Dry cough, no fever, no other discomfort. Can I go to the hospital during the epidemic?

This time, COVID-19 is highly contagious, and it almost swept the whole land of China, so the number of patients increased rapidly. Many people are afraid of being infected with this virus and dare not go to crowded places, let alone go to hospitals. But if they have symptoms of dry cough, should they go to the hospital for examination? The doctor will analyze it in detail below.

First of all, dry cough is also one of the main clinical symptoms of this kind of pneumonia. If you have been exposed to confirmed or suspected cases, or have a life history in an epidemic area, even if you don't have a fever and just have a dry cough, you should go to the hospital immediately for further examination to prevent delaying your illness or infecting your family and friends. When you go to the hospital, you must wear a mask.

As we all know, dry cough is a very common respiratory symptom. Many respiratory diseases can cause dry cough, such as bronchitis, pharyngitis and upper respiratory infection. If you have never been in contact with a confirmed or suspected patient and have no life history in an epidemic area, you can take some cough-relieving and phlegm-resolving drugs at home first. If the symptoms of dry cough are relieved or even cured, there is no need to go to the hospital. If the symptoms get worse, we will go to the hospital for further examination and treatment at this time.

This kind of worry is normal, but infection is not so easy. First of all, the confirmed cases are all in isolation wards, and we ordinary people are not exposed to going to the hospital to see a doctor. Moreover, the hospital has strict disinfection measures and sprays disinfectant every day. Plus we wear masks and do a good job of protection, which is also very safe.

If the symptoms of dry cough become more and more serious, it may eventually lead to other diseases and affect our health, because we are afraid of infection. Therefore, although the epidemic situation is still very serious, it is necessary to analyze the specific problems, and we must not lose sight of one thing and lose sight of another, as it will not pay off.

Of course, although the hospital has taken some prevention and control measures, because many patients are treated in the hospital and the hospital itself is the source of infection, there is a certain possibility of infection when going to the hospital, but don't worry, as long as the measures announced by the authoritative department are strictly followed, there is no big problem. The most important preventive measure is to wear a mask.

For patients with basic diseases, such as chronic obstructive pulmonary disease, heart failure, diabetes, etc. If they have symptoms of upper respiratory tract infection, even if they are not from novel coronavirus, they still need to be careful, because ordinary upper respiratory tract infection is not fatal, but because these people have basic diseases, their original condition may be aggravated, what's more, in this special period, all people who feel uncomfortable should go to the hospital for treatment or have to go.

In addition, even in novel coronavirus, it is possible to have a dry cough instead of a fever. There are many atypical symptoms in clinic. Take myocardial infarction as an example. Its particularly common clinical manifestation is chest pain. For some elderly people, they may have no symptoms of chest pain, but may just have other atypical manifestations, such as abdominal pain and toothache.

There are many reasons for dry cough. Common causes include bronchial inhalation of foreign bodies (peanuts, melon seeds or other nuts), bronchial lymphadenopathy, tracheal compression, acute pharyngitis, chronic pharyngitis, laryngeal tumor, acute trachea and bronchitis, bronchial lung cancer, pulmonary hypertension, mitral stenosis or pleural diseases.

In addition to the above reasons, it can also cause dry cough. At present, about 60% inpatients in COVID-19 also have dry cough.

If you have never been to an epidemic area or had no contact history or stayed at home all the time, the ventilation and disinfection at home are in place, and no one around you is infected with novel coronavirus or has no contact with outsiders, then the probability of novel coronavirus infection is very small. If it is a dry cough, it is necessary to focus on inhaling foreign bodies such as food in the trachea, while adults need to consider chronic bronchitis and chronic pharyngitis.

The answer is yes.

On the one hand, wear a mask on the way to the hospital, try to walk or use a private car for medical treatment, or dial 120 by mobile phone, avoid using public telephones, buses, taxis, trains and other means of transportation to go, whether walking or sitting, keep a safe distance of at least 1 meter from people, and pay attention to hand hygiene.

On the other hand, the hospital's prevention and control measures are also very strict. It is required to measure the body temperature twice when entering the clinic, which can screen out suspicious patients to some extent. Moreover, the hospital has also set up a fever clinic, which is strictly separated from the general outpatient area.

Therefore, as long as you do a good job of personal protection, it is safe to go to the hospital for medical treatment, and generally you will not be infected by COVID-19.

