Chronic cough after lung surgery: What helps? Rehab?

Posted by kevc517 @kevc517, Jul 26, 2024

This is our first post and appreciated any advice that anyone might provide.
My wife (70 y/o, quit smoking 40 years ago) had right upper lung lobectomy 3 months ago and diagnosed with NSCLC, stage 1. Her only symptom before surgery was a persistent cough. The cough continues and has worsened in the last few weeks. Fortunately, the cough does not occur at night but only during the day when she is doing normal house activities, walking, talking, riding her bike etc. We are being told the cough may last for several months but it is sapping her energy (She says “I’m a barking dog” ). She was prescribed albuterol but it has not helped. She has no fever, negative for Covid and takes her OTC allergy meds daily. Her chest X-ray this week was normal ( this was a big relief!). Overall, she is in good health and her medical care has been very responsive and caring.
I have not seen "cough after lung surgery" as a discussion point in this forum unless I missed and wondering if anyone has tried pulmonary rehab or has another idea?

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Profile picture for camorton47 @camorton47

My upper right lobe resection (thoracotomy) was done 8 weeks ago. Cough and breathlessness are persistent. Abuterol doesn't help much. Dr is prescribing a different inhaler but haven't picked it up yet from pharmacy. Some days are worse than others and I'm wondering if I just was trying to do too much too soon.
They also did a rib resection to be able to get to the lung due to my scoliosis, so coughing can be very uncomfortable.
Chest X-ray showed no signs of fluid and lungs had expanded into the vacant space.

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You had a lot more trauma to your body than I did. You may be expecting too much too soon also. My cough is finally subsiding a bit and fisherman’s Friend lozenges work pretty good. Also stay well at all costs. I got a virus which exacerbated my cough. Keep clear of sick people or large crowds. You are in my prayers.

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Profile picture for kevc517 @kevc517

Hi pmg… & any others who may asked about my wife’s cough. Thank you & sorry for slow response. My wife’s cough overall is much better. She started to see a pulmonologist in dec 2024 who diagnosed her with late onset asthma. She changed up her inhaler & increased her dose (symbicort). CT scan in nov 2024 was good. We are very lucky as her pulmonary function tests were very good & my wife remains very active. We have another CT scan scheduled for may 2025 & follow-up with pulmonary. All the best, K

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So good to hear!!! Thank you for the response.

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Profile picture for mbeazy @mbeazy

Same Dec 19 2024 11 or 12 week post op and I have a swollen through seems like coughing up a lung . Had pneumonia when I came out and I was coughing like that B4 surgery and passed all pre tests . Mucus can barely breathe they say nothing at we and idk breathing obstruction and they look at me like I'm stupid March 5 gonna get an upper something to see smh if I Don't DIE BY THEN SMH The hipocracy in this Medical system

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@mbeazy , This sounds miserable. I hope your test goes well tomorrow. Have you asked your doctors about any remedies, inhalers, or possibly oral steroid?

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I had a lobectomy a month ago and have experiencing a cough when I move around. I hope I am not building up fluid. Out of curiosity, how do they drain fluid out of your lungs?

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Profile picture for Lisa, Volunteer Mentor @lls8000

@mbeazy , This sounds miserable. I hope your test goes well tomorrow. Have you asked your doctors about any remedies, inhalers, or possibly oral steroid?

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@mbeazy , How are you feeling? Have you learned any more?

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Profile picture for carolman210 @carolman210

I had a lobectomy a month ago and have experiencing a cough when I move around. I hope I am not building up fluid. Out of curiosity, how do they drain fluid out of your lungs?

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@carolman210 , Fluid can be common with any lung related trauma. Generally, a procedure called a Thoracentesis is performed to remove fluid around your lung. I haven't had this done, but it's generally considered to be well tolerated.

From Mayo's web site:
"Thoracentesis. In this procedure, a local numbing agent (anesthetic) is injected between your ribs to the area where fluid was seen on your imaging studies. Next a needle is inserted through your chest wall between your ribs to remove fluid for lab analysis. Removing fluid can also help you breathe better. The needle is usually inserted with the help of ultrasound guidance."

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Thank you for your reply, I hope I never need this procedure.

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