Chest Tightness, Sore Throat, and Eye Symptoms: When to Seek Medical Help - Pulmonology

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Chest tightness, sore throat, cough with sharp pain in the chest and throat, and bloodshot eyes?


Hello Doctor, I started feeling chest tightness this week, along with a sore throat and occasional coughing.
However, when I cough, both my chest and throat hurt sharply.
I've been more lethargic than usual; even though I sleep a lot, my eyes have many bloodshot veins.
I visited a nearby clinic and only mentioned the chest tightness and sore throat because I didn't pay much attention to the other symptoms.
Later, my family told me about symptoms of COVID-19, which made me wonder if I might have it.
I would like to ask if I should seek further medical attention.
Thank you, Doctor.

Nìmíng, 10~19 year old female. Ask Date: 2020/04/09

Dr. Chen Junwei reply Pulmonology


It is advisable for you to discuss the above situation further with your attending physician.
Thank you, and wishing you good health!

Reply Date: 2020/04/09

More Info


Hello! It sounds like you are experiencing a combination of symptoms that can be concerning, and it's important to address them appropriately. Based on what you've described—chest tightness, sore throat, occasional cough with pain, increased sleepiness, and bloodshot eyes—there are several factors to consider.

First, let's break down your symptoms. Chest tightness can be caused by a variety of issues, ranging from anxiety and stress to respiratory infections or even cardiovascular problems. A sore throat is often associated with viral infections, such as the common cold or flu, but it can also indicate a bacterial infection like strep throat. The fact that you experience pain when coughing suggests that there may be irritation or inflammation in your throat or chest area.

Increased sleepiness, despite getting enough sleep, can be a sign of your body fighting off an infection or could be related to other factors such as stress or fatigue. Bloodshot eyes can result from various causes, including allergies, lack of sleep, or irritation from environmental factors.
Given the current global health concerns, including COVID-19, it's understandable to be worried about your symptoms. While not all symptoms you mentioned are specific to COVID-19, some overlap with its presentation, such as sore throat and cough. It’s crucial to monitor your symptoms closely.

Here are some recommendations on when to seek medical help:
1. Persistent Symptoms: If your symptoms persist for more than a few days without improvement, it’s advisable to seek medical attention. This is especially true if your chest tightness worsens or if you experience difficulty breathing.

2. Severe Symptoms: If you experience severe chest pain, shortness of breath, or if you feel faint or lightheaded, you should seek emergency medical care immediately.

3. Fever and Other Symptoms: If you develop a fever, chills, or other systemic symptoms (like body aches or loss of taste/smell), it would be prudent to get tested for COVID-19 and possibly other respiratory infections.

4. Eye Symptoms: If your eyes remain bloodshot and you experience discomfort, it may be worth consulting an eye specialist, especially if you have other symptoms like increased sensitivity to light or vision changes.

5. Follow-Up: Since you’ve already visited a local clinic, consider following up with your healthcare provider to discuss all your symptoms in detail. It’s important to provide a complete picture, including the bloodshot eyes and increased sleepiness, as these could be relevant to your diagnosis.

In summary, while some of your symptoms may be benign and related to a common viral infection, the combination of chest tightness and sore throat warrants careful monitoring. If you feel that your symptoms are worsening or if you have any concerns about your health, don’t hesitate to seek medical attention. It’s always better to err on the side of caution when it comes to your health. Take care, and I hope you feel better soon!

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