Post-Cold Symptoms: When to See an ENT or Pulmonologist? - Family Medicine

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Post-cold issues?


Hello, since mid-October, after my cold symptoms have eased, I have started experiencing chest pain when swallowing.
Should I see an otolaryngologist or a pulmonologist for this condition?

Xiao Jun, 20~29 year old female. Ask Date: 2007/11/06

Dr. Lai Junlong reply Family Medicine


Hello: In response to your question, symptoms related to the common cold can be evaluated by an otolaryngologist or a family medicine physician.
Thank you.

Reply Date: 2007/11/06

More Info


When experiencing post-cold symptoms such as chest pain while swallowing, it is important to consider the potential underlying causes and the appropriate specialists to consult. Given your symptoms, it would be advisable to see both an Ear, Nose, and Throat (ENT) specialist and a pulmonologist, as each can address different aspects of your condition.

Firstly, the ENT specialist can evaluate your throat and esophagus for any residual effects from your cold. Post-viral inflammation can lead to conditions such as pharyngitis or laryngitis, which may cause pain when swallowing. Additionally, if there is any swelling or irritation in the throat, it could contribute to discomfort during swallowing. The ENT can perform a thorough examination, possibly including a laryngoscopy, to visualize the throat and determine if there are any abnormalities that need to be addressed.

On the other hand, if the chest pain is more pronounced or if you experience symptoms such as shortness of breath, wheezing, or persistent cough, it would be prudent to consult a pulmonologist. Chest pain can sometimes be related to respiratory issues, such as bronchitis or pneumonia, especially following a cold. The pulmonologist can conduct tests such as a chest X-ray or pulmonary function tests to assess your lung health and rule out any complications that may have arisen from your recent illness.

It is also worth noting that chest pain can sometimes be related to gastroesophageal reflux disease (GERD), which can be exacerbated by respiratory infections. If you find that your symptoms include heartburn or regurgitation, discussing these with your primary care physician may also be beneficial, as they can provide guidance on managing GERD and refer you to a gastroenterologist if necessary.

In summary, given your symptoms of chest pain while swallowing after a cold, it is advisable to consult both an ENT specialist and a pulmonologist. Each specialist can provide insights into different potential causes of your symptoms and help you receive appropriate treatment. If your symptoms worsen or if you experience additional concerning symptoms, do not hesitate to seek medical attention promptly. It's always better to err on the side of caution when it comes to health concerns.

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