Key Takeaways
- A "chest infection" is an umbrella term covering infections of the airways (bronchitis) or the lung tissue itself (pneumonia) — the distinction matters because treatment, urgency, and recovery time differ significantly between the two
- Most chest infections in otherwise healthy adults are viral and resolve within 1-3 weeks without antibiotics — but a subset are bacterial or develop bacterial complications that do need targeted treatment
- Dubai's extreme swings between 45+ degree Celsius outdoor heat and heavily air-conditioned indoor spaces, combined with dry recirculated air, make chest infections notably more common here than in temperate climates, especially from June through September
- Seek same-day medical attention if you have a fever above 38.5 degrees Celsius for more than 3 days, breathlessness at rest, chest pain that worsens with breathing, or blood-tinged sputum — these can indicate pneumonia rather than a simple chest infection
- A chest X-ray and CRP blood test together are the fastest way to tell whether a chest infection is likely bacterial (needing antibiotics) or viral (needing supportive care only) — guessing based on symptoms alone is unreliable
- At DCDC Dubai Healthcare City, chest infection evaluation starts from AED 150 for a GP consultation, with on-site chest X-ray from AED 150 and blood tests from AED 249 — all with same-day results and direct billing with 20+ insurance providers
A cough that will not quit, a heavy, congested feeling in your chest, and the nagging worry that this is more than "just a cold" — chest infections are one of the most common reasons people in Dubai walk into a clinic. Between the shock of stepping from blistering outdoor heat into aggressively air-conditioned malls, offices, and cars, and the dust and humidity that come with desert living, the lungs and airways of Dubai residents are under near-constant strain. Most chest infections clear up on their own, but some develop into pneumonia or need antibiotics — and telling the two apart from home is genuinely difficult. This guide walks through the symptoms, causes, self-care options, and warning signs that mean it is time for proper infectious disease evaluation at DCDC, so you know exactly what you are dealing with and what to do about it.
This guide covers chest infection symptoms, causes, self-assessment questions, when to see a doctor, diagnostic tests, treatment options including the antibiotics question, home remedies, Dubai-specific risk factors, and what to expect during a consultation. Reviewed by Dr. Hadeel Elnur, General Practitioner at DCDC Dubai Healthcare City.
What Is a Chest Infection? Understanding the Condition
"Chest infection" is not a single, precise medical diagnosis — it is a broad, commonly used term for any infection affecting the lower respiratory tract, meaning the airways and lungs below the throat. Doctors use it to describe two related but distinct conditions:
Bronchitis (Airway Infection)
Bronchitis is inflammation and infection of the bronchial tubes — the branching airways that carry air into the lungs. It is by far the more common form of chest infection, usually caused by viruses, and generally resolves within 2-3 weeks with supportive care alone.
Pneumonia (Lung Tissue Infection)
Pneumonia is infection of the alveoli — the tiny air sacs deep in the lungs where oxygen exchange happens. It is less common but considerably more serious, more often bacterial, and typically requires antibiotics and closer medical monitoring. Pneumonia is the reason doctors take every "chest infection" seriously enough to examine and, when indicated, X-ray the chest before reassuring a patient it is nothing to worry about.
When people say they have "a chest infection," they usually mean the first — a cough with mucus, chest congestion, and feeling generally unwell. The purpose of a proper medical assessment is to confirm that is genuinely what is happening, and to rule out the second, more serious possibility.
Chest Infection Symptoms: Complete Checklist
Chest infection symptoms range from mild and manageable to signs that demand urgent care. Use this checklist to understand where your symptoms fall.
Common Symptoms (Typical of a Straightforward Chest Infection)
- Persistent cough: Often starts dry, then becomes productive with mucus (clear, white, yellow, or green) within 2-4 days
- Chest congestion or tightness: A heavy, blocked sensation in the chest, sometimes with mild wheezing
- Fatigue and general malaise: Feeling run down, often more tired than the cough alone would explain
- Low-grade fever: Typically 37.5-38.5 degrees Celsius, more common in the first few days
- Sore throat and mild breathlessness on exertion: Especially climbing stairs or during light activity
- Headache and muscle aches: Systemic symptoms accompanying the underlying infection
Red-Flag Symptoms (Suggest Pneumonia or a More Serious Infection)
- High fever above 38.5 degrees Celsius lasting more than 3 days, especially with shaking chills
- Sharp chest pain that worsens when you breathe in deeply or cough (pleuritic pain)
- Breathlessness at rest, not just with exertion
- Rapid breathing or a feeling that you cannot get a full breath
- Blood-streaked or rust-coloured sputum (haemoptysis)
- Confusion, unusual drowsiness, or feeling significantly more unwell than the cough alone suggests
- Bluish tint to lips or fingertips (cyanosis) — this is an emergency
The presence of even one red-flag symptom warrants prompt medical evaluation rather than continuing to self-manage at home.
Chest Infection Causes: Bacterial, Viral and Environmental Triggers
Understanding what is actually causing a chest infection helps explain why treatment differs from case to case, and why "just give me antibiotics" is not always the right answer.
Viral Causes (Most Common)
The large majority of chest infections, and virtually all cases of acute bronchitis, are caused by common respiratory viruses — rhinovirus, influenza, parainfluenza, coronaviruses, respiratory syncytial virus (RSV), and adenovirus. These are the same viral families responsible for colds and flu, which is why a chest infection so often follows a few days after an ordinary upper respiratory illness. Viral chest infections do not respond to antibiotics and are managed with supportive care while the immune system clears the infection.
Bacterial Causes
Bacterial chest infections, including bacterial pneumonia, are less common but more likely to require antibiotics. Common culprits include Streptococcus pneumoniae, Haemophilus influenzae, and Mycoplasma pneumoniae (a milder, so-called "walking pneumonia" organism common in younger adults). Bacterial infection is more likely when symptoms are severe from the outset, when a person initially improves from a viral illness and then suddenly worsens again (a secondary bacterial infection), or in people with underlying lung disease, diabetes, or a weakened immune system.
Environmental and Lifestyle Triggers That Increase Risk
- Smoking and shisha use: Damage the protective lining of the airways, impairing the body's ability to clear pathogens and mucus
- Extreme AC-to-heat temperature swings: A well-documented irritant to the bronchial lining, especially common in Dubai's climate (see below)
- Dust and poor air quality: Construction dust, vehicle emissions, and occasional sandstorms introduce fine particulate matter that irritates the airways
- Crowded indoor spaces with recirculated air: Malls, offices, and gyms concentrate airborne viral particles, particularly when ventilation is poor
- Underlying conditions: Asthma, COPD, diabetes, and immunosuppression all raise the likelihood of a chest infection developing, and of it becoming more severe
Because bronchitis and chest infection are so often used interchangeably, it is worth reading our dedicated guide to bronchitis symptoms and treatment in Dubai if your main complaint is a persistent productive cough rather than the broader chest-infection picture described here.
Chest Infection vs Bronchitis vs Pneumonia: How to Tell the Difference
Because these terms overlap so heavily in everyday use, a side-by-side comparison is the clearest way to understand where your symptoms fit.
| Feature | Bronchitis (Airway Infection) | Pneumonia (Lung Infection) |
|---|---|---|
| Location | Bronchial tubes (airways) | Alveoli (lung tissue) |
| Usual cause | Viral (85-95% of cases) | Often bacterial, sometimes viral |
| Fever | Low-grade or absent | Often high (above 38.5°C), with chills |
| Breathing difficulty | Mild, mainly with exertion | Moderate to severe, even at rest |
| Chest pain | Soreness from coughing | Sharp pain that worsens with breathing |
| Chest X-ray | Usually normal or mild thickening | Shows consolidation (white patches) |
| Typical treatment | Supportive care, rarely antibiotics | Antibiotics usually required |
| Typical recovery | 2-3 weeks, cough may linger longer | 1-3 weeks with treatment, needs follow-up |
A chest X-ray is the definitive way to distinguish bronchitis-type chest infections from pneumonia — clinical symptoms alone can be misleading.
For a deeper, dedicated comparison of these two conditions, our pneumonia vs bronchitis guide for Dubai covers diagnostic criteria and recovery timelines in more detail.
Why Chest Infections Are So Common in Dubai: Climate Factors
Dubai's climate creates conditions that are unusually favourable for chest infections compared with more temperate cities, and understanding why helps explain both the timing of your symptoms and how to reduce your risk.
The AC-to-Heat Shock Effect
Moving from 45-50 degree Celsius outdoor heat into an 18-20 degree Celsius air-conditioned building creates a temperature shock of 25-30 degrees within seconds. This repeated thermal stress causes the airways to constrict reflexively, increases mucus production, and temporarily impairs the cilia — the tiny hair-like structures that sweep pathogens and debris out of the lungs. Residents who move repeatedly between car, office, mall, and home each day expose their airways to this stress many times daily.
Dry, Recirculated Indoor Air
Air conditioning strips moisture from indoor air, often pushing indoor humidity below 20-30% in offices and homes. This dries out the protective mucous membranes lining the airways, reducing their ability to trap and clear pathogens before they cause an infection. Poorly maintained AC systems compound the problem by circulating mould, bacteria, and dust from unclean filters and ducts directly into the air residents breathe for hours a day.
Summer Is Peak Chest Infection Season
Many residents are surprised to develop a bad chest infection in the middle of a Dubai summer, assuming respiratory illness is a winter problem. In reality, June through September sees a genuine spike in chest infections locally, driven by extreme indoor-outdoor temperature swings, time spent in crowded, heavily air-conditioned indoor spaces, and dry recirculated air — a pattern very different from colder climates where winter drives most respiratory illness.
Dust, Humidity and Outdoor Air Quality
Outdoor humidity in coastal Dubai can exceed 90% on summer mornings, encouraging mould and dust mite growth indoors. Combined with fine construction dust, vehicle emissions, and occasional sandstorms carrying airborne particulate matter, the outdoor environment adds a further layer of irritation to already stressed airways.
When to See a Doctor for a Chest Infection: Urgency Guide
Not every chest infection needs a clinic visit, but knowing the difference between "wait it out" and "get seen today" can prevent a straightforward infection from becoming a serious one.
See a Doctor Within 24-48 Hours If:
- Your cough has lasted more than 3 weeks without improvement
- You have a fever above 38 degrees Celsius lasting more than 3 days
- You are producing large amounts of thick, discoloured mucus, especially if it is worsening
- You notice new wheezing or breathlessness on mild exertion
- You have pre-existing conditions such as asthma, COPD, diabetes, heart disease, or are immunosuppressed
- You are over 65, pregnant, or caring for a young child with persistent chest symptoms
- The cough is significantly disrupting sleep or daily function
Seek Same-Day or Urgent Care If:
- You are coughing up blood or blood-streaked sputum
- You have breathlessness at rest, not only with activity
- Your fever exceeds 39 degrees Celsius or you develop shaking chills
- You have sharp chest pain that worsens with breathing (pleuritic pain)
- You feel confused, unusually drowsy, or significantly more unwell than symptoms alone would suggest
- Your lips or fingertips look blue (cyanosis) — treat this as an emergency
If a lingering cough is your only complaint and you are unsure whether it is a simple chest infection, a resolving one, or something that needs closer attention, our chronic cough causes and when-to-worry guide walks through the timeline and warning signs in more depth. At DCDC, same-day appointments are available for chest infection symptoms, with on-site chest X-ray and blood testing so red-flag symptoms can be assessed immediately rather than after a wait.
Chest Infection Diagnosis: Tests You May Need
For a straightforward, mild chest infection, diagnosis is usually clinical — based on your history and a physical examination, including listening to your chest with a stethoscope. Certain situations call for further testing to confirm the diagnosis or rule out pneumonia.
Physical Examination
Your doctor will check your temperature, oxygen saturation, respiratory rate, and pulse, and listen to your lungs for wheezing, rhonchi (rumbling sounds from mucus in larger airways), or crackles (fine, popping sounds that can indicate fluid or infection reaching lung tissue).
Investigations That May Be Ordered
- Chest X-ray: The key test for ruling out pneumonia — indicated for high fever, significant breathlessness, chest pain, abnormal findings on examination, or if you are elderly or immunocompromised. On-site at DCDC with same-day reporting
- C-reactive protein (CRP): A blood marker of inflammation that helps distinguish likely bacterial infection from viral. Markedly elevated CRP raises suspicion of bacterial pneumonia and supports the decision to prescribe antibiotics
- Complete blood count (CBC): An elevated white cell count, particularly neutrophils, can support a bacterial cause and gives an overall picture of your health status
- Pulse oximetry: A quick, painless finger clip that measures blood oxygen level — a saturation below 94% warrants further assessment
- Sputum culture: Not routinely needed, but useful for recurrent infections, treatment failure, or suspected unusual organisms
Together, a chest X-ray and CRP result usually give a doctor enough information within the same visit to distinguish a straightforward viral chest infection from one that needs antibiotics — for a closer look at what the imaging step involves, see our chest X-ray cost and guide for Dubai.
Chest Infection Treatment: Do You Need Antibiotics?
This is the single most common question patients ask about chest infections, and it is also one of the most misunderstood areas of respiratory care.
The majority of chest infections, particularly those confined to the airways (bronchitis-type), are viral. Antibiotics have no effect on viral infections — multiple large clinical trials have confirmed that antibiotics do not meaningfully speed recovery or reduce complications in otherwise healthy adults with a viral chest infection. Taking antibiotics "just in case" does not help you recover faster, and contributes to antimicrobial resistance, a genuine global public health concern.
When Antibiotics ARE Appropriate
- Confirmed or strongly suspected bacterial pneumonia — based on clinical findings, chest X-ray, and inflammatory markers
- Clinical deterioration after initial improvement, suggesting a secondary bacterial infection
- Underlying COPD with an acute exacerbation and increasing sputum purulence
- High-risk patients — elderly, immunocompromised, or those with significant comorbidities
- Suspected pertussis (whooping cough) based on the characteristic cough pattern
Chest Infection Treatment Without Antibiotics
When a chest infection is judged to be viral, treatment focuses on supportive care while your immune system clears the infection: rest, hydration, fever and pain control with paracetamol or ibuprofen, and, if wheezing is present, a short-acting bronchodilator inhaler to ease breathing. This approach is not "doing nothing" — it is the evidence-based treatment for the type of infection you actually have, and it typically leads to a full recovery within 1-3 weeks.
According to Dr. Hadeel Elnur, many patients in Dubai mistake a lingering chest infection for a simple cold. Early clinical assessment with targeted diagnostics — a chest X-ray and inflammatory markers — can distinguish bacterial infections that need antibiotics from viral ones that don't, preventing both undertreating serious infections and unnecessary antibiotic use.
Not Sure If You Need Antibiotics? Get Tested, Not Guessed
If your cough, fever, or chest tightness is not improving, a same-day GP consultation with chest X-ray and CRP blood testing at DCDC can tell you definitively whether you need antibiotics — or simply time to recover. GP consultation from AED 150.
Walk-in welcome or WhatsApp to book. Open Sat-Thu 8AM-10PM, Fri 9AM-9PM. Free parking available.
Chest Infection Home Remedies: Evidence-Based Self-Care
For a chest infection judged safe to manage at home — no red-flag symptoms, mild-to-moderate severity, no significant underlying health conditions — these evidence-based measures support recovery and ease symptoms.
Hydration and Rest
- Drink 2.5-3 litres of warm fluids daily — water, herbal tea, clear broth — to thin mucus and soothe the airways
- Rest and reduce physical exertion for the first 5-7 days to let your immune system focus on fighting the infection
- Elevate your head while sleeping with an extra pillow to reduce nighttime coughing
Symptom Relief
- Honey (1-2 teaspoons before bed, for adults and children over 1 year): Clinical trials have found honey reduces nighttime cough frequency and improves sleep quality as effectively as some over-the-counter cough medicines
- Steam inhalation: Warm steam from a bowl or hot shower can temporarily loosen mucus and ease congestion
- Paracetamol or ibuprofen: For fever and body aches, taken as directed
- Throat lozenges: Provide temporary relief from throat irritation associated with coughing
- Saline nasal rinse: Reduces postnasal drip, which often worsens coughing
Dubai-Specific Environmental Adjustments
- Set your AC to 23-25 degrees Celsius rather than 18-20 — every degree closer to outdoor temperature reduces thermal stress on inflamed airways
- Use a humidifier to maintain 40-60% indoor humidity, especially overnight when AC runs continuously
- Avoid sudden hot-to-cold transitions where possible — pause briefly in shaded or covered areas rather than moving directly between extremes
- Avoid smoke and shisha entirely while recovering, as both further irritate already inflamed airways
If your chest infection keeps recurring rather than resolving fully, it is worth ruling out an underlying reactive airway condition — our guide to asthma symptoms and management in Dubai covers how recurrent chest infections and wheezing can point toward asthma that has not yet been diagnosed.
Chest Infection Treatment Cost in Dubai
Understanding likely costs helps you plan a visit with confidence. At DCDC Dubai Healthcare City, pricing is transparent with no hidden fees.
| Service | DCDC Price (AED) | Market Range (AED) |
|---|---|---|
| GP Consultation | from 150 | 150 - 500 |
| Chest X-Ray (PA view) | from 150 | 100 - 300 |
| Blood Tests (CBC & CRP panel) | from 249 | 200 - 450 |
| Pulse Oximetry Check | included with consultation | 0 - 50 |
| Follow-Up Consultation | from 100 | 100 - 350 |
| Sputum Culture (if indicated) | from 300 | 250 - 500 |
Prices are indicative starting points. Final costs depend on clinical needs and insurance coverage. DCDC partners with 20+ insurers including Daman, AXA, and Bupa for direct billing.
A typical chest infection evaluation at DCDC — consultation plus chest X-ray and blood tests where needed — costs approximately AED 400-550 without insurance. With insurance, most patients pay only their co-pay or deductible, as DCDC provides direct billing with over 20 insurance partners, meaning no upfront payment and claim-back process.
What to Expect at DCDC: Your Chest Infection Consultation
Knowing what happens during your visit removes much of the uncertainty around seeking care. Here is the typical patient journey for a chest infection consultation at DCDC Dubai Healthcare City.
Step 1: Arrival and Registration
Arrive at DCDC in Dubai Healthcare City (Building 47). Free parking is available. Present your Emirates ID and insurance card at reception, or register directly if self-paying. Average wait time for appointments is approximately 15 minutes.
Step 2: GP Consultation with Dr. Hadeel Elnur
Dr. Hadeel takes a detailed history — symptom duration, severity, any medications already tried, and relevant medical background — followed by a thorough physical examination including chest auscultation, vital signs, temperature, and oxygen saturation. Based on findings, she determines whether investigations are needed or whether the presentation is clear enough to treat clinically.
Step 3: On-Site Investigations If Needed
If a chest X-ray or blood tests are indicated, they are performed on-site immediately, without a separate appointment or facility. DCDC's on-site laboratory delivers rapid CRP and CBC results, typically within 1-2 hours for routine tests, and digital chest X-rays are reported by a consultant radiologist, often within the same visit.
Step 4: Diagnosis and Treatment Plan
With the history, examination, and any test results together, Dr. Hadeel explains the diagnosis, the expected recovery timeline, and prescribes treatment where appropriate — whether that is targeted antibiotics for a confirmed bacterial infection or a clear, personalised self-care plan for a viral chest infection. If findings suggest a more complex respiratory condition, referral to a pulmonologist or internal medicine specialist within DCDC's multi-specialty team is arranged directly.
Step 5: Follow-Up
Most straightforward chest infections do not need a scheduled follow-up, but you will be advised on the warning signs that mean you should return — worsening symptoms, new fever, or breathing difficulty. For patients prescribed antibiotics or found to have pneumonia, a follow-up visit is arranged to confirm resolution.
Could You Have a Chest Infection? Self-Assessment Questions
These questions are not a substitute for medical assessment, but they help you gauge severity and decide how urgently you should be seen.
- How long have you had the cough? Under a week and mild suggests early illness; over 3 weeks warrants evaluation regardless of severity
- Is your breathing comfortable at rest, or only with exertion? Breathlessness at rest is a red flag requiring prompt assessment
- Has your fever lasted more than 3 days, or is it climbing rather than settling? A persistent or worsening fever suggests the infection may not be resolving on its own
- Did you start to feel better and then suddenly worsen again? This pattern can indicate a secondary bacterial infection developing on top of an initial viral illness
- Is your mucus changing colour or volume significantly? A sudden increase in thick, discoloured sputum is worth mentioning to a doctor
- Do you have any underlying condition — asthma, COPD, diabetes, heart disease, or a weakened immune system? Any of these lowers the threshold for seeking prompt care
- Are you pregnant, over 65, or caring for a young child with these symptoms? Higher-risk groups should be assessed sooner rather than later
If you answered yes to any of the higher-risk questions above, treat that as a signal to book an assessment rather than wait and see.
Preventing Chest Infections in Dubai: Practical Strategies
While no strategy eliminates risk entirely, these Dubai-specific habits measurably reduce how often chest infections occur.
- Moderate your AC settings: 23-25 degrees Celsius rather than 