What should be done if a bedridden patient has phlegm in the throat but cannot cough it out?

May 11, 2023 Source: Cainiu Health
Dr. Xu Gang
Introduction
A bedridden patient's inability to cough up phlegm from the throat may be caused by chronic pharyngitis, bronchitis, pneumonia, or other conditions, and can be treated with medications, nebulizer inhalation, etc. It could also be due to pulmonary tuberculosis, in which case treatment under a doctor's guidance may include isoniazid tablets, rifampicin tablets, pyrazinamide tablets, and other drugs. If symptoms do not improve after treatment, prompt medical attention is necessary.

In general, bedridden patients who have difficulty coughing up phlegm from the throat may be suffering from conditions such as chronic pharyngitis, bronchitis, or pneumonia. These can be treated with medications, nebulized inhalation, and other methods. Specific details are as follows:

1. Chronic Pharyngitis

This condition is often caused by pathogen infection, and overuse of the voice can also contribute. After onset, it leads to swelling and congestion of the pharyngeal mucosa, resulting in increased sputum production and sore throat. It is recommended to take medications such as Yanyan Tablets, Qinghou Luyan Granules, or Jinshang Luyan Pills under medical guidance.

2. Bronchitis

This condition may result from inhaling irritant gases or bacterial infections. Under inflammatory stimulation, inflammatory exudate forms in the bronchial mucosa, leading to symptoms such as coughing, sputum production, and wheezing. Treatment may include medications such as Ambroxol Hydrochloride Oral Solution, Compound Liquorice Oral Solution, or Chuanbei Pipa Syrup, taken under a doctor's guidance.

3. Pneumonia

Pneumonia can be triggered by long-term smoking or bacterial infection. Once developed, it causes fluid accumulation in the lung cavities, leading to symptoms such as cough with sputum, blood-tinged sputum, and difficulty breathing. Nebulized inhalation therapy under medical supervision may be used, including Budesonide Suspension for Inhalation, Salbutamol Aerosol, and Ipratropium Bromide Aerosol.

Besides the above common causes, respiratory infections, tuberculosis, or emphysema could also be responsible. In such cases, medications like Isoniazid Tablets, Rifampicin Tablets, or Pyrazinamide Tablets may be prescribed under medical supervision. If symptoms do not improve after treatment, prompt medical consultation is necessary to avoid delayed treatment and worsening of the condition.