Is It a Cold? Persistent Symptoms and Seeking Help - Family Medicine

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Is it a cold?


Hello...
Ten days ago, I started experiencing nasal congestion and sneezing, and shortly after, I began to feel dizzy.
Then I developed a sore throat and a cough, but I have not had a fever.
Currently, my symptoms include persistent coughing at night that prevents me from sleeping, and the dizziness is quite severe; I feel very sleepy and have been like this for almost two weeks.
In the past two days, I've also started to feel weakness in my limbs.
I visited a clinic, and the doctor said the dizziness was caused by a cold.
The doctor had me move my eyes up, down, left, and right, and said my eye movements appeared normal, and there were no issues with my brain.
I have been taking medication for three days, but all my symptoms persist.
I would like to ask the doctor what I should do and what might be the underlying issue?

Xiao Feng, 30~39 year old female. Ask Date: 2016/02/29

Dr. Liao Yaopan reply Family Medicine


Hello, regarding your inquiry, it is recommended that you consult your family physician for a further evaluation of your current condition.
Some cold medications can also cause dizziness, so it is important to be cautious while taking them.
Changhua Hospital cares about you.

Reply Date: 2016/02/29

More Info


It sounds like you are experiencing a complex set of symptoms that have persisted for almost two weeks. Your initial symptoms of nasal congestion, sneezing, sore throat, and cough, followed by severe dizziness and fatigue, are indeed concerning. While your doctor has suggested that these symptoms are due to a cold, the fact that they have lasted for such an extended period and have worsened to include significant fatigue and weakness in your limbs warrants further investigation.

Firstly, it's important to understand that the common cold is typically caused by viral infections, which usually resolve within a week to ten days. Symptoms such as nasal congestion, sneezing, and sore throat are common, but if they persist beyond this timeframe, it may indicate a secondary infection or a different underlying condition. The presence of dizziness and extreme fatigue, especially if they are severe enough to interfere with your daily activities, suggests that your body may be fighting something more than just a simple cold.

Dizziness can be caused by various factors, including dehydration, inner ear issues, or even viral infections that affect the vestibular system. If your doctor has ruled out neurological issues through a basic examination, it might be wise to consider other potential causes. For instance, if you are experiencing significant fatigue and weakness, it could be related to a viral infection that has led to systemic symptoms, or it could be a sign of another illness, such as influenza or even COVID-19, which can present with similar symptoms.

Given that you have been on medication for three days without improvement, it may be time to follow up with your healthcare provider. You might need a more thorough evaluation, which could include blood tests to check for signs of infection, inflammation, or other underlying conditions. Additionally, if you have not had a COVID-19 test, it would be prudent to consider that as well, especially given the ongoing pandemic.

In the meantime, there are several self-care strategies you can employ to help manage your symptoms. Ensure that you are staying well-hydrated, as dehydration can exacerbate feelings of dizziness and fatigue. Rest is also crucial; your body needs time to recover, so prioritize sleep and avoid strenuous activities. Over-the-counter medications may help alleviate some of your symptoms, such as cough suppressants for your nighttime cough or antihistamines for nasal congestion.

If your symptoms worsen or if you develop new symptoms such as a high fever, difficulty breathing, or chest pain, seek medical attention immediately. These could be signs of a more serious condition that requires prompt treatment.

In summary, while your symptoms may initially suggest a common cold, the duration and severity of your symptoms indicate that further evaluation is necessary. Don't hesitate to reach out to your healthcare provider for a follow-up appointment to discuss your ongoing symptoms and explore additional diagnostic options. Your health is paramount, and addressing these symptoms sooner rather than later can help ensure a quicker recovery.

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