Pneumonia Symptoms: Is It Just a Cold or Something More?

The issue of the common cold?

Hello, Doctor Hong.
I would like to ask what symptoms are generally associated with pneumonia.
Yesterday, I felt phlegm in my throat, and although my nose isn't completely congested, I sometimes feel like I have to breathe harder.
Deep breathing helps alleviate this sensation.
I visited a doctor who said it was just a cold due to low immunity and assured me that my lungs were fine.
The doctor advised me not to scare myself thinking it might be Wuhan pneumonia, and he seemed quite certain when I asked if he needed to wear a mask or shield during the examination, but he said it wasn't necessary.
I have been monitoring myself and currently do not have a fever, cough, or any abnormal sense of smell, but I occasionally feel a temporary sensation of tightness.
I'm unsure if this is just a cold or a figment of my imagination.
I would like to know if this situation could indicate typical pneumonia or if it relates to the current disease.
Thank you!

Fina, 10~19 year old female. Ask Date: 2020/10/01

Dr. Hong Yuanbin reply Internal Medicine

Based on the symptoms you described, it is indeed an upper respiratory tract infection.
However, it is difficult to distinguish whether it is a common cold or COVID-19 based solely on symptoms, so clinical testing is necessary for confirmation.
Currently, there is no widespread community transmission in Taiwan, and if you have not traveled abroad recently or come into contact with foreigners, the likelihood of contracting COVID-19 is very low.
Therefore, clinicians typically do not routinely conduct COVID-19 tests unless specific conditions arise, such as a persistent fever, wheezing for more than three days, or the presence of loss of smell or taste, which would warrant special testing.
Thank you for your inquiry.

Reply Date: 2020/10/01

More Info

Understanding pneumonia symptoms is crucial, especially in distinguishing it from common colds or other respiratory issues. Pneumonia is an infection that inflames the air sacs in one or both lungs, which can fill with fluid or pus, leading to a variety of symptoms.
Common symptoms of pneumonia include:
1. Cough: This can be dry or produce phlegm (mucus). The cough associated with pneumonia often becomes more severe and persistent than that of a typical cold.

2. Fever: Many patients experience a high fever, although some may not have a fever at all, especially older adults or those with weakened immune systems.

3. Shortness of Breath: This is a hallmark symptom of pneumonia. Patients may feel like they are not getting enough air, which can lead to increased respiratory effort, as you described.

4. Chest Pain: This can occur, especially when coughing or breathing deeply. It may feel sharp or stabbing.

5. Fatigue: A general feeling of tiredness or weakness is common, as the body is fighting the infection.

6. Chills: Many people with pneumonia experience chills and shaking.

7. Confusion: In older adults, confusion or changes in mental awareness can be a significant symptom.

In your case, you mentioned feeling phlegm in your throat, some difficulty breathing, and a sensation of tightness or heaviness in your chest. While these symptoms can be associated with pneumonia, they can also be indicative of other conditions, such as bronchitis or even a severe cold. The absence of fever, cough, and loss of smell is somewhat reassuring, as these are more typical of pneumonia.

It’s important to note that pneumonia can sometimes present with atypical symptoms, especially in certain populations, such as the elderly or those with underlying health conditions. Your doctor’s assessment that your symptoms are likely due to a cold or low resistance is valid, especially if they have ruled out pneumonia through examination and possibly imaging or lab tests.

If your symptoms persist or worsen, it would be prudent to follow up with your healthcare provider. They may consider further diagnostic tests, such as a chest X-ray or blood tests, to rule out pneumonia or other respiratory conditions.
In summary, while your symptoms could potentially indicate pneumonia, they are also consistent with a common cold or upper respiratory infection. Monitoring your symptoms and seeking further medical advice if they change or worsen is the best course of action. Remember, early detection and treatment are key in managing respiratory infections effectively.

Similar Q&A

Is It Pneumonia or Tuberculosis? Understanding Cough Symptoms

Hello doctor, my mother is 40 years old and has been coughing up phlegm (white) for a while. She has visited a small clinic twice and hasn't shown any improvement. The doctor at the clinic mentioned that it could possibly be pneumonia. Could you please tell me if this is a s...

Dr. Yang Wenda reply Pulmonology
If there is currently no fever, the likelihood of pneumonia is low. It is recommended to see a pulmonologist for a chest X-ray evaluation if the cough persists for more than two weeks.

Understanding Post-Pneumonia Symptoms: Causes and Concerns

Four years ago, I had pneumonia, and after recovering, I didn't return for a follow-up appointment about a month later (not fully healed). Since then, whenever I engage in even a little exercise or when the temperature is slightly higher, I experience the following symptoms:...

Dr. Guo Lucheng reply Pulmonology
These symptoms should not be related to the pneumonia from four years ago. You may have other thoracic conditions, such as asthma, that require further evaluation at a pulmonology clinic. Sincerely, Guo Lucheng.

Understanding Pneumonia Risks After Influenza: What You Need to Know

I was diagnosed with influenza B last Wednesday and have completed my antiviral medication, but I am still worried about the possibility of severe complications, such as pneumonia. However, I am not coughing; I just have a little phlegm, nasal congestion, and a feeling of bloatin...

Dr. Yang Wenda reply Pulmonology
Hello: Pneumonia typically presents with more pronounced respiratory symptoms, such as a productive cough or persistent fever. If these symptoms are evident, it is advisable to consult a pulmonologist and obtain a chest X-ray to confirm whether pneumonia is present.

Is It Just a Cold or Pneumonia? Understanding Your Symptoms

I have asthma and rhinitis. Two days ago, I started experiencing severe coughing with phlegm (orange-yellow in color) and a sore throat. On the first day, I took over-the-counter medication because my ear temperature was 38 degrees Celsius, and I had wheezing sounds while breathi...

Dr. Yang Wenda reply Pulmonology
Hello: It may be bronchitis; an X-ray is needed to determine if there is pneumonia.