Throat and Trachea Issues: Symptoms and Concerns - Pulmonology

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Throat and tracheal issues?


Hello, doctor.
I started experiencing a sore throat, fatigue, and very mild coughing around March 16.
I have visited the clinic three times and have been taking antibiotics.
As of today, March 28, my sore throat and other symptoms have mostly improved.
However, whenever I inhale, I feel an itchiness in the lower back of my throat, near the trachea.
It's not painful, just a rather sensitive feeling, similar to the sensitivity of broken skin, which makes me want to cough a little.
I have had a history of nasal allergies since childhood, and I almost experience sinusitis once or twice every season.
I am unsure what the cause of my current symptoms is.
The last time I visited an ENT specialist, the doctor mentioned that my throat appeared dry and somewhat cracked, resembling the end stages of a cold.
I am asking because the pandemic is quite severe right now, and as a university student with many contacts, I am very concerned about getting sick (I have no travel history, and the people I interact with also do not have any travel history).

Nìmíng, 20~29 year old female. Ask Date: 2020/03/28

Dr. Yang Wenda reply Pulmonology


Hello: It seems more like an allergy affecting the nasal cavity and trachea.
It is recommended to drink plenty of water, and follow up with an otolaryngologist!

Reply Date: 2020/03/28

More Info


It sounds like you have been experiencing a range of symptoms related to your throat and trachea, particularly after a recent illness. Based on your description, it seems that your throat pain and mild cough have improved, but you are still experiencing a sensation of itchiness or sensitivity in the lower part of your throat and trachea, especially when inhaling. This can be concerning, especially given the current health climate.

From a medical perspective, the symptoms you are describing could be attributed to several factors. First, it is common for individuals recovering from a respiratory infection, such as a cold or mild case of bronchitis, to experience lingering sensations in the throat and trachea. This can include a feeling of dryness or irritation, which may be exacerbated by factors such as post-nasal drip, allergies, or environmental irritants.

Given your history of nasal allergies and recurrent sinusitis, it is possible that your current symptoms are related to allergic rhinitis or post-nasal drip. When the nasal passages are inflamed, mucus can drip down the back of the throat, leading to irritation and a sensation of itchiness or sensitivity. This can also trigger a cough reflex, which may explain your desire to cough when inhaling.

Additionally, the use of antibiotics may have helped clear any bacterial infection, but they do not address underlying issues such as allergies or viral infections. If your throat appears dry and cracked, as noted by your ENT specialist, it could be a sign of irritation from the previous infection or from environmental factors such as dry air, especially if you are in a climate-controlled environment.

In terms of your concerns about COVID-19, it is understandable to be vigilant about respiratory symptoms during this time. However, since you have no recent travel history and have not been in contact with anyone who has traveled, the likelihood of your symptoms being related to COVID-19 is low. Nonetheless, if you develop additional symptoms such as fever, loss of taste or smell, or significant difficulty breathing, it would be prudent to seek medical attention.

To manage your current symptoms, consider the following recommendations:
1. Stay Hydrated: Drink plenty of fluids to help keep your throat moist and reduce irritation.

2. Humidify the Air: Using a humidifier in your living space can help alleviate dryness in the air, which may soothe your throat.

3. Avoid Irritants: Stay away from smoke, strong odors, and allergens that may exacerbate your symptoms.

4. Over-the-Counter Remedies: Consider using saline nasal sprays or throat lozenges to help soothe irritation.

5. Monitor Symptoms: Keep track of your symptoms, and if they persist or worsen, consult with your healthcare provider for further evaluation.

6. Allergy Management: Since you have a history of allergies, it may be beneficial to discuss with your doctor whether an antihistamine or other allergy management strategies could be appropriate for you.

In summary, while your symptoms may be related to post-viral irritation or allergies, it is essential to monitor your condition and consult with a healthcare professional if you have any concerns or if your symptoms do not improve. Your health and peace of mind are important, especially as a student navigating a busy environment.

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