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GDM
You coughed up a wad of phlegm ... that's a physical obstruction in your airway. I've got no idea how big was or how long it was there but if it was big enough and was there long enough then you're probably feeling what it's like to have a mostly unobstructed airway for the first time in a long time.
If you really want to feel better then quit, if you can't quit at least cut down. You'll notice a difference.
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