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Air pollution, particularly fine particulate matter (PM2.5), can irritate the airways and worsen coughing, wheezing, and shortness of breath, especially in people with asthma or chronic obstructive pulmonary disease (COPD). Symptoms may worsen at night because exposure to pollutants builds up and the airways narrow during sleep. Acid reflux, infections, or postnasal drip may also contribute to coughing. Doctors recommend monitoring air quality, limiting time outdoors when pollution levels are high, using an air purifier, and avoiding smoking, incense, and strong odors. Continue taking prescribed medication, consult a doctor if symptoms persist, and seek urgent help for severe or sudden difficulty breathing.
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