Could Your Cold Symptoms Indicate a COVID-19 Infection Abroad?

If you are experiencing cold symptoms while abroad, how likely is it that they could be related to COVID-19?

Hello doctor, I am currently abroad and feeling quite worried due to cold symptoms.
I am unsure if there is a possibility of having COVID-19.
Initially, I had a sensation of phlegm, and now I can say I have had phlegm for about 7 days (the first 6 days it was very minimal, with no special sensations, just a feeling in my chest, and it wasn't constant).
Although I have been coughing, it has only been a few times a day (because I want to expel the phlegm).
However, today (the 7th day), my symptoms seem to have become more pronounced: (1) the phlegm sensation feels increased (but I can't expel it; at most, I can draw it from my throat into my mouth (post-nasal drip?), and I also feel phlegm in my chest), (2) I have a feeling of chest tightness due to the above issue, (3) I have very little nasal discharge (maybe 2-3 times a day), and (4) I have a headache around my temples (not the severe pain associated with fever).
Since I have been monitoring my temperature daily, I can confirm that (1) I have not had a fever in these seven days, (2) I have no issues with taste, (3) I have no sore throat, (4) I have no nasal congestion, (5) I do not feel any fatigue or lack of motivation, and (6) I have no gastrointestinal symptoms (no diarrhea, vomiting, or nausea).
I wonder if there is still a possibility of a COVID-19 infection given these symptoms? Thank you, doctor.

Cai Cai, 20~29 year old female. Ask Date: 2020/11/15

Dr. Hong Yuanbin reply Internal Medicine

Hello, based on the symptoms you described, it is indeed a respiratory infection.
However, it is not possible to distinguish whether it is COVID-19 solely based on symptoms; confirmation of the diagnosis requires testing.
Thank you for your inquiry.

Reply Date: 2020/11/15

More Info

Based on your description of symptoms, it is understandable to be concerned about the possibility of a COVID-19 infection, especially while abroad. The symptoms you are experiencing, such as increased phlegm, mild cough, chest discomfort, and occasional nasal discharge, can indeed overlap with both common cold and COVID-19 symptoms. However, it is crucial to note that the presence of specific symptoms alone cannot definitively indicate a COVID-19 infection.

COVID-19, caused by the SARS-CoV-2 virus, typically presents with a range of symptoms that can include fever, cough, shortness of breath, fatigue, loss of taste or smell, and gastrointestinal issues. However, many individuals infected with the virus may also experience mild symptoms or be asymptomatic. In your case, the absence of fever, loss of taste or smell, sore throat, nasal congestion, and significant fatigue makes it less likely that you are dealing with COVID-19, but it does not completely rule it out.

Given that you have been experiencing symptoms for seven days, it is advisable to consider a few important steps:
1. Testing: The most reliable way to determine if you have COVID-19 is through testing. If you have access to a COVID-19 test, whether it be a PCR or rapid antigen test, it would be prudent to get tested. This will provide you with clarity and peace of mind regarding your health status.

2. Monitoring Symptoms: Continue to monitor your symptoms closely. If you notice any new symptoms developing, such as a high fever, difficulty breathing, or persistent chest pain, seek medical attention immediately.
3. Self-Isolation: While awaiting test results, it is wise to practice self-isolation to prevent potential spread, especially if you are in a location where COVID-19 is prevalent. This includes minimizing contact with others and following local health guidelines.

4. Hydration and Rest: Ensure you are staying hydrated and getting adequate rest. This is essential for your immune system to function optimally, regardless of whether you are dealing with a cold, flu, or COVID-19.

5. Consulting Healthcare Providers: If your symptoms worsen or if you have underlying health conditions that may complicate your situation, do not hesitate to reach out to a healthcare provider. They can offer personalized advice and may recommend further evaluation or treatment.

6. Understanding the Context: It is also important to consider the context of your travel and any potential exposure to COVID-19. If you have been in crowded places or in close contact with individuals who have tested positive, this increases the likelihood of needing to be tested.

In summary, while your symptoms may not strongly indicate COVID-19, the only way to confirm your status is through testing. Continue to monitor your health, practice self-care, and seek medical advice as necessary. Remember that many respiratory infections can present with similar symptoms, and it is always better to err on the side of caution, especially in the current global health climate.

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