Post-COVID Symptoms: Persistent Throat Irritation and Coughing Concerns - Family Medicine

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COVID-19 diagnosis, experiencing a tickling sensation in the throat that triggers the urge to cough?


Hello, doctor.
I kindly request your guidance.
Thank you.
After my diagnosis, my throat has been persistently dry and itchy.
Although it’s not severe enough to cause constant coughing, I feel an itch in my throat when I breathe, and my chest feels tight.
I'm unsure if this is a throat issue or a lung problem.
After I complete my isolation, which specialty should I consult? What tests should I undergo?

Pipi, 30~39 year old female. Ask Date: 2022/08/26

Dr. Lin Zhebin reply Family Medicine


Hello: After a COVID-19 infection, it is quite common to experience a persistent cough, which may last for several weeks to months.
The primary concern is potential lung issues.
It is recommended that you visit a family medicine or pulmonary medicine specialist for a chest X-ray.
Additionally, if you continue to experience throat discomfort, it is advisable to see an otolaryngologist to check for any problems in the throat.

Reply Date: 2022/08/26

More Info


Post-COVID symptoms, often referred to as Long COVID, can manifest in various ways, including persistent throat irritation and coughing. Your experience of a dry, itchy throat that triggers a cough, along with a sensation of tightness in the chest, is not uncommon among individuals recovering from COVID-19. These symptoms can be attributed to several factors, including residual inflammation, airway hyperreactivity, or even psychological stress related to the illness.

Firstly, it’s important to understand that COVID-19 can lead to a range of respiratory symptoms that may persist long after the acute phase of the infection has resolved. The throat irritation you describe could be due to post-viral inflammation, which is a common occurrence. The respiratory tract can remain sensitive for weeks or even months following the initial infection, leading to symptoms such as a dry cough, throat discomfort, and a feeling of tightness in the chest.

In terms of what to do next, it is advisable to consult with a healthcare professional who specializes in respiratory issues. In your case, seeing a pulmonologist (lung specialist) would be a good choice. They can conduct a thorough evaluation of your symptoms and may recommend specific tests such as pulmonary function tests, a chest X-ray, or even a CT scan of the chest if deemed necessary. These tests can help rule out any underlying conditions such as bronchitis, asthma, or other pulmonary issues that may have been exacerbated by your COVID-19 infection.

Additionally, it may be beneficial to see an ear, nose, and throat (ENT) specialist if your throat symptoms persist. They can assess for any potential issues related to the throat itself, such as post-nasal drip or laryngitis, which could contribute to your symptoms.

In the meantime, there are several self-care strategies you can employ to help alleviate your symptoms. Staying well-hydrated is crucial, as it can help soothe a dry throat. Using a humidifier in your home can also add moisture to the air, which may ease throat irritation. Over-the-counter antihistamines or throat lozenges may provide temporary relief from itching or discomfort. If you find that your symptoms worsen with certain activities or environments, try to identify and avoid those triggers.

It’s also worth noting that psychological factors can play a significant role in post-COVID symptoms. Anxiety and stress related to the illness can exacerbate physical symptoms. Engaging in relaxation techniques, such as deep breathing exercises, meditation, or gentle yoga, may help reduce stress and improve your overall well-being.

In summary, while your symptoms of persistent throat irritation and coughing are concerning, they are not uncommon in the context of post-COVID recovery. Consulting with a pulmonologist and potentially an ENT specialist would be prudent steps to take. They can provide a comprehensive evaluation and guide you on the appropriate tests and treatments. In the meantime, self-care measures can help manage your symptoms as you continue your recovery journey. Remember, it’s important to listen to your body and seek medical attention if your symptoms worsen or if you experience new symptoms.

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