Post-Recovery Cough and Chest Pain: When to See a Specialist? - Pulmonology

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I have recovered from the diagnosis, but I am experiencing a cough and chest pain?


Hello, doctor.
I was diagnosed about two weeks ago, but I still have some issues.
During the infection, I had a severe cough and experienced occasional chest pain or tightness, along with phlegm in my throat.
Now that I'm better, I still have a persistent cough and feel like there's something stuck in my throat, but there's no phlegm.
I also experience occasional chest pain or tightness, difficulty breathing, and I feel more fatigued and weak than before.
Should I see a pulmonologist for an examination, or should I consult a traditional Chinese medicine practitioner? Thank you.

Xiao Le, 30~39 year old female. Ask Date: 2022/10/05

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 advisable to visit a pulmonology clinic for evaluation.
Of course, consulting with a traditional Chinese medicine practitioner is also an option.
Thank you.

Reply Date: 2022/10/05

More Info


It's understandable to feel concerned about persistent symptoms following a COVID-19 infection, especially when they include a cough, chest pain, and general fatigue. Given your description, it seems that you are experiencing post-viral symptoms that can occur after respiratory infections, including COVID-19.
Post-viral cough is a common issue that can linger for weeks or even months after the initial infection has resolved. This cough can be due to several factors, including residual inflammation in the airways, increased mucus production, or even post-nasal drip. The sensation of having something stuck in your throat could be related to post-nasal drip, where mucus drips down the back of the throat, causing irritation and the urge to cough.

The chest pain or tightness you are experiencing could be attributed to several causes. It may be related to muscle strain from coughing, inflammation of the airways, or even anxiety, which can often accompany health concerns. However, it is essential to rule out any serious conditions, especially since you mentioned that the pain is intermittent and associated with breathing difficulties.

Given that your symptoms have persisted for nearly two weeks after recovery, it would be advisable to consult a specialist, such as a pulmonologist (chest specialist). They can perform a thorough evaluation, which may include a physical examination, lung function tests, and possibly imaging studies like a chest X-ray or CT scan, to assess your lung health and rule out any complications from the infection.

In addition to seeing a specialist, there are several self-care measures you can take to help alleviate your symptoms. Staying well-hydrated can help thin mucus, making it easier to expel. Using a humidifier can also add moisture to the air, which may soothe irritated airways. Over-the-counter medications, such as expectorants, may help with mucus clearance, while cough suppressants can provide temporary relief from persistent coughing.

If you are considering alternative therapies, such as Traditional Chinese Medicine (TCM), it's important to consult with a qualified practitioner who can provide a tailored approach based on your specific symptoms and overall health. TCM may offer supportive treatments that can help with recovery, but it should not replace conventional medical advice, especially if your symptoms are severe or worsening.

In summary, while post-viral cough and chest discomfort can be common after respiratory infections, persistent or worsening symptoms warrant a visit to a healthcare provider. A pulmonologist can help determine the underlying cause of your symptoms and recommend appropriate treatment options. Meanwhile, self-care strategies can provide some relief as you continue to recover. Always listen to your body, and don't hesitate to seek medical attention if you feel your symptoms are not improving or if they worsen.

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