Cold Symptoms: When to Seek ENT Help - Otolaryngology

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Feeling unwell due to a cold?


At first, I experienced body aches and fever, but the fever wouldn't rise.
Sometimes I felt a warmth in my abdomen, and then I had diarrhea.
I didn't have a cough, but my throat became increasingly sore.
I took the medication prescribed by the doctor, but there hasn't been much improvement.
Doctor, what illness could this be?

00000, 10~19 year old female. Ask Date: 2016/04/02

Dr. Zheng Jueyi reply Otolaryngology


Hello: Common issues are still related to viral infections.
If there is no improvement, continued follow-up and treatment are necessary.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2016/04/02

More Info


When experiencing cold symptoms, it's essential to understand the nature of your symptoms and when to seek help from an Ear, Nose, and Throat (ENT) specialist. Based on your description, you initially had body aches, fever, and gastrointestinal symptoms like diarrhea, along with a progressively worsening sore throat. These symptoms can be indicative of several conditions, including viral infections, bacterial infections, or even allergies.

Firstly, the combination of body aches and fever suggests that your body is fighting an infection. Viral infections, such as the common cold or influenza, often present with these symptoms. However, the presence of diarrhea is less common with typical cold viruses and may suggest a gastrointestinal virus or a more systemic infection that could be affecting multiple systems in your body.

The sore throat you mentioned is a significant symptom that can arise from various causes. It could be due to a viral infection, such as a cold or flu, or it could be bacterial, such as strep throat. If your sore throat is severe, accompanied by fever, swollen lymph nodes, or if you notice white patches on your tonsils, it could indicate a bacterial infection that may require antibiotics.

Since you mentioned that you have not experienced improvement with the medication prescribed by your doctor, it may be time to consider further evaluation. If your symptoms persist for more than a week, worsen, or if you develop new symptoms such as difficulty swallowing, breathing difficulties, or severe pain, you should seek medical attention promptly.

ENT specialists are particularly skilled in diagnosing and treating conditions related to the throat, nose, and ears. They can perform a thorough examination of your throat and may conduct tests such as throat cultures or imaging studies to determine the underlying cause of your symptoms. Additionally, if your sore throat is related to allergies or sinus issues, an ENT can provide appropriate treatment options.

In summary, while your symptoms may initially suggest a common cold or viral infection, the persistence and severity of your sore throat, along with gastrointestinal symptoms, warrant further investigation. If you do not see improvement or if your symptoms escalate, do not hesitate to consult an ENT specialist for a comprehensive evaluation and tailored treatment plan. Remember, early intervention can often lead to better outcomes and a quicker recovery.

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