I have been working in a fever clinic recently. After reading this article, you should consider whether you need to go to the hospital. Because there are too many examples like you, let me introduce them in detail.

First of all, if you have a dry cough, no fever and no other unwell symptoms, you will not consider going to the hospital at ordinary times.

The key point is that many people are worried that it may be novel coronavirus, so they all want to make a clear diagnosis and rule it out.

So, what kind of people are suspicious?

What if we're not sure if there's a connection?

If it's just a dry cough, from my personal experience, there is no need to go to the hospital for examination, but it increases the chance of cross infection.

Under the current epidemic situation, under the premise of personal protection, don't be too scared and anxious, even if there are related symptoms, don't be too nervous. Whether to go to the hospital or not, we still suggest careful consideration in combination with the actual situation.

If it's just a dry cough, no fever and no other discomfort, do you need to go to the hospital during the epidemic? For such a question, a friend once joked that don't be afraid. Maybe you ate too many melon seeds. Although it is a joke, it also shows that it is important to maintain an optimistic and positive attitude under the current epidemic situation.

At present, in many areas, in order to avoid missed diagnosis and misdiagnosis rate, all pharmacies have stopped selling cough medicines and antipyretics. What should I do if I have a dry cough during this period and there is no medicine? Do I have to go to the hospital? Of course, you don't have to go to the hospital. Different ways can ensure safety and reduce the chance of cross infection. Let me tell you something.

If you have no contact history with relevant personnel, that is to say, you have no epidemiological history, don't worry. The main symptom of novel coronavirus infected people is fever. The probability of fever during hospitalization is as high as 90%, and the incidence of dry cough is about 65%. Therefore, in the absence of epidemiological history, dry cough, fever and asphyxial asthma, you might as well observe at home now, pay more attention to rest, drink more water and eat lightly. Maybe you'll be all right in a few days. If you continue to have a dry cough, many cities have now opened the way of internet consultation, and it is also a good way to ask doctors for advice through the Internet.

For friends with hypertension problems, if you have recently changed or adjusted antihypertensive drugs, you may wish to see if there are antihypertensive drugs in the drugs you are taking. One side effect of these drugs is to cause dry cough. If there are new antihypertensive drugs, you may wish to consult a doctor, change the plan of antihypertensive drugs, and see if you have stopped using antihypertensive drugs, and dry cough will be fine.

If you have a clear contact history with patients in COVID-19 or people in epidemic areas, or you are not sure whether you have a clear contact history, if you only have a dry cough and have no fever, you may wish to observe at home first, but you should pay attention to the isolation from your family, live alone, use tableware alone, eat alone, use the bathroom alone or disinfect in time, and pay attention to your illness. If the fever exceeds 37.3℃, you should go to the designated hospital as soon as possible. You must wear a mask when you see a doctor and do a good job of protection. Please drive by car or call 120. Don't take public transport. You can confirm whether you are infected with novel coronavirus through a doctor's examination.

For friends who have no contact history and epidemiological history, if they have symptoms of dry cough and fever, it is recommended not to rush to the fever clinic of the designated hospital. In this case, you may wish to go to the hospital near your place of residence or the nearest community health service center, and the doctors of the relevant institutions will conduct pre-examination and triage, and then further treatment if necessary. If it is confirmed that it is caused by bacterial infection or the common cold, they can be treated at home with peace of mind.

Dry cough is a common symptom of respiratory diseases. Many diseases can cause dry cough. A dry cough does not necessarily mean that you will get pneumonia in COVID-19. So judge for yourself first, observe for yourself, and then choose whether to go to the hospital for examination. After all, it is better to go to the hospital less in special periods to avoid cross-infection.

Dry cough refers to cough without phlegm, which is the first symptom of acute upper respiratory tract and lower respiratory tract infection. Inhalation of irritating smoke can also cause persistent dry cough. The common causes of persistent dry cough are cold, cough variant asthma, eosinophilic bronchitis and so on. Some drugs can also cause dry cough, such as angiotensin converting enzyme inhibitors. When pulmonary interstitial lesions and pleural lesions can cause persistent dry cough.

According to the National Health Planning Commission's Diagnosis and Treatment Plan for Infected Pneumonia in novel coronavirus (Trial Fifth Edition), severe and critically ill patients may have moderate to low fever or even no obvious fever. Mild patients only show low fever and mild fatigue. , and no pneumonia.

