Managing Persistent Throat Inflammation After COVID-19 Recovery

Recurrent throat inflammation after COVID-19?

Hello Doctor: I originally wanted to make an appointment yesterday, but you were fully booked.
I would like to ask about my condition.
I tested positive for COVID-19 on June 2 and have been testing negative on rapid tests for about a week now.
However, I continue to experience throat inflammation and pain, post-nasal drip, occasional sneezing, nasal congestion, and coughing (not persistent, with phlegm but I haven't been able to cough it up).
Last week, I had chest pain when coughing, but that has improved.
During this time, I visited a clinic and received medication for rhinitis and anti-inflammatory pain relief.
I felt somewhat better while taking the medication, but once I stopped, I first experienced post-nasal drip, followed by nasopharyngitis, and then throat inflammation and pain returned.
I have been going back and forth to the clinic for over a week for medication, but I still experience throat pain and coughing after finishing the medication.
For the past few days, I have not taken the clinic's medication and have only used the nasal spray and medication previously prescribed by my doctor, hoping to see if avoiding post-nasal drip would alleviate my throat pain.
However, I have noticed that the pain on the right side of my throat persists and has spread down to the area near my vocal cords, and my right ear also feels slightly painful.
Stopping the medication does not relieve the throat pain.
What should I do? With the long holiday coming up, I only have the option of going to the emergency room.

Peng, 30~39 year old female. Ask Date: 2023/06/22

Dr. Zheng Jueyi reply Otolaryngology

Hello, the recurring symptoms that have not improved may be related to your immune system not having fully recovered.
In addition to medication treatment, it is important to enhance dietary adjustments (such as increasing water intake and reducing sweets) and to maintain a regular routine and sleep schedule.
If symptoms continue to worsen, it is advisable to seek medical evaluation.
Taoyuan Hospital will not have flexible holidays on June 23rd, but you can schedule an appointment with the ENT department or the Pulmonary Medicine department for further examination.

Reply Date: 2023/06/22

More Info

Managing persistent throat inflammation after recovering from COVID-19 can be challenging, especially when symptoms like throat pain, post-nasal drip, and cough linger. Here’s a comprehensive approach to understanding and managing your symptoms.

Understanding Your Symptoms
1. Post-COVID Symptoms: After recovering from COVID-19, many individuals experience lingering symptoms, often referred to as "Long COVID." These can include respiratory issues, throat inflammation, and other systemic symptoms. The inflammation in your throat could be a result of the viral infection, which may have caused irritation and inflammation of the mucosal lining.

2. Post-Nasal Drip: This occurs when excess mucus accumulates in the back of the throat, leading to irritation and inflammation. It can be exacerbated by allergies, sinus infections, or even the residual effects of COVID-19.

3. Ear Pain: The sensation of pain in your ear can be related to throat inflammation, as the Eustachian tube connects the throat to the middle ear. Inflammation can lead to pressure changes and discomfort in the ear.

Management Strategies
1. Medication: Since you have already been prescribed anti-inflammatory and pain-relief medications, it’s essential to continue using them as directed. If you find that stopping the medication leads to a return of symptoms, it may indicate that your inflammation is not yet fully resolved. Discuss with your healthcare provider about possibly extending the course of treatment or adjusting dosages.

2. Nasal Irrigation: Using a saline nasal spray or performing nasal irrigation can help clear mucus and reduce post-nasal drip. This may alleviate throat irritation and help with nasal congestion.

3. Hydration: Staying well-hydrated is crucial. Drinking plenty of fluids can help thin mucus, making it easier to clear from your throat and nasal passages.

4. Humidification: Using a humidifier in your living space can add moisture to the air, which may help soothe your throat and reduce irritation. This is particularly helpful if you live in a dry climate or during winter months when indoor heating can dry out the air.

5. Avoid Irritants: Try to avoid smoking, strong odors, and other environmental irritants that can exacerbate throat inflammation. If you have allergies, managing them effectively can also help reduce symptoms.

6. Voice Rest: If your throat pain is affecting your voice, consider resting your voice as much as possible. Avoid whispering, as it can strain your vocal cords more than speaking normally.

7. Dietary Considerations: Soft, soothing foods and warm liquids (like herbal teas or broths) can provide relief. Avoid spicy or acidic foods that may further irritate your throat.

8. Follow-Up Care: Since your symptoms have persisted despite treatment, it’s crucial to follow up with a healthcare provider. They may recommend further evaluation, such as a throat examination or allergy testing, to rule out other causes of your symptoms.

When to Seek Immediate Care
If you experience any of the following, seek immediate medical attention:
- Difficulty breathing or swallowing
- Severe pain that does not improve with over-the-counter medications
- High fever or worsening symptoms
- Signs of an allergic reaction, such as swelling or difficulty breathing

Conclusion
Persistent throat inflammation after COVID-19 can be frustrating, but with appropriate management strategies, you can find relief. It’s essential to maintain open communication with your healthcare provider, especially if symptoms persist or worsen. They can help tailor a treatment plan that addresses your specific needs and monitor your recovery. Remember, recovery from viral infections can take time, and patience is key.

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We recommend that you discuss the above situation further with your telemedicine attending physician to determine if any additional treatment is necessary. Thank you, and wishing you good health!