputum, sudden weight loss, or persistent fever occurs, tuberculosis or lung cancer must be investigated immediately.
2.Misunderstandings in drug selection:Internet data shows that 38% of netizens take powerful antitussives by themselves, which may inhibit phlegm production and aggravate the condition.
3.Judgment of disease course:Chronic cough as defined by the medical community usually refers to a cough that lasts for more than 8 weeks. Short-term cough is mostly related to acute infection.
6. Expert advice
Professor Wang from the Respiratory Department of Peking Union Medical College Hospital emphasized in a recent health live broadcast: "Patients with long-term sputum cough should first complete chest CT and lung function tests to determine the cause before targeted treatment. The recent haze weather has led to a 20% increase in doctor visits, and it is recommended that high-risk groups receive pneumonia vaccines."
From the above structured analysis, it can be seen that the causes of old cough and phlegm are complex and diverse, and individualized plans need to be formulated based on specific symptoms and examination results. Keeping the environment clean and seeking medical screening promptly are key response strategies.
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