Typical symptoms are: fever, fatigue, dry cough, a few accompanied by nasal congestion, runny nose, sore throat, diarrhea and so on. Severe patients often have dyspnea and/or hypoxemia one week after onset, and severe patients quickly progress to acute respiratory distress syndrome, septic shock, metabolic acidosis and coagulation dysfunction.

To judge whether you are infected with novel coronavirus, first of all, you should rule out whether you have had contact with the infected person recently, that is, whether you have had close contact with the infected person within 14 days, or whether you have had contact with or returned from other places. At the same time, it is also necessary to rule out whether the people who have been in contact recently have got sick later. Without these risk factors, you should also observe them in isolation at home. If you have a fever or difficulty breathing, you should go to the hospital immediately, and remember to wear a mask to avoid contact with others, which will cause further spread.

In this special period, the epidemic is not over yet, so we must take good care of ourselves and our families to prevent colds.

1. Go to bed early and get up early to avoid staying up late.

2. Wash your hands frequently, drink plenty of water, pay attention to personal hygiene and environmental hygiene, open the window for ventilation 2-3 times a day, keep indoor air circulation, and reduce the invasion of viruses.

3. appropriately increase or decrease clothes to prevent catching cold. The temperature has dropped again in recent days. We must add or subtract clothes according to the weather. Don't put away your cotton-padded jacket for the time being in winter.

4, proper physical exercise, enhance the body's resistance. The best way is prevention, and the best treatment is self-resistance.

In short, stay at home as much as possible during the epidemic, wear a mask when going out, wash your hands frequently, have more ventilation, and keep a good mood. It is also appropriate physical exercise at home. I hope the epidemic will end soon.

Recently, I received a lot of consultation calls from relatives and friends, among which there are similar problems with the subject. If there is only a cough and no fever, is it necessary to go to the hospital during the epidemic?

Cough is the most common clinical symptom, and dry cough is a cough without phlegm. As we all know, dry cough is indeed a common symptom of infection in COVID-19, but it is also a symptom of many other diseases such as colds! What if I have a dry cough?

First of all, the most important thing is to recall whether you are a close contact with a confirmed case or a suspected case in COVID-19. Now, you can find out the planes, trains and cars that COVID-19 patients have taken online, and many places have also published the activity tracks of COVID-19 patients. Therefore, you should remember whether you may be a close contact of COVID-19 patients according to your own situation. If so, please isolate yourself immediately! If not, then continue to observe the symptoms. Of course, for the fourth generation patients in some places, the safest way is to isolate them at home first. If you have an obvious cold history, that's another matter.

Second, pay close attention to the progress of the disease. If accompanied by fever, fatigue, wheezing, dyspnea and other symptoms, please go to the hospital immediately! Some COVID-19 patients may have no symptoms at first, or they may just have a dry cough, but after three to five days, the symptoms begin to get worse. Don't hide this time, and don't be careless! Please see a doctor at once.

Cough may also be the above disease?

Third, dry cough has no other symptoms. What should I do if I really want to go to the hospital? You can go, but remember not to go to the designated hospital in COVID-19 to treat the infection. Remember that some hospitals now need to make an appointment in advance, and remember to take personal protection when going out. If you don't go, it is suggested that you can consult online first and listen to the advice of online doctors. It is not too late to go to the hospital if you want to have a test or examination.

Dry cough, no fever, do you think you would be in such a hurry to go to the hospital if there was no epidemic? Is it just a dry cough?

Be more careful when going out during the epidemic. Because it is during the epidemic, I am afraid of being delayed by COVID-19, so it is possible to go to the hospital, otherwise I can definitely observe first.

We can think about it ourselves. We usually have a dry cough, no fever and no other discomfort. When we sleep, we go to the hospital in a hurry. Of course, this is just human nature.

If you have had contact with patients diagnosed in COVID-19 or suspected in COVID-19, you should contact the fever clinic to get rid of the cough as soon as possible. This is for your safety, but also for the safety of your family and others.

Of course, a dry cough is not necessarily COVID-19. Common respiratory diseases, colds, tracheitis, pneumonia, etc. Cough; So I said above, if it is not during the epidemic, there is no need to rush to the hospital, because dry cough is sometimes a cold, pharyngitis and other problems, just observe it first.

It is precisely because we are now in the anti-epidemic period that we should pay attention to it. If you have a history of contact, you must contact as soon as possible. If there is no contact, it is simply a dry cough. We can observe it first. There is no need to go to the hospital to trouble yourself at this time.

