Chronic Cough and Increasing Shortness of Breath Care
Chronic Cough and Increasing Shortness of Breath Care in Glendale, CA
Expert Respiratory Care for Better Breathing and Improved Health

Discover Comprehensive Chronic Cough & Shortness of Breath Care in Glendale, CA
A chronic cough and persistent shortness of breath aren’t just disruptive—they’re often symptoms of a more serious medical issue. These symptoms can stem from respiratory conditions, cardiovascular problems, or environmental factors. If you live in Glendale, CA, and are experiencing ongoing coughing or breathlessness, Dr. Ramyar Mahdavi provides expert diagnostic evaluations and customized treatment plans to help restore your quality of life.
Dr. Mahdavi is a board-certified interventional pulmonologist with years of experience diagnosing complex lung and airway conditions. He combines clinical expertise with compassionate care to uncover the root cause of your symptoms—so you can breathe comfortably again.
Symptoms of Chronic Cough and Shortness of Breath
It’s important to recognize that these symptoms can manifest in various ways, depending on the underlying condition. You might experience:
- Chronic, Lingering Cough: A cough lasting more than eight weeks, often dry or producing mucus. It may worsen at night or after exposure to irritants such as cold air or strong smells.
- Progressive Shortness of Breath: A sensation of air hunger, where even simple tasks like walking or climbing stairs become difficult. It can start gradually and worsen over time.
- Wheezing or Audible Breathing: A high-pitched whistling sound while breathing, usually associated with inflammation or narrowing of the airways.
- Chest Tightness or Discomfort: A pressure-like or squeezing feeling that can mimic heart-related issues but is often respiratory in nature.
- Frequent Throat Clearing or Hoarseness: These can accompany post-nasal drip, acid reflux, or vocal cord irritation from constant coughing.
- Fatigue and Low Stamina: Breathing difficulties reduce your oxygen intake, leading to exhaustion and reduced ability to perform daily tasks.
These symptoms should never be brushed aside as normal. If they persist or worsen, they may point to chronic respiratory disease, and professional care is essential.


When to See a Doctor for Chronic Cough and Breathing Problems
You should schedule an appointment with Dr. Mahdavi if:
- Your Cough Persists for More Than 8 Weeks: A long-lasting cough is considered chronic and often indicates an underlying medical condition that requires treatment.
- You Feel Breathless During Daily Activities: Difficulty breathing while performing everyday tasks like walking or bending over is not normal and may suggest asthma, COPD, or heart disease.
- Your Symptoms Interfere with Sleep: If coughing or shortness of breath wakes you up at night, this could signal worsening inflammation or fluid buildup in your lungs.
- You’re Coughing Up Blood or Thick Mucus: This could be a sign of infection, lung injury, or even cancer and should be evaluated immediately.
- Over-the-Counter Medications Don’t Help: If you’ve tried antihistamines, cough suppressants, or inhalers without relief, a targeted medical approach is needed.
- You Have a History of Lung Conditions or Smoking: If you’re a smoker or have had respiratory issues before, new or worsening symptoms should be taken seriously.
Causes of Chronic Cough and Shortness of Breath
Many different conditions can lead to these symptoms. Some of the most common causes include:
- Asthma: A chronic inflammatory disease of the airways that causes recurring episodes of wheezing, coughing, and breathlessness. It’s often triggered by allergens, exercise, or cold air.
- Chronic Obstructive Pulmonary Disease (COPD): A progressive lung disease that includes chronic bronchitis and emphysema. It often affects smokers and leads to airflow blockage and difficulty breathing.
- Post-Nasal Drip (Upper Airway Cough Syndrome): Mucus dripping from the nose into the throat can cause persistent coughing and throat irritation, especially at night.
- Gastroesophageal Reflux Disease (GERD): Acid reflux can irritate the throat and lungs, triggering a chronic cough and even bronchospasm in some cases.
- Heart Failure: Fluid buildup in the lungs due to poor heart function can cause shortness of breath and a dry or wet cough, especially when lying flat.
- Lung Infections (e.g., Pneumonia, Bronchitis): These can cause acute symptoms, but if untreated or recurrent, may lead to chronic inflammation and respiratory issues.
- Lung Cancer: Though less common, chronic cough with or without blood-tinged sputum, unexplained weight loss, or chest pain may signal a malignancy.


