Post-COVID Symptoms: Persistent Cough, Chest Pain, and Breathing Issues - Pulmonology

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After testing positive and completing isolation, there are still symptoms such as coughing with phlegm, chest tightness, difficulty breathing, and chest pain?


I was diagnosed last week and my condition improved a few days before the end of my quarantine, with only a lingering cough and phlegm.
During that time, I took Qingguan No.
1.
However, after the quarantine ended (seven days later), my cough symptoms have worsened in the last couple of days.
Sometimes I feel a tightness in my chest and occasionally experience sharp pain, along with some shortness of breath.
Should I go to the hospital for an examination, or would it be better to visit a clinic to try some medication first? Thank you.

Ting, 20~29 year old female. Ask Date: 2022/05/22

Dr. Wang Lanfeng reply Pulmonology


Hello: After a COVID-19 infection, upper respiratory symptoms may occur, including cough, nasal congestion, sore throat, and so on.
These symptoms may not fully improve immediately.
It is recommended that you continue to monitor your condition closely.
If your symptoms worsen, it is advisable to visit a pulmonology clinic for medical attention.
Thank you.

Reply Date: 2022/05/22

More Info


Post-COVID symptoms, often referred to as "Long COVID," can manifest in various ways, including persistent cough, chest pain, and breathing difficulties. Your experience of worsening cough and chest discomfort after recovering from COVID-19 is not uncommon. Many individuals report lingering symptoms even after the acute phase of the illness has resolved.
The symptoms you describe—persistent cough, chest tightness, and occasional sharp pain—can be indicative of several underlying issues. After a COVID-19 infection, the respiratory system may take time to fully recover, and inflammation in the airways can lead to prolonged coughing and discomfort. Additionally, the virus can exacerbate pre-existing conditions, such as asthma or other respiratory issues, which may explain your symptoms if you have a history of respiratory problems.

In your case, the fact that you are experiencing increased cough and chest pain, particularly if it is accompanied by shortness of breath, warrants further evaluation. While some individuals may find relief with over-the-counter medications or home remedies, it is crucial to consult a healthcare professional, especially if your symptoms are worsening.
Visiting a clinic or hospital for a thorough examination is advisable. A healthcare provider can perform a physical examination, assess your respiratory function, and may recommend imaging studies, such as a chest X-ray or CT scan, to rule out any complications such as pneumonia or pulmonary embolism. They may also conduct pulmonary function tests to evaluate how well your lungs are working.

In addition to the physical examination, it is essential to discuss your complete medical history, including any previous respiratory issues, the severity of your COVID-19 infection, and any treatments you have received. This information will help your healthcare provider determine the best course of action for your recovery.

Moreover, if you experience any alarming symptoms such as severe chest pain, difficulty breathing, or a rapid increase in heart rate, you should seek immediate medical attention. These could be signs of a more serious condition that requires urgent care.

In summary, while it is possible that your symptoms may improve with time and conservative management, it is prudent to consult a healthcare professional for a comprehensive evaluation. They can provide you with a tailored treatment plan, which may include medications to alleviate your symptoms, physical therapy to improve lung function, or referrals to specialists if necessary. Remember, your health and well-being are paramount, and seeking medical advice is a proactive step towards recovery.

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