As a doctor, you must be strict. Let's talk about what a dry cough is and what a cough is!

Dry cough: simply speaking, there is no phlegm, or cough is cough.

Cough: Simply put, it refers not only to cough, but also to expectoration; In fact, cough itself is a kind of self-protection reaction of human body, and cough has the protective effect of removing foreign bodies and secretions from respiratory tract. However, if there is a foreign body in the respiratory tract or the secretion keeps coughing because of a certain disease, it will bring us a lot of discomfort.

Of course, coughing is just a manifestation for many reasons:

1, cold:

Almost everyone has a cold. The most common symptoms of the common cold are dry cough, cough, stuffy nose, runny nose, headache and fever. So a cold is the most common cause of dry cough, so just drink plenty of water. Drink plenty of water, and the dry cough will disappear in a few days, so you can rest assured.

2. Allergy:

Many people are allergic, such as pollen, animal dander, dust, chemicals, some seafood, paint, etc. If you have such a medical history, or have such clear contact, you can leave this environment first, or add some anti-allergic drugs.

3. Drugs:

The most common drugs, such as Puli antihypertensive drugs, are the most common drugs that cause cough; Once you cough, switch to sartan.

4. Emotion:

Emotional excitement, nervousness, resentment, anger, etc. Will lead to cough attacks, which are generally thought to be caused by the reflection or hyperventilation of the cerebral cortex and vagus nerve. If there are obvious emotional changes, we should learn to adjust ourselves and remove these inducing factors.

5. Smoking:

People who smoke for a long time often cough; But because long-term smoking will increase the risk of lung cancer; If there is a new severe cough, you should go to the hospital for examination to rule out lung diseases. In fact, according to the guidelines, people who smoke heavily for a long time should have a low-dose chest ct every year even if they don't cough, so as to rule out lung cancer.

6, pharyngitis, laryngitis:

All these diseases can cause cough, which of course requires further differential diagnosis. These diseases have a series of other manifestations besides coughing. Chronic pharyngitis is a common pharyngeal disease, and its prominent symptom is irritating dry cough. Due to the itching and discomfort of the pharynx, patients often dry cough to clear their throat, and the symptoms are more obvious when talking, which can be relieved after drinking water or swallowing. Laryngitis, the main symptom is hoarseness, which often occurs intermittently in the early stage. It will appear every time there are many pronunciations. If the disease worsens, hoarseness can persist, but rarely without aphonia.

7. Infection:

This is the most common cause of cough. Any respiratory infection can cause cough. There are specific IgE such as bacteria, viruses and mycoplasma. If the corresponding antigen is inhaled, it can stimulate cough. After virus infection, it can directly damage the respiratory epithelium, leading to increased respiratory reactivity. Cough caused by infection is caused by many conditions. Except for the common cold, which needs no special treatment, other diseases need further diagnosis and treatment by doctors.

The pathological changes of nose, trachea, lung, stomach and esophagus can all cause dry cough, with various causes, such as infection, inflammation, allergy and reflux. The most common cause is the common cold. Other common causes include acute bronchitis, acute sinusitis, allergic rhinitis, acute attack of chronic bronchitis and bronchial asthma.

There are many reasons for coughing, and COVID-19 is only a small part of them. What's more, if you have not been exposed to confirmed cases or suspected cases in COVID-19, the possibility of COVID-19 is almost zero, so don't worry, just a dry cough and a fever; Just follow the cold treatment: drink more water, have more rest, eat less greasy food, strengthen the protein vitamins in vegetables and fruits, and observe for a few days.

Of course, I have to say a few words:

If you have been exposed to confirmed or suspected cases in COVID-19, you must contact the fever clinic; For the safety of you, your family and everyone!

If you haven't touched it, you don't have to worry, but you should also do personal protection, so don't go out, it's also for the safety of you, your family and everyone!

Now, during the epidemic in novel coronavirus, everyone is afraid of being infected by this highly contagious disease. Especially in places like hospitals, patients with new coronary pneumonia will be treated in hospitals, and the disease is mainly spread through droplets and contact. So what if I want to go to the hospital for examination or take medicine? Is it unsafe? Is it safe to go to the hospital during the epidemic? Is it safe to go to the hospital during the epidemic? Is it safe to go to the hospital during the pneumonia epidemic? Take a look at it with Best!

