After catching a cold, my throat has been persistently itchy?
Hello, Doctor: I would like to ask about my condition.
Four days ago, I had a high fever (39 degrees Celsius) at night and went to the emergency room.
The doctor said it was a common cold and administered IV fluids and antipyretics, which helped reduce my fever.
However, starting the next day, I felt a persistent itch in my throat when breathing deeply or speaking, which seems to extend to my chest.
I have the urge to cough but cannot produce any phlegm, although it feels like there is mucus in my throat that I cannot expel.
Could you please advise what this situation might be? Should I see a doctor, or should I wait and observe?
Cai Ge, 10~19 year old female. Ask Date: 2021/10/19
Dr. Huang Yiwen reply Pulmonology
Dear Mr.
Tsai: The symptoms you described may be due to a post-viral irritation of the upper respiratory tract following a cold.
Please drink plenty of water, and if there is no improvement, consider visiting Changhua Hospital for further evaluation.
We care about your health.
Reply Date: 2021/10/19
More Info
It sounds like you're experiencing some persistent throat discomfort following a recent cold, which can be quite common. After a viral infection like a cold, it’s not unusual for symptoms to linger, especially throat irritation. This can be due to several factors, including post-nasal drip, inflammation, or residual effects of the infection.
When you had your high fever and were treated at the hospital, it was likely that the acute phase of your illness was addressed. However, the lingering symptoms you describe—such as throat itchiness, the sensation of mucus in your throat, and difficulty coughing—suggest that your throat may still be irritated or inflamed. This irritation can be exacerbated by dry air, allergens, or even acid reflux, which can cause a sensation of throat discomfort.
Here are some points to consider regarding your symptoms:
1. Post-Nasal Drip: After a cold, it’s common for mucus to accumulate in the back of the throat, leading to irritation. This can cause a persistent tickle or itchiness in the throat, and you may feel the urge to cough but find it unproductive.
2. Throat Inflammation: Viral infections can lead to inflammation of the throat tissues, which may take time to resolve. This inflammation can cause discomfort, especially when speaking or breathing deeply.
3. Hydration and Humidification: Ensure that you stay well-hydrated, as this can help thin mucus and soothe throat irritation. Using a humidifier in your home can also add moisture to the air, which may alleviate some of the dryness that contributes to throat discomfort.
4. Over-the-Counter Remedies: You might find relief from throat lozenges or sprays that contain soothing ingredients. Additionally, warm saltwater gargles can help reduce inflammation and provide temporary relief.
5. When to Seek Medical Attention: If your symptoms persist beyond a week, worsen, or are accompanied by other concerning signs such as difficulty swallowing, severe pain, or a high fever returning, it would be advisable to consult a healthcare professional. They may want to rule out any secondary infections, such as bacterial pharyngitis, or other underlying conditions.
In summary, while it’s often normal to experience lingering symptoms after a cold, monitoring your condition is essential. If you find that your throat discomfort continues or worsens, seeking medical advice would be prudent. Your healthcare provider can perform a thorough examination and may recommend further treatment options tailored to your specific situation.
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