Is Your Cough and Fever a Sign of Lung Inflammation? - Pulmonology

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Having a slight fever after choking?


Hello, doctor.
Last Thursday, I accidentally inhaled some black rice into my trachea and started coughing at that moment, but I'm not sure if I coughed it out.
Since last Friday until today, Wednesday, my temperature has been around 37.5 to 38 degrees Celsius daily.
I don't feel particularly unwell, but I do notice that my exhalation feels a bit warm, and I occasionally feel the urge to cough.
Does this indicate inflammation?

Yuan, 20~29 year old female. Ask Date: 2023/06/21

Dr. Wang Zhengde reply Pulmonology


Dear Ms.
Yuan,
Based on your description, it is possible that a foreign object has aspirated into your lungs.
While generally healthy adults should be able to cough out foreign objects, if you are experiencing fever or persistent coughing, I recommend that you visit a nearby hospital with a pulmonology department for further evaluation by a specialist.
Best wishes,
Dr.
Wang Cheng-Te,
Attending Physician, Department of Pulmonology,
Ministry of Health and Welfare, Hsin-Ying Hospital

Reply Date: 2023/06/21

More Info


Based on your description, it seems that you have experienced a series of symptoms following an incident where you inhaled food. The persistent low-grade fever (around 37.5-38 degrees Celsius) and the sensation of warmth during exhalation could indeed suggest some form of respiratory inflammation, potentially due to aspiration.
When food or liquid enters the airway instead of the esophagus, it can lead to aspiration pneumonia or bronchitis, especially if the material irritates the airways or if it introduces bacteria into the lungs. The cough you are experiencing is a natural reflex to clear the airways, but if it persists, it may indicate that your body is trying to fight off an infection or inflammation caused by the aspiration.

In terms of fever, a temperature in the range you mentioned can be indicative of an inflammatory response. While a fever itself is not a definitive sign of lung inflammation, it can accompany conditions such as bronchitis or pneumonia. Given that you are experiencing a cough and a sensation of warmth in your breath, it would be prudent to consider further evaluation.

Here are some key points to consider regarding your symptoms:
1. Aspiration Risk: If you inhaled food particles, it could lead to aspiration pneumonia, especially if you have a history of swallowing difficulties or if the food was not cleared effectively from the airways.

2. Symptoms of Infection: Persistent cough, fever, and changes in breathing patterns can suggest a respiratory infection. If you develop additional symptoms such as increased shortness of breath, chest pain, or purulent sputum (green or yellow phlegm), these could be signs of a more serious condition.

3. Monitoring Symptoms: Keep track of your symptoms. If your fever persists beyond a few days, or if you start to feel worse, it is essential to seek medical attention. A healthcare provider may recommend a chest X-ray or other imaging studies to assess for any signs of pneumonia or other complications.

4. Hydration and Rest: Ensure you stay well-hydrated and get plenty of rest. This can help your body recover from any potential inflammation or infection.

5. Medical Evaluation: Given your symptoms and the recent incident of aspiration, it would be wise to consult a healthcare professional. They can perform a physical examination, listen to your lungs, and possibly order tests to determine if there is any lung inflammation or infection present.

In summary, while your symptoms could suggest some form of lung inflammation, it is crucial to have a healthcare provider evaluate your condition to rule out any serious complications. Early intervention can lead to better outcomes, especially in cases of respiratory issues.

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