Persistent Cough and Back Pain: Is It Just a Cold?

Q: Persistent Cough and Back Pain: Is It Just a Cold?

Dear Student Wu： Since you have been coughing continuously for almost three weeks, it is advisable to visit the hospital for an examination. <br>There are many causes for lower back pain, and considering your age, please pay attention to your body posture. <br>Changhua Hospital c

Persistent cough accompanied by lower back pain?

I have been experiencing a cold and cough for two weeks.
Initially, I visited an otolaryngologist who diagnosed me with acute pharyngitis and prescribed medication.
However, after finishing the medication, my condition did not improve; instead, my cough worsened, and I found it difficult to expel phlegm.
I then went for a second consultation with another doctor who suggested that my irregular lifestyle was leading to a weakened immune system.
Despite finishing the medication, my cough and nasal discharge persisted.
Recently, I also developed symptoms of lower back and back pain, which have lasted for three days.
During this time, I took over-the-counter pain relief and anti-inflammatory medication from my mother, which only provided relief for half a day.
I am hesitant to continue taking it since it is an over-the-counter medication.
I have also applied various medicated patches, but there has been no improvement.
My appetite is normal, and my bowel movements are regular.
Could this lower back pain simply be a result of the cold?

Wu Tongxue, 10~19 year old female. Ask Date: 2016/01/02

Dr. Huang Yiwen reply Pulmonology

Dear Student Wu: Since you have been coughing continuously for almost three weeks, it is advisable to visit the hospital for an examination.
There are many causes for lower back pain, and considering your age, please pay attention to your body posture.
Changhua Hospital cares about you.

Reply Date: 2016/01/02

More Info

Persistent cough and back pain can be concerning symptoms, especially when they last for an extended period. Based on your description, it seems that you initially experienced acute pharyngitis, which is an inflammation of the throat often caused by viral infections. This condition can lead to coughing, throat pain, and sometimes even systemic symptoms like fatigue and malaise. However, the persistence of your cough and the development of back pain suggest that there may be more going on than just a simple cold.

When evaluating your symptoms, it is essential to consider several factors. First, the duration of your cough—lasting for two weeks—indicates that it may not be a straightforward case of acute pharyngitis. In many cases, a cough associated with a viral upper respiratory infection should improve within a week. If it persists beyond that, it could indicate a secondary infection, such as bronchitis or even pneumonia, especially if the cough is worsening and producing difficult-to-expectorate phlegm.

The back pain you are experiencing could be related to several factors. It is not uncommon for individuals with persistent coughs to develop muscle strain in the back due to the repetitive motion of coughing. This can lead to soreness and discomfort in the back muscles. However, back pain can also be a sign of other underlying issues, such as kidney problems or even referred pain from thoracic conditions.
Given that you have already consulted two different doctors, it may be beneficial to seek further evaluation, especially if your symptoms are worsening. A thorough examination by a healthcare professional, possibly including imaging studies like X-rays or a CT scan, may be warranted to rule out any serious underlying conditions. Additionally, a referral to a pulmonologist may be appropriate if your cough continues to be problematic, as they can provide specialized care for respiratory issues.

In the meantime, there are several self-care strategies you can employ. Staying hydrated is crucial, as it helps thin mucus and makes it easier to cough up. Using a humidifier in your living space can also alleviate throat irritation and help with coughing. Over-the-counter medications, such as expectorants, may assist in loosening mucus, while cough suppressants can provide temporary relief if the cough is disruptive to your sleep or daily activities. However, it's essential to use these medications judiciously and consult with a healthcare provider if you have concerns about their use.

In summary, while your symptoms may initially seem like a simple cold, the persistence of your cough and the addition of back pain warrant further investigation. It is crucial to monitor your symptoms closely and seek medical attention if they worsen or if new symptoms arise. Your health is paramount, and addressing these issues early can lead to better outcomes.

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