Pulmonologist Questions Pulmonologist

Did i have covid 19?

In Nov. and Dec. 2019 I was sick. I had a cough, no fever thought I was getting the flu, I had a lot of congestion in my chest I took Mucinex cough syrup and anything the pharmacy had to break up the stuff in my lungs. By Jan 2, 2020, I could not breathe I would sit in the bathroom running the hot water for the steam. On Jan. 3rd, I went to the emergency room and was given albuterol-ipratropium I was given a adviair inhaler, prednisone, azithromycen, methylprednisolone, and I've been taking all that since Jan. 2020 i have never had any problems breathing until now. Do you think that I had covid 19 and the doc told me I have COPD?

Female

1 Answer

COPD (Chronic Obstructive Pulmonary Disease) is a chronic condition of the lungs, most commonly caused by smoking. Onset usually occurs in a person's age onset of 40-50. COPD can have independent flair ups, however, they are usually caused by other underlying causes such as infection, allergies, asthma; or more rare diseases such as congestive heart disease, pulmonary hypertension, vasculitis, cancer +/- autoimmune diseases.

Although it is possible that an underlying infection triggered your symptoms, COVID 19, as well as other possible virus etiologies, tend to cause a fever. Most people recover from COVID 19 and the flu with supportive care in a few weeks. Some people can have a residual cough for up to 4-8 weeks. Sometimes cough can trigger underlying problems such as asthma, COPD, and allergies.

It seems from your description that treatment was provided for a bacterial infection and flare up of underlying COPD and symptoms. If you are a smoker and have not quit, this could still be causing symptoms. Most importantly, if you feel that your symptoms are still significant, or are worsening, a follow up with your doctor is required for possible further work up or reassurance.