Mild nasal congestion, back pain, and difficulty breathing?
Since childhood, I have experienced nasal congestion when lying down.
I just recovered from a cold two weeks ago, but this week, after getting better, I started to have nasal congestion and some difficulty breathing, although I am not wheezing.
For the past two days, I have also had some back pain.
Is it correct to first see an ear, nose, and throat specialist? Thank you, doctor.
Xiao Chen, 30~39 year old female. Ask Date: 2024/07/17
Dr. Shen Bochan reply Pulmonology
Hello: Yes! If the symptoms persist without improvement, you may go to a nearby hospital for examination.
Thank you.
Reply Date: 2024/07/17
More Info
When experiencing mild nasal congestion and back pain, it is indeed reasonable to consult an Ear, Nose, and Throat (ENT) specialist, especially given your history of nasal issues. The ENT is well-equipped to evaluate and treat conditions related to the nasal passages, sinuses, and throat, which can often be interconnected with other symptoms you may be experiencing.
Nasal congestion can arise from various causes, including allergies, infections (like the common cold), or structural issues within the nasal cavity. Given that you recently recovered from a cold, it is possible that residual inflammation or mucus buildup is contributing to your nasal congestion. This can lead to discomfort and a feeling of pressure in the sinuses, which may also manifest as back pain due to muscle tension or postural changes while trying to breathe comfortably.
The back pain you are experiencing could be related to several factors. If you have been coughing or sneezing frequently due to your cold, this can strain the muscles in your back. Additionally, if you are experiencing difficulty breathing due to nasal congestion, you may be adopting a posture that places extra stress on your back muscles.
It is also important to consider that nasal congestion can lead to secondary issues, such as sinusitis, which can cause pain and discomfort in the facial region and potentially lead to referred pain in the back or neck. An ENT specialist can perform a thorough examination, which may include a nasal endoscopy or imaging studies, to determine if there is any underlying sinus infection or other pathology that needs to be addressed.
If your symptoms persist or worsen, or if you develop additional symptoms such as fever, significant facial pain, or changes in vision, it would be crucial to seek medical attention promptly. In some cases, a multidisciplinary approach may be necessary, involving both ENT specialists and other healthcare providers, such as primary care physicians or pain management specialists, to address all aspects of your symptoms effectively.
In summary, seeing an ENT for your nasal congestion is a logical step, especially considering your recent cold and ongoing symptoms. They can provide targeted treatment options, which may include nasal sprays, antihistamines, or other medications to alleviate your symptoms. If the back pain continues, it may also be beneficial to discuss this with your primary care provider or a physical therapist, who can help address any musculoskeletal issues that may be contributing to your discomfort.
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