Do I Need to See a Doctor for My Persistent Cold Symptoms? - Otolaryngology

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Do I still need to see a doctor to get medication?


Hello, I would like to ask if I should see a doctor and get medication based on my current symptoms.
I had a cold on April 20 (itchy throat, urge to cough, phlegm, nasal congestion) and finished my medication on April 23, but I haven't seen a doctor since.
Now my symptoms include a persistent urge to cough due to phlegm.
Thank you.

Chen, 20~29 year old female. Ask Date: 2016/04/25

Dr. Zheng Jueyi reply Otolaryngology


Hello: If the symptoms are mild, you may observe them first.
If they persist without improvement, it is recommended to seek medical attention for a follow-up examination.
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: 2016/04/25

More Info


When it comes to persistent cold symptoms, it is essential to evaluate the duration and severity of your symptoms to determine whether you should see a doctor. Based on your description, it seems that you initially experienced typical cold symptoms such as a sore throat, cough, phlegm, and nasal congestion. After completing your medication on April 23, you continued to experience symptoms, particularly a persistent cough due to phlegm.

In general, a common cold can last anywhere from a few days to about two weeks. If your symptoms have persisted beyond this timeframe, or if they have worsened, it is advisable to seek medical attention. Here are some key factors to consider:
1. Duration of Symptoms: If your cold symptoms have lasted longer than 10 days without improvement, it may indicate a secondary infection, such as sinusitis or bronchitis, which may require different treatment.

2. Severity of Symptoms: If you are experiencing severe symptoms, such as high fever (over 101°F or 38.3°C), difficulty breathing, chest pain, or if you are coughing up blood, you should seek medical attention immediately.

3. Underlying Health Conditions: If you have pre-existing health conditions, such as asthma or chronic obstructive pulmonary disease (COPD), it is crucial to consult a healthcare provider sooner rather than later, as colds can exacerbate these conditions.

4. Response to Over-the-Counter Medications: If over-the-counter medications have not provided relief and your symptoms continue to interfere with your daily activities, it may be time to see a doctor.

5. Change in Symptoms: If you notice a change in your symptoms, such as the development of a high fever, increased shortness of breath, or a change in the color of your phlegm (e.g., turning yellow or green), these could be signs of a bacterial infection that may require antibiotics.

6. Coughing Up Phlegm: If you are producing phlegm, it is essential to monitor its color and consistency. Clear phlegm is typically associated with viral infections, while yellow or green phlegm may suggest a bacterial infection.

In conclusion, while many colds resolve on their own, persistent symptoms warrant a visit to a healthcare provider. They can perform a thorough evaluation, possibly including a physical examination and diagnostic tests, to determine the underlying cause of your symptoms and recommend appropriate treatment. If you are unsure, it is always better to err on the side of caution and consult a doctor for peace of mind and proper care.

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