Post-Cold Breathing Difficulties: Causes and Solutions - Otolaryngology

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Hello Doctor, I had a severe cold last week with symptoms resembling the flu, but without body aches.
My hands are peeling.
I visited the doctor twice and had a fever for four days after taking medication, which has gradually subsided.
Now on the sixth day, I still have a runny nose, itchy throat, and cough.
This afternoon, I suddenly experienced shortness of breath, feeling like I could hardly get any air.
I haven't had an appetite all day; eating a little makes me feel nauseous and full.
I also seem to have lost weight.
I constantly feel sleepy and lack energy.
I would like to ask if this could be a post-cold syndrome or if there might be other complications.
Thank you.

K, 10~19 year old female. Ask Date: 2023/07/31

Dr. Ji Zhaoyun reply Otolaryngology


Hello, your symptoms are somewhat atypical.
It is advisable to consult an otolaryngologist if the symptoms persist.

Reply Date: 2023/07/31

More Info


It sounds like you are experiencing a challenging recovery after a significant cold or flu-like illness. The symptoms you describe—persistent nasal discharge, itchy throat, cough, difficulty breathing, lack of appetite, and fatigue—can indeed be concerning. Let's break down these symptoms and explore potential causes and solutions.

Firstly, it's important to recognize that after a viral infection, particularly one resembling influenza, it is not uncommon for individuals to experience lingering symptoms. This phenomenon is often referred to as "post-viral syndrome" or "post-viral fatigue." Symptoms can include fatigue, weakness, and respiratory issues, which may persist for several weeks after the initial infection has resolved. The immune response to the virus can leave the body in a state of heightened sensitivity, leading to ongoing symptoms.

The difficulty in breathing you are experiencing could be attributed to several factors. One possibility is that the viral infection may have caused inflammation in your airways, leading to bronchial hyperreactivity. This means that your airways may become more sensitive to irritants or allergens, resulting in symptoms like wheezing or shortness of breath. Additionally, if you have a history of allergies or asthma, the cold could have exacerbated these conditions, leading to increased respiratory difficulties.

Another consideration is the possibility of secondary infections, such as bacterial bronchitis or pneumonia, which can occur following a viral illness. Symptoms of these conditions can include persistent cough, difficulty breathing, and general malaise. If you notice that your symptoms are worsening or not improving, it would be prudent to consult a healthcare professional for further evaluation. They may recommend a chest X-ray or pulmonary function tests to assess your lung health and rule out any complications.

Your lack of appetite and feelings of nausea after eating could also be related to your body’s response to the illness. When the body is fighting an infection, it often prioritizes energy for immune function, which can lead to decreased appetite and gastrointestinal discomfort. Additionally, if you are experiencing significant fatigue, it may be impacting your overall energy levels and appetite.

To manage your symptoms, consider the following recommendations:
1. Stay Hydrated: Drink plenty of fluids to help thin mucus and keep your throat moist. Warm teas and broths can be soothing.

2. Rest: Ensure you are getting adequate sleep and rest. Your body needs time to recover from the illness.

3. Humidify the Air: Using a humidifier can help ease breathing difficulties by adding moisture to the air, which can soothe irritated airways.

4. Monitor Symptoms: Keep track of your symptoms. If you experience worsening shortness of breath, chest pain, or if you develop a fever again, seek medical attention promptly.

5. Consult a Doctor: If your symptoms persist beyond a couple of weeks or worsen, it’s essential to follow up with a healthcare provider. They may consider prescribing medications such as bronchodilators or corticosteroids if there is evidence of airway inflammation.

In summary, while it is possible that your symptoms are part of a post-viral recovery process, it is crucial to remain vigilant for any signs of complications. Your health and well-being are paramount, so do not hesitate to seek further medical advice if needed.

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