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What is Chlorine Cough?

Published in Respiratory Health 3 mins read

Chlorine cough, also known as tracheobronchitis in this context, refers to coughing or wheezing resulting from irritation of the airways due to poor air regulation in indoor pools that leads to an excess of chlorine in the air.

Understanding Chlorine Cough

Chlorine cough is primarily caused by chloramines, which are byproducts formed when chlorine reacts with organic matter like sweat, urine, and skin cells in pool water. These chloramines, rather than chlorine itself, are responsible for the characteristic "chlorine" smell and the irritant effects on the respiratory system. When indoor pool ventilation is inadequate, chloramines accumulate in the air, leading to respiratory irritation.

Symptoms of Chlorine Cough

The symptoms of chlorine cough can include:

  • Coughing: A persistent cough, either dry or producing mucus.
  • Wheezing: A whistling sound during breathing, indicative of airway constriction.
  • Sore Throat: Burning or irritation in the throat.
  • Shortness of Breath: Difficulty breathing or feeling winded.
  • Chest Tightness: A feeling of constriction or pressure in the chest.

Prevention and Treatment

Preventing chlorine cough involves maintaining proper pool hygiene and ensuring adequate ventilation in indoor pool areas. This includes:

  • Showering before entering the pool: This reduces the amount of organic matter entering the water.
  • Maintaining proper pool chlorine levels: While counterintuitive, keeping chlorine levels within the recommended range can minimize chloramine formation.
  • Ensuring adequate ventilation: Proper ventilation systems remove chloramines from the air.
  • Using combined chlorine removal systems: These systems remove chloramines from the pool water and the air.

Treatment typically involves:

  • Avoiding exposure: Staying away from the pool area until the air quality improves.
  • Rest: Giving the respiratory system a chance to recover.
  • Hydration: Drinking plenty of fluids to help thin mucus.
  • Over-the-counter remedies: Cough suppressants or expectorants may provide relief.
  • Medical evaluation: Consult a doctor if symptoms are severe or persistent.

Example Scenario

Imagine a swimmer regularly experiencing a cough and wheezing after swimming at an indoor pool. The pool has a strong "chlorine" odor, and the air feels stuffy. This swimmer is likely experiencing chlorine cough due to the buildup of chloramines in the poorly ventilated pool area. They should take steps to minimize their exposure and encourage the pool management to improve ventilation and pool hygiene.

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