Could this have been the start?

I was prone to bronchitis as a child, have had asthma since I was in my late twenties, last year my cough worsened considerably so I had a review with asthma nurse who was new to this branch ( hope that makes sense) subsequently my meds were increased in frequency, this did seem to improve my coughing to a degree

Last Nov I was invited for Lung Health Check, why not take up on it, had to have another one in February, to cut a long story short, I have lung cancer and am awaiting surgery, my question is this, is it likely that my increased coughing was the start of cancer, should I make the asthma nurse aware of my situation - I don't want to undermine her confidence but it may prevent this happening to someone else, we have since moved so no longer with that surgery. 

My other query is, following on from my biopsy I had a partially collapsed lung - 8 days in hospital, chest drain for the last 24 hrs. Since coming home I have developed a very tickly choking cough that prevents any decent sleep, nothing seems to ease it - is this to be expected, what can/should I do?

Sorry for the lengthy post.

  • Hello Roberta and thanks for posting.

    I'm sorry to read about your situation. A persistent or worsening cough can have a number of medical explanations such as respiratory problems like asthma, lung infection or even lung cancer. As these symptoms can overlap, it's not always easy even for health professionals to say specifically what is causing them.

    After a lung biopsy and partial lung collapse, it's not unusual to have a nagging tickly cough. This might be due to irritation in your airways, scarring, fluid build up or inflammation as your lung heals.

    The choking feeling and how it's affecting your sleep must be distressing. Do let your lung team or GP know about this and explain that the cough has changed since you've been home and see what their advice is. They can prescribe a cough linctus or suppressant that should hopefully help.

    In the meantime, if you are coughing up lots of secretions then it may help to increase your fluid intake which may make it easier to loosen any secretions making it easier to cough them up. Try to increase your fluid intake preferably with water. You should aim to drink around 6 – 8 glasses of water a day. Drinking warm honey and water and sucking on sweets or lozenges can also help.

    You can try breathing in steam from hot water. You can also try inhaling steam or breathing in salt water (saline) through a small machine called a nebuliser . The machine turns the saline into a fine mist, so you can breathe it deeply into your lungs. Sitting in an upright position with extra pillows might reduce the irritation in your airways.

    I hope this has been of some use. Please get back to us if you need any more information or support. You may find it helpful to talk things through with one of the nurses on our helpline. The number to call is Freephone 0808 800 4040 and the lines are open from 9am till 5pm Monday to Friday.

    Kind regards,

    Celene

  • Thank you for your informative reply, it has put my mind (and my family's) to rest