Chest Pain After COVID-19: When to Seek Medical Advice - Pulmonology

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Chest pain COVID-19


Hello Doctor, I am 29 years old.
I tested positive for COVID-19 on June 17th, and today, on the eighth day, I am still testing positive.
I would like to know if this is normal.
My symptoms initially included mild throat discomfort, followed by more noticeable muscle aches over the past two days, and occasional cough and runny nose.
On about the third day, I suddenly experienced persistent mild chest pain, which resolved the next day.
Currently, I only have occasional cough and runny nose.
I would like to ask if a positive test result indicates a weaker immune system, as my friends who were infected on the same day have tested negative and I am a bit worried.
Additionally, I want to inquire about some discomfort I have been experiencing.
For the past couple of days, while working from home, I have had occasional sharp pain near the center of my chest, just below the collarbone, about four fingers' width away.
This occurs suddenly about once or twice an hour and lasts for a second or two.
I would like to know if this could be related to COVID-19 or if it is more likely due to poor posture.
Should I see a pulmonologist for an examination? I am concerned about potential permanent damage to my lungs or heart after being diagnosed, especially at my young age.
Thank you, Doctor.

S, 20~29 year old female. Ask Date: 2022/06/25

Dr. Wang Lanfeng reply Pulmonology


Hello: According to current guidelines, individuals diagnosed with COVID-19 are generally no longer contagious after a 7-day isolation period.
A positive result on a rapid test may simply indicate the presence of viral genetic fragments in the body, not necessarily that the individual is still infectious.
As long as proper mask-wearing and general personal protective measures are followed, and one avoids crowded places, normal activities can be resumed.
Additionally, the symptoms you mentioned mostly resemble upper respiratory symptoms following an infection.
It is advisable to monitor the situation for a while longer, and if symptoms persist, it is recommended to consult a pulmonologist.
Thank you.

Reply Date: 2022/06/25

More Info


It sounds like you are experiencing a range of symptoms following your COVID-19 diagnosis, and it's completely understandable to have concerns about your health, especially with the lingering effects of the virus. Let's break down your situation and provide some guidance on how to approach your symptoms.

Firstly, it's not uncommon for individuals to continue testing positive for COVID-19 for several days or even weeks after the initial infection. The presence of the virus can linger in the body, and while it may indicate that your immune system is still responding to the infection, it does not necessarily mean that your immune system is weak. Each person's immune response can vary significantly, and factors such as age, overall health, and pre-existing conditions can influence the duration of viral shedding.

Regarding your symptoms, the mild chest pain you experienced could be attributed to several factors. After a COVID-19 infection, some individuals report lingering symptoms, often referred to as "long COVID." These can include chest pain, cough, and fatigue. However, it is also possible that your chest pain is related to your posture, especially if you have been working from home and not maintaining an ergonomic setup. Poor posture can lead to musculoskeletal pain, which might explain the intermittent sharp pain you feel near your collarbone.

To address your concerns about potential permanent damage to your lungs or heart, it is essential to monitor your symptoms closely. If you experience any of the following, you should seek medical attention promptly:
1. Worsening Chest Pain: If the pain becomes more severe, persistent, or is accompanied by shortness of breath, it could indicate a more serious issue that requires immediate evaluation.

2. Difficulty Breathing: If you find it increasingly hard to breathe or feel like you cannot catch your breath, this is a sign to seek medical help.

3. Heart Palpitations: If you experience a rapid or irregular heartbeat, this could also warrant further investigation.

4. Prolonged Symptoms: If your symptoms do not improve or worsen over time, it is advisable to consult a healthcare professional.

In terms of your current symptoms, it might be beneficial to consult with a healthcare provider, particularly a pulmonologist or a primary care physician, who can assess your condition and possibly recommend imaging studies like a chest X-ray or CT scan if deemed necessary. They can also evaluate your posture and suggest exercises or physical therapy to alleviate any musculoskeletal pain.

Additionally, maintaining a healthy lifestyle can support your recovery. Ensure you are getting adequate rest, staying hydrated, and eating a balanced diet rich in vitamins and minerals. Gentle exercises, such as walking or stretching, can also help improve your overall well-being and lung capacity.

Lastly, it's important to manage anxiety and stress during this time. The uncertainty surrounding COVID-19 can be overwhelming, but focusing on what you can control—such as your health habits and seeking medical advice when necessary—can help alleviate some of that stress.

In summary, while it is not unusual to continue testing positive for COVID-19, it is crucial to monitor your symptoms closely. If you experience any concerning signs, do not hesitate to seek medical attention. Taking care of your physical and mental health during this recovery period is essential.

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