Is it safe to go to the hospital during the epidemic? Is it safe to go to the hospital during the epidemic?

During the stay of novel coronavirus, it is not recommended to go out unless you are particularly anxious. It is safest to stay at home. If it is a critically ill patient, it is best to go to the hospital in time to avoid delaying the illness.

Generally speaking, going to the hospital will not be infected, but it does not rule out the possibility of being infected.

On the one hand, patients should protect themselves, wear masks and keep their hands clean; On the other hand, medical institutions are strictly implementing infectious disease prevention and control measures as required. For example, Beijing requires outpatients to have two temperature tests before entering the clinic, so as to screen out suspected people at the first time; At the same time, the hospital has a special fever clinic, which is separate from the general diagnosis and treatment area. Therefore, it is safe to go to the hospital regularly and generally will not be infected.

In an extraordinary period, some patients with chronic diseases will have fluctuations and repetitions. At this time, it is even more necessary for doctors to help regularly. You can also choose online medical treatment.

What kind of people need to go to the hospital?

At present, the more accurate standard is whether it is accompanied by severe dyspnea.

Not the kind that suffocates when you see bad news.

Fever < 37.3℃, sore throat and cough, but no dyspnea: take medicine, strictly isolate at home, go to the hospital if you feel uncomfortable, and wear a mask before going out;

Fever >; 37.3℃, sore throat and cough, but no dyspnea: go to the hospital for examination and then listen to the doctor's advice.

In other words, if you don't meet the hospital standards, you will be advised to go home and take medicine for observation.

If you don't go to the hospital, you can also reduce the risk of cross-infection with others.

At present, the epidemic situation in novel coronavirus is high. Although the number of newly confirmed cases and suspected cases in China is gradually decreasing, the situation of epidemic prevention and control is still grim. Novel coronavirus's infection can cause a series of clinical manifestations, such as fever, dry cough and fatigue, but these symptoms are not specific. Many diseases can have similar symptoms, so we should recognize them correctly.

For patients with dry cough, whether they need to go to the hospital during the current epidemic needs specific analysis. If they only have a dry cough and have no other accompanying symptoms, and they are not in high-incidence areas such as Hubei, have not traveled or lived in high-incidence areas, have not been exposed to confirmed cases, and have no clustered diseases around them, they can observe at home first and do not need to go to the hospital for the time being. After all, there are many patients in hospitals, and the risk of cross-infection is also high. But if you still have a dry cough repeatedly or your symptoms get worse or appear,

When you have traveled, lived or contacted with a confirmed patient in a high-incidence area such as Hubei, or have clustered diseases around you, and have symptoms such as fever, you should actively seek medical advice, improve blood routine and chest imaging, and make sure whether you have novel coronavirus infection. Those who are highly suspicious should be observed in isolation, and the virus nucleic acid examination should be improved to make a clear diagnosis. Once novel coronavirus is diagnosed, he should be immediately sent to a designated hospital for isolation treatment.

After novel coronavirus was infected with human body, after symptomatic treatment and antiviral treatment, most patients had a good prognosis. However, for some elderly people or patients with chronic diseases, due to their relatively low immunity, the probability of serious or critical illness after infection is high, and the relative prognosis is poor. Novel coronavirus should pay more attention to prevention than treatment. Everyone should do a good job of personal protection, and don't listen to it.

First of all, there are many factors leading to dry cough, mainly virus infection, but the common respiratory diseases of dry cough mainly include chronic obstructive pulmonary disease, bronchial asthma, cough variant asthma and other diseases, chronic pharyngeal inflammation, allergic diseases and so on. But it also includes novel coronavirus infection, because early bacterial and viral infections can lead to bronchospasm.

Novel coronavirus's infection with dry cough is also one of the main symptoms, as well as the first symptoms of fever (continuous fever above 37.3℃), fatigue, muscle aches, diarrhea, dyspnea, chest tightness and other symptoms, but some common viral colds can easily lead to itchy throat and dry cough.

Therefore, it is best to go to the hospital as soon as possible for dry cough, because many times more people are infected because of negligence and have symptoms of dry cough. Go to the fever clinic immediately for nucleic acid test and membrane test. If there is no abnormality, it can be ruled out, but it is recommended that dry cough be isolated at home 14 days. If there is no abnormality, it can be ruled out.

However, there are also infected people with incubation period greater than 20, so it is best to pay attention to them, find them in time and cooperate with doctors.