Post-COVID Cough and Breathing Issues: Symptoms and Next Steps

Q: Post-COVID Cough and Breathing Issues: Symptoms and Next Steps

Hello： If symptoms do not improve or if you hear wheezing sounds while breathing, it is recommended to see a pulmonologist to assess for possible asthma recurrence!

Asthma symptoms after diagnosis?

Hello, doctor.
First of all, I had asthma when I was a child, but I rarely experienced episodes as I grew older, and I have had very few symptoms over the past ten years.
However, three weeks ago, I was diagnosed with COVID-19 for the second time.
After recovering, I started experiencing a dry cough and sometimes have difficulty breathing, which causes a tight sensation in my throat/esophagus, followed by coughing (dry cough).
This feels similar to the symptoms I had when I was a child with asthma.
Could this be a post-viral syndrome after my diagnosis? Should I seek further medical attention, or will it gradually improve on its own? Thank you.

Niming, 30~39 year old female. Ask Date: 2023/06/29

Dr. Yang Wenda reply Pulmonology

Hello: If symptoms do not improve or if you hear wheezing sounds while breathing, it is recommended to see a pulmonologist to assess for possible asthma recurrence!

Reply Date: 2023/06/29

More Info

Post-COVID cough and breathing issues can be quite concerning, especially for individuals with a history of asthma or respiratory conditions. Your symptoms, including dry cough and the sensation of tightness in your throat or esophagus, may indeed be related to post-viral syndromes following your COVID-19 infection.
It is not uncommon for individuals who have recovered from COVID-19 to experience lingering symptoms, often referred to as "long COVID" or post-acute sequelae of SARS-CoV-2 infection (PASC). These symptoms can include respiratory issues such as cough, shortness of breath, and chest tightness, which may mimic or exacerbate pre-existing conditions like asthma.
The mechanism behind these symptoms can vary. In some cases, the inflammation caused by the virus can lead to increased sensitivity in the airways, resulting in symptoms similar to asthma. This is particularly relevant for individuals with a history of asthma, as the airways may be more reactive following a viral infection. Additionally, post-viral cough can occur due to residual inflammation in the respiratory tract, which may take time to resolve.

Given your history of asthma, it is advisable to consult with a healthcare provider, particularly a pulmonologist or an allergist, who can conduct a thorough evaluation. They may perform spirometry tests to assess your lung function and determine if there is any airway obstruction or hyperreactivity. Furthermore, they can provide guidance on managing your symptoms, which may include the use of bronchodilators or inhaled corticosteroids if necessary.

In the meantime, there are several self-care strategies you can implement to help alleviate your symptoms:
1. Stay Hydrated: Drinking plenty of fluids can help thin mucus and soothe your throat, potentially reducing coughing.

2. Use a Humidifier: Adding moisture to the air can help ease breathing and reduce throat irritation.

3. Avoid Irritants: Stay away from smoke, strong odors, and allergens that may trigger your symptoms.

4. Practice Breathing Exercises: Techniques such as diaphragmatic breathing or pursed-lip breathing can help improve your breathing efficiency and reduce feelings of breathlessness.

5. Monitor Your Symptoms: Keep track of your symptoms, noting any changes or patterns. This information can be valuable for your healthcare provider.

6. Rest and Recovery: Ensure you are getting adequate rest, as fatigue can exacerbate respiratory symptoms.

While some individuals may experience gradual improvement in their symptoms over time, others may require medical intervention to manage persistent issues. Therefore, it is essential to seek medical advice, especially if your symptoms worsen or if you experience new symptoms such as chest pain, high fever, or difficulty breathing.

In summary, your symptoms could be related to post-COVID effects, and given your asthma history, it is prudent to consult a healthcare professional for a comprehensive evaluation and tailored management plan. Early intervention can help prevent complications and improve your quality of life as you recover from your COVID-19 infection.

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