Chest Discomfort After Testing Positive for Influenza A - Internal Medicine

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Influenza A


Hello Doctor: I previously tested positive for COVID-19 at the hospital.
I am currently taking antiviral medication.
However, I am experiencing significant chest tightness.
I do not have a fever, and the hospital doctor mentioned that my symptoms are mild.
My chest tightness has become more severe in the past few days.
Could you please explain why this is happening? Is there a need for further examination?

A Jie, 10~19 year old female. Ask Date: 2009/11/16

Dr. Li Zhiyao reply Internal Medicine


Hello, A-Jie: Most individuals infected with the H1N1 influenza virus experience mild symptoms and typically recover within a week without the need for special treatment, allowing most people to rest at home.
However, there are a small number of cases where the condition can rapidly progress to severe illness.
Therefore, it is essential to be vigilant for warning signs of deterioration and seek medical attention promptly to avoid severe complications.
The warning signs include: shortness of breath, difficulty breathing, bluish or purple lips, blood-stained sputum, chest pain, confusion, high fever lasting three days, and low blood pressure.
For children, warning signs include rapid or difficult breathing, lethargy, decreased responsiveness, and reduced willingness to play.
If you are experiencing chest tightness, it is advisable to seek medical attention for a physician to determine if a chest X-ray and blood tests are necessary.
Wishing you a speedy recovery!

Reply Date: 2009/11/16

More Info


Chest discomfort following a positive test for Influenza A can be concerning, especially if the symptoms seem to worsen over time. It's important to understand that while Influenza A primarily affects the respiratory system, it can also lead to various complications that may manifest as chest discomfort or tightness.

Firstly, the flu can cause inflammation in the respiratory tract, leading to symptoms such as cough, chest tightness, and discomfort. This inflammation can be exacerbated by the body's immune response to the virus, which can cause additional irritation in the lungs and airways. Even in the absence of fever, the body is still fighting the infection, which can lead to feelings of chest discomfort.

Additionally, the flu can sometimes lead to secondary infections, such as pneumonia or bronchitis, which can also cause chest discomfort. Symptoms of pneumonia may include persistent cough, shortness of breath, and chest pain, particularly when taking deep breaths or coughing. If your chest discomfort is severe or accompanied by other symptoms like difficulty breathing, it is crucial to seek medical attention promptly.

Another possibility is that the discomfort could be related to muscle strain from coughing, which is common during viral infections. Prolonged coughing can lead to soreness in the chest muscles, mimicking the sensation of more serious conditions.
Given that you are experiencing significant chest discomfort, it would be prudent to consult with your healthcare provider. They may recommend further evaluation, such as a chest X-ray or pulmonary function tests, to rule out any complications like pneumonia or other respiratory issues.
In summary, while chest discomfort can be a common symptom associated with Influenza A, especially if the infection is causing inflammation or if there is a secondary infection, it is essential to monitor the severity of your symptoms. If the discomfort persists or worsens, or if you develop new symptoms such as difficulty breathing, it is advisable to seek medical evaluation to ensure that there are no serious complications that need to be addressed. Your health and safety should always be the priority, and timely medical advice can help manage your symptoms effectively.

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