Persistent Sore Throat After Cold: When to See a Doctor? - Otolaryngology

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Even after recovering from a cold, my throat still hurts?


I have been coughing due to a cold, and during the worst days, I was coughing so much that I couldn't sleep well.
I think I coughed too hard, and later my throat started to hurt.
Even though I am no longer coughing and I don't have much phlegm, the pain persists.
I previously visited an ENT specialist, who diagnosed me with bronchitis.
I took medication for three days on two separate occasions, and the other cold symptoms have disappeared, but my throat still hurts.
Although I don't have difficulty swallowing, I am still concerned.
Should I see a doctor again? Thank you!

Ong Picton, 60~69 year old female. Ask Date: 2021/04/15

Dr. Zheng Jueyi reply Otolaryngology


Hello: If your sore throat persists for more than a week without improvement, it is advisable to seek medical attention for further evaluation.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2021/04/15

More Info


Persistent sore throat following a cold can be a frustrating and concerning symptom. It’s not uncommon for individuals to experience lingering throat discomfort after an upper respiratory infection, such as a cold or bronchitis. In your case, it seems that your sore throat has persisted even after the acute symptoms of your cold have resolved, which raises a few important considerations.

Firstly, it’s essential to understand that a sore throat can result from various causes. In your situation, the initial diagnosis of bronchitis suggests that your throat pain may be related to inflammation caused by the viral infection. Coughing, especially if it was severe, can lead to irritation and inflammation of the throat tissues, which might explain the ongoing discomfort even after the cough has subsided. This type of post-viral sore throat is often self-limiting and may resolve on its own over time.

However, there are several factors to consider when deciding whether to seek further medical attention:
1. Duration of Symptoms: If your sore throat has persisted for more than a week after the initial cold symptoms have resolved, it may be worth consulting a healthcare provider again. While some throat discomfort can linger for a few days, prolonged pain could indicate a secondary infection or another underlying issue.

2. Severity of Pain: If the pain in your throat is severe, or if it worsens over time, this could be a sign of a more serious condition, such as a bacterial infection (e.g., strep throat) or other complications.
3. Associated Symptoms: Pay attention to any additional symptoms that may develop. If you experience fever, swollen lymph nodes, difficulty swallowing, or a rash, these could be indicators of a more serious condition that warrants immediate medical evaluation.

4. Response to Treatment: Since you have already been treated for bronchitis, consider whether the medications you received were effective. If you feel that your symptoms have not improved or have worsened despite treatment, it may be time to revisit your healthcare provider.

5. Underlying Conditions: If you have a history of allergies, asthma, or other respiratory conditions, these could contribute to ongoing throat discomfort. In such cases, it may be beneficial to discuss your symptoms with a specialist, such as an allergist or an ENT (ear, nose, and throat) doctor.

In summary, while it is not uncommon to experience a sore throat after a cold, especially following a period of intense coughing, it is essential to monitor your symptoms closely. If your sore throat persists beyond a week, worsens, or is accompanied by other concerning symptoms, I recommend scheduling an appointment with your healthcare provider. They can perform a thorough examination, possibly including a throat swab or other diagnostic tests, to determine the underlying cause of your symptoms and recommend appropriate treatment. Remember, it’s always better to err on the side of caution when it comes to your health.

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