Q. I have a cough for about 8 days with no fever. Can this be COVID-19?

Answered by
Dr. Peter Grutas
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on Mar 29, 2020 and last reviewed on: Apr 14, 2020

Hello doctor,

I have a cough for almost eight days. My cough was not frequent and I have no fever till now. I feel like something is in my throat sometimes. Can it be a COVID-19? I take Azithromycin 500 mg once a day after meal and Rhinokast F before sleep.

Dr. Peter Grutas

General Medicine Internal Medicine


Welcome to icliniq.com.

Do you have any recent travel to countries or areas with COVID-19? How about any recent exposure to someone who is positive with COVID-19? If your answer to these questions is none, then it is least likely for you to have COVID-19.

COVID-19 initial symptoms would include cough accompanied by fever. On top of that most patients would also experience difficulty breathing. Since you mentioned you did not have a fever, it is least likely you have COVID-19 at this point. However, if symptoms, persist, worsen or new onset of symptoms such as difficulty breathing, and fever further consult is advised.

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Thank you doctor,

I studied in other state within my country where there are about 15 cases of COVID-19. But I am at home now. No fever or difficulty in breathing. But sometimes I feel like something is in my throat. Is the chance high?

Dr. Peter Grutas

General Medicine Internal Medicine


Welcome back to icliniq.com.

I understand. The chance would still be low. As I mentioned above, a few days after getting the infection most patients would have experience fever, cough, and difficulty breathing. However, considering the circumstances you mentioned and since what we have right now is a pandemic. I would still advise you to undergo and complete 14 days of self-quarantine and observe your symptoms. If you did not experience fever, or difficulty breathing within two weeks after possible exposure, then it is least likely to be COVID-19. Other possible causes of your symptoms include URTI (upper respiratory tract infection), allergy, or possible LPR (laryngopharyngeal reflux).

I hope this helps.

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