Persistent Cold Symptoms: Seeking Solutions for Prolonged Cough and Congestion - Otolaryngology

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The cold has not improved after more than two months?


Since contracting the flu in early March, I have been using antiviral medication but have not improved.
I have visited five clinics, and my symptoms of coughing, runny nose, and sneezing have persisted.
Last week, I had another fever and saw a doctor, but after finishing the medication, my throat still feels itchy, and I continue to cough with thick green phlegm.
How can I resolve this situation? What specialist do you recommend I see? Thank you.

Youyou, 10~19 year old female. Ask Date: 2016/04/25

Dr. Zheng Jueyi reply Otolaryngology


Hello, if there is no improvement, you may visit the ENT department or the Pulmonology department at the hospital for further examination.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the ENT Department, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2016/04/25

More Info


Persistent cold symptoms, especially after an initial flu infection, can be quite frustrating and concerning. It sounds like you have been experiencing a prolonged cough, nasal congestion, and other related symptoms that have not improved despite seeking medical attention. Given your situation, it is essential to consider several factors that could be contributing to your ongoing symptoms.

Firstly, it is not uncommon for individuals to experience lingering symptoms after a viral infection like the flu. This phenomenon is often referred to as post-viral cough or post-viral syndrome. After the initial viral infection, the respiratory tract can remain sensitive and inflamed, leading to persistent cough and mucus production. The green color of your phlegm suggests that there may be an ongoing inflammatory process, which could be due to a secondary bacterial infection or simply a continuation of the body's response to the initial viral infection.

Since you mentioned that you have already visited multiple clinics and have been prescribed medications, it might be beneficial to consider a few additional steps:
1. Consult a Specialist: Given the persistence of your symptoms, it would be advisable to see an Ear, Nose, and Throat (ENT) specialist or a Pulmonologist (chest specialist). An ENT can evaluate your nasal passages and throat for any signs of infection or inflammation, while a Pulmonologist can assess your lungs and airways for any underlying conditions such as bronchitis or asthma.

2. Diagnostic Testing: It may be helpful to request diagnostic tests such as a chest X-ray or a CT scan of the sinuses to rule out any complications from the flu, such as pneumonia or sinusitis. Additionally, a sputum culture could help identify any bacterial infections that may require targeted antibiotic treatment.

3. Management of Symptoms: In the meantime, there are several strategies you can employ to manage your symptoms:
- Hydration: Drink plenty of fluids to help thin mucus and keep your throat moist.

- Humidification: Using a humidifier in your home can help ease congestion and soothe your throat.

- Over-the-Counter Medications: Consider using expectorants (like guaifenesin) to help loosen mucus, or antihistamines if you suspect allergies may be contributing to your symptoms.

- Rest: Ensure you are getting adequate rest to allow your body to recover.

4. Follow-Up Care: If your symptoms do not improve or worsen, follow up with your healthcare provider. Persistent cough and green phlegm can sometimes indicate a more serious underlying condition that may require further evaluation and treatment.

In summary, while post-viral symptoms can be common, the persistence of your cough and other symptoms warrants further investigation. Consulting with a specialist and considering additional diagnostic testing will be crucial in determining the underlying cause and appropriate treatment for your condition. Remember, it is essential to advocate for your health and seek the care you need to feel better.

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