Cardinal symptoms

 1. COUGH

Aggravating factors:

Pollution, Pollen, Posture

Drugs, Diurnal, Dry air

Food

Cold weather, Common cold

Exercise

Relieving Factors:

Using cough suppressants or expectorants

Drinking warm fluids 

Humidified air or steam inhalation

Avoiding triggers 

Rest

2. SPUTUM

Aggravating Factors:

Respiratory infections (e.g., bronchitis, pneumonia)

Exposure to cold air or smoke

Allergic reactions

COPD, asthma

Physical activity 

Relieving Factors:

Hydration 

Expectorants 

steam inhalation

Deep breathing exercises

3. HEMOPTYSIS 

Aggravating Factors:

Trauma or injury to the respiratory tract

Relieving Factors:

Treating the underlying condition 

Cough suppressants 

Oxygen therapy 

Positioning the person to reduce coughing or to prevent aspiration

4. CHEST PAIN

Aggravating Factors:

Deep breathing, coughing, sneezing (if pleuritic)

Physical exertion (if cardiac in nature)

Stress or anxiety

Movement or pressure on the chest area

acid reflux

Relieving Factors:

Rest 

Pain medication

Positioning (e.g., lying on one side for pleuritic pain)

Relaxation or stress-reduction techniques

Oxygen therapy

5. BREATHLESSNESS

Aggravating Factors:

Physical exertion or exercise

Exposure to cold air or allergens

Respiratory infections

Anxiety or panic attacks

Relieving Factors:

Rest or reducing physical activity

Oxygen therapy 

Bronchodilators 

Calm breathing techniques 

Elevating the head or upper body in severe cases

6. WHEEZE

Aggravating Factors:

Exposure to allergens or irritants (e.g., smoke, dust, pollen)

Respiratory infections 

Exercise or physical activity 

Cold air or sudden weather changes

Anxiety or panic attacks

Relieving Factors:

Bronchodilators 

Avoidance of triggers

Breathing exercises 

Inhaling steam

Rest and calm environment