Concerns About COVID-19 Transmission After a Medical Visit - Internal Medicine

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Transmission of COVID-19


Hello, I had dinner around 5:30 PM after class, and it seems that I got a fishbone stuck in my throat from eating tilapia.
My family took me to an ENT clinic, and after the examination, the doctor said he couldn't see anything, suggesting that I might have vomited it out after inducing vomiting.
He prescribed anti-inflammatory medication for pain relief.
However, my mom advised me to keep my distance from others and not to focus too much on my phone, as some people were coughing occasionally, and someone nearby sneezed while I was picking up my medication.
Later, when we got home, I felt a bit of discomfort in my throat, like there was phlegm or it was dry.
Although I felt some relief after taking the medication, I still had phlegm.
I was wondering, if I were to contract COVID-19, would the symptoms appear immediately? We were all wearing masks, so is it possible to get infected from brief contact? I'm worried about being infected and then getting scolded by my mom...
Even though she already scolded me, I'm concerned about potentially affecting them.
I just remembered that my grandfather has only received one vaccine dose, so I should be more careful not to put my family at risk.
Thank you for your response, doctor.

Mr. Chen, 10~19 year old female. Ask Date: 2021/09/07

Dr. Hong Yuanbin reply Internal Medicine


Hello, after a COVID-19 infection, there is typically an incubation period of about 2 to 7 days, so it is unlikely for symptoms to appear that quickly.
In the clinic, if everyone is wearing masks and there is no direct contact, the risk of transmission should be very low.
It is recommended to monitor for symptoms, and only if relevant symptoms arise should you consider testing.
Thank you for your question.

Reply Date: 2021/09/07

More Info


It's understandable to have concerns about COVID-19 transmission, especially after a visit to a medical facility where you may have encountered other patients. Let's address your questions and concerns systematically.

1. Transmission Risk in Medical Settings: Medical facilities, including ENT clinics, are generally equipped with protocols to minimize the risk of infection. Most healthcare providers enforce strict hygiene practices, including mask-wearing, hand sanitization, and social distancing where possible. If you and your family members wore masks during your visit, the risk of transmission is significantly reduced. COVID-19 is primarily spread through respiratory droplets, and wearing masks is one of the most effective ways to prevent this type of transmission.

2. Symptoms and Onset of COVID-19: It’s important to note that COVID-19 symptoms typically do not appear immediately after exposure. The incubation period for the virus can range from 2 to 14 days, with an average of about 4 to 5 days. This means that if you were exposed to the virus, you would not likely experience symptoms right away. The symptoms you are experiencing, such as throat discomfort and the sensation of phlegm, could be related to other factors, such as irritation from the fishbone incident or even seasonal allergies, rather than COVID-19.

3. Short-Term Exposure: The likelihood of contracting COVID-19 from a brief encounter with someone who sneezed or coughed is relatively low, especially if you were wearing a mask. The virus requires a certain viral load to establish an infection, and short, casual interactions are less likely to result in transmission compared to prolonged close contact without masks.

4. Precautionary Measures: Given your concern for your family, especially your grandfather, it’s wise to continue practicing good hygiene. This includes frequent hand washing, wearing masks in crowded or enclosed spaces, and maintaining physical distance when possible. If you start to develop symptoms consistent with COVID-19, such as fever, cough, or loss of taste/smell, it would be prudent to get tested and self-isolate until you receive your results.

5. Communication with Family: It’s understandable that your mother is concerned about your health and the health of your family members. Open communication about your precautions and the measures you’re taking to protect everyone can help alleviate some of her worries. Reassuring her that you are following guidelines and being cautious can foster a supportive environment.

6. Monitoring Symptoms: Keep an eye on your symptoms. If they worsen or if you develop new symptoms, consider consulting a healthcare professional. They can provide guidance on whether you should get tested for COVID-19 or if your symptoms are likely due to another cause.

In summary, while it’s natural to feel anxious about potential exposure to COVID-19, the measures you took during your medical visit—wearing masks and maintaining distance—significantly reduce your risk. Monitor your health, maintain good hygiene practices, and communicate openly with your family about your concerns and the steps you’re taking to stay safe. If you have further concerns or symptoms, don’t hesitate to reach out to a healthcare provider for personalized advice.

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