No coughing or wheezing, but there is phlegm—what could be the reason?

Mar 28, 2023 Source: Cainiu Health
Dr. Guo Xiheng
Introduction
The presence of phlegm without cough or wheezing can have various causes, possibly due to conditions such as bronchitis, rhinitis, or pneumonia, and further diagnostic tests are needed to determine the exact cause. Additionally, phlegm without cough or wheezing may also be caused by diseases like tuberculosis. It is important to seek timely medical evaluation at a hospital, identify the underlying cause, and receive appropriate treatment under a doctor's guidance.

There are many possible reasons for having phlegm without coughing or wheezing, such as bronchitis, rhinitis, pneumonia, and other conditions. Further diagnostic tests are needed to determine the exact cause. The specific analysis is as follows:

1. Bronchitis

This condition mainly occurs when bronchial mucosa is stimulated by inflammatory mediators, leading to symptoms such as congestion and swelling. This can result in phlegm production even in the absence of cough or shortness of breath. Patients should get adequate rest, avoid fatigue, and drink plenty of water. Additionally, antibiotics may be taken according to medical advice, such as commonly used medications including Levofloxacin tablets, Amoxicillin capsules, and Cefuroxime Axetil tablets.

2. Rhinitis

Rhinitis typically results from inflammation of the nasal mucosa, which causes excessive secretion of mucus that drains backward into the throat, causing a sensation of phlegm without coughing or wheezing. It may also be accompanied by symptoms such as nasal congestion and runny nose. Patients should ensure sufficient rest, drink plenty of water, and maintain a light diet. In addition, corticosteroid medications may be used under medical guidance to reduce nasal inflammation, such as commonly prescribed Budesonide inhalation powder, Fluticasone Propionate inhalation powder, and Mometasone Furoate inhalation powder.

3. Pneumonia

Pneumonia refers to inflammation of the terminal airways, alveoli, and lung interstitium, which can be caused by pathogenic microorganisms, physical and chemical factors, immune injury, and other causes. Under the stimulation of pneumonia, bronchial glands in the lungs produce excessive secretions, resulting in phlegm. Antibiotics should be taken under medical supervision for anti-infective treatment, such as commonly used Ceftriaxone Sodium injection, Amoxicillin capsules, and Cefuroxime Axetil tablets.

In addition, the presence of phlegm without coughing or wheezing could also be caused by diseases such as tuberculosis. It is important to seek timely medical evaluation to identify the underlying cause and receive appropriate treatment under a doctor's guidance. In daily life, maintaining a balanced diet and getting adequate rest are essential.