Risk Factors for Developing Chronic Respiratory Symptoms
Certain risk factors increase your likelihood of developing chronic cough and shortness of breath:
- Smoking: The leading cause of COPD and a major risk factor for lung cancer. Smoking irritates the airways and destroys lung tissue over time.
- Environmental Exposures: Long-term exposure to pollutants, dust, fumes, or mold—at home or in the workplace—can contribute to chronic lung irritation.
- Allergies and Asthma: A history of seasonal allergies or childhood asthma can predispose you to persistent airway inflammation as an adult.
- Obesity: Excess weight can physically compress the lungs and diaphragm, making breathing more difficult and increasing the risk of sleep apnea.
- Age: As people age, the lungs lose elasticity and are more susceptible to diseases like COPD and pulmonary fibrosis.
- Family History of Respiratory Disease: Genetics can play a role, especially if you have a family history of asthma, lung disease, or autoimmune disorders.
Complications of Untreated Chronic Cough and Shortness of Breath
If left untreated, these symptoms can lead to severe health issues, including:
- Respiratory Failure: A life-threatening condition where the lungs are unable to supply enough oxygen or remove enough carbon dioxide from the blood.
- Pneumonia and Infections: Chronic coughing and mucus accumulation increase your risk of developing bacterial or viral lung infections.
- Lung Damage and Scarring: Repeated inflammation or exposure to harmful substances can lead to permanent lung scarring (pulmonary fibrosis).
- Heart Strain: Oxygen deprivation from chronic lung disease can put stress on the heart, potentially leading to right-sided heart failure (cor pulmonale).
- Reduced Physical and Mental Health: Constant breathlessness can lead to anxiety, depression, and social withdrawal due to fear of physical activity or embarrassment.


Why Choose Dr. Ramyar Mahdavi for Chronic Respiratory Care in Glendale, CA?
- Expertise in Pulmonology: Dr. Mahdavi is a board-certified interventional pulmonologist with extensive experience treating complex respiratory conditions including asthma, COPD, and interstitial lung disease.
- Advanced Diagnostic Tools: From pulmonary function testing to chest imaging and bronchoscopy, our clinic offers cutting-edge diagnostics to uncover the exact cause of your symptoms.
- Personalized Treatment Plans: We tailor every treatment strategy to your individual health history, lifestyle, and condition severity, ensuring the best possible outcomes.
- Compassionate, Patient-Centered Care: Dr. Mahdavi takes the time to listen, explain, and involve you in your treatment decisions every step of the way.
- Convenient Location in Glendale: Centrally located with easy access for patients throughout Glendale and nearby areas, making your care journey more comfortable and accessible.
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Frequently Asked Questions (FAQ’s)
Yes. One of the most common culprits is a group of blood pressure medications called ACE inhibitors, such as lisinopril or enalapril. These drugs can trigger a dry, persistent cough that may last for weeks or even months. If Dr. Mahdavi suspects your medication is the cause, he will work with your primary care doctor or cardiologist to find a suitable alternative that doesn’t cause respiratory side effects.
Absolutely. Some patients have what’s known as Asthma-COPD Overlap Syndrome (ACOS), which involves features of both diseases. This can make diagnosis and treatment more complex. Dr. Mahdavi specializes in managing overlapping respiratory conditions with personalized treatment plans that may include inhalers, pulmonary rehab, and close monitoring of lung function.
Lifestyle adjustments can significantly improve respiratory health. Key changes include quitting smoking, reducing exposure to airborne irritants, using a humidifier to ease airway dryness, treating allergies aggressively, and maintaining a healthy weight. Breathing exercises and physical activity—under professional supervision—can also strengthen lung function over time.
Chronic cough can be tricky to diagnose. If basic imaging and pulmonary function tests come back normal, Dr. Mahdavi may explore other causes such as acid reflux (GERD), postnasal drip, or even silent asthma. He may recommend a trial treatment, advanced diagnostics like bronchoscopy, or 24-hour esophageal pH testing to identify less obvious contributors to your symptoms.
Congestive heart failure and other cardiac issues can cause fluid buildup in the lungs, leading to breathlessness and coughing, especially when lying down. Dr. Mahdavi coordinates with cardiologists and uses advanced testing to determine if your symptoms are cardiac, pulmonary, or a combination of both—ensuring you receive the right treatment.
The timeline for relief depends on the underlying cause. For example, patients with acid reflux-related cough may notice improvement within a week or two of starting treatment. Those with chronic conditions like COPD or pulmonary fibrosis often see gradual relief over weeks or months with consistent management. Regular follow-up visits are important to adjust the treatment as needed.
Yes. While smoking is a major risk factor, many non-smokers experience chronic respiratory symptoms due to allergies, environmental pollution, autoimmune diseases, occupational exposures, or respiratory infections. Dr. Mahdavi ensures every patient receives a comprehensive evaluation, regardless of smoking history, to pinpoint the cause and offer the most effective treatment.