Post-COVID Symptoms: Recovery and When to Seek Help - Pulmonology

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Symptoms after recovery from COVID-19?


Hello Doctor, it has been about 12 days since my diagnosis.
Many of my symptoms have improved, but I still have some issues.
I have phlegm in my throat that requires frequent clearing (the phlegm is foamy and not thick), and sometimes I feel a bit nauseous and want to cough up the phlegm.
I also experience a slight itch in my throat that triggers a cough, along with feelings of chest tightness.
It feels more uncomfortable when I lie down (it seems like air is not reaching my lungs, but my blood oxygen levels are normal), which affects my sleep quality.
Additionally, I feel more fatigued, weak, easily tired, and short of breath compared to before.
I would like to know if these symptoms can resolve, and if there is a possibility of a serious lung condition that would require a visit to a pulmonologist.
Thank you for taking the time to help.

Jason, 10~19 year old female. Ask Date: 2022/09/06

Dr. Wang Lanfeng reply Pulmonology


Hello: After a COVID-19 infection, some patients do experience the symptoms you described.
Some patients may improve after a period of time, while others may have symptoms that persist for a longer duration.
If your symptoms continue, it is recommended that you visit a pulmonology clinic to rule out any other conditions.
Thank you.

Reply Date: 2022/09/06

More Info


Hello! Thank you for reaching out with your concerns regarding your post-COVID symptoms. It's understandable to feel anxious after experiencing COVID-19, especially when symptoms linger. Let's break down your situation and provide some insights based on current medical knowledge.

Firstly, it's important to recognize that the recovery process from COVID-19 can vary significantly from person to person. While many individuals recover fully within a few weeks, others may experience lingering symptoms, often referred to as "Long COVID" or post-COVID conditions. These symptoms can include fatigue, respiratory issues, cognitive difficulties (often termed "brain fog"), and various other physical complaints.

From your description, it seems you are experiencing several respiratory symptoms, including phlegm production, throat irritation, and chest tightness. The presence of foam-like phlegm and a persistent cough can be indicative of ongoing inflammation in the airways, which is not uncommon after a COVID-19 infection. The sensation of tightness in the chest, especially when lying down, can also be related to post-viral bronchial hyperreactivity or even anxiety, which can exacerbate feelings of breathlessness and discomfort.

Your blood oxygen levels being normal is a positive sign, as it suggests that your lungs are still functioning adequately in terms of oxygen exchange. However, it’s essential to monitor any changes in your symptoms. If you notice a significant drop in your oxygen saturation (below 94%), or if you experience increased shortness of breath, it would be prudent to seek medical attention promptly.

Regarding your concerns about potential severe lung disease, while it is possible for COVID-19 to lead to complications such as pneumonia or pulmonary fibrosis, these conditions typically present with more severe symptoms and often show abnormalities on imaging studies like chest X-rays or CT scans. If your symptoms persist or worsen, consulting a pulmonologist (chest specialist) would be advisable. They can conduct a thorough evaluation, which may include imaging studies and pulmonary function tests, to assess the health of your lungs.

In terms of recovery, many people find that their symptoms gradually improve over time, but this can take weeks to months. Engaging in light physical activity, maintaining good hydration, and practicing breathing exercises can be beneficial. Additionally, ensuring you get adequate rest and managing stress levels can help improve your overall well-being.

If you find that your symptoms are significantly impacting your quality of life or if you have persistent feelings of anxiety or depression related to your health, it may also be helpful to speak with a mental health professional. They can provide support and coping strategies as you navigate this recovery process.

In summary, while your symptoms are concerning, they are not uncommon in the context of post-COVID recovery. Monitoring your symptoms, maintaining communication with healthcare providers, and seeking further evaluation if necessary are key steps in your recovery journey. Remember, it’s important to listen to your body and seek help when you feel it’s needed. Wishing you a smooth recovery and better health ahead!

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