Persistent cold symptoms?
Good afternoon, Dr.
Cheng: How is the weather in Penghu? I have been experiencing cold symptoms for nearly two months.
I have visited three different hospitals and have taken a considerable amount of cold medications, including antibiotics, but my condition has not fully improved.
Upon waking up, my nose runs like a faucet, and I am constantly sneezing and coughing.
One outpatient doctor suggested that I ignore these symptoms and carry on with my normal activities.
However, when I am at work and speaking with clients, my nose continues to run.
Should I continue to seek follow-up care, or should I pretend that everything is fine? Thank you!
Xiao Xin, 30~39 year old female. Ask Date: 2004/04/29
Dr. Zheng Hongyi reply Internal Medicine
Hello, of course, I need to return to the hospital outpatient clinic for treatment.
Thank you!
Reply Date: 2004/04/29
More Info
Persistent cold symptoms lasting for two months can be quite concerning, especially when they interfere with daily activities and interactions, such as speaking with clients. It is essential to understand that while common colds typically resolve within a week or two, prolonged symptoms may indicate an underlying issue that requires further evaluation.
Given your situation, where you have already consulted three different hospitals and have been prescribed various medications, including antibiotics, it is crucial to consider a few possibilities. First, it's important to note that antibiotics are effective against bacterial infections, not viral infections, which are the most common cause of cold symptoms. If your symptoms persist despite antibiotic treatment, it suggests that a viral infection may not be the cause of your ongoing issues.
One potential explanation for your prolonged symptoms could be allergic rhinitis or sinusitis. Allergic rhinitis occurs when your immune system overreacts to allergens in the air, leading to symptoms such as a runny nose, sneezing, and nasal congestion. Sinusitis, on the other hand, is an inflammation of the sinuses that can occur after a cold or due to allergies, resulting in similar symptoms along with facial pain or pressure.
Another possibility is that you may be experiencing post-viral cough or post-nasal drip, which can occur after a viral upper respiratory infection. This condition can lead to a lingering cough and nasal drainage, which can be bothersome and may require specific treatments to alleviate the symptoms.
Given that your symptoms are significantly affecting your daily life and work, it is advisable to seek further medical advice. You should consider returning to a healthcare provider, preferably an ear, nose, and throat (ENT) specialist or an allergist, who can conduct a thorough examination and possibly perform diagnostic tests, such as allergy testing or imaging studies, to identify the root cause of your symptoms.
In the meantime, there are some self-care measures you can take to help alleviate your symptoms. Staying hydrated, using saline nasal sprays, and employing a humidifier in your living space can help soothe nasal passages. Over-the-counter antihistamines or decongestants may also provide relief, but it is essential to consult with a healthcare provider before starting any new medication, especially if you have underlying health conditions or are taking other medications.
In conclusion, while it may be tempting to ignore persistent symptoms, especially if advised by a healthcare provider, it is crucial to advocate for your health. Persistent cold symptoms warrant further investigation to rule out any underlying conditions and to find an effective treatment plan. Don't hesitate to seek a second opinion or further evaluation to ensure that you receive the appropriate care for your situation. Your health and comfort are paramount, and addressing these symptoms sooner rather than later can lead to a better quality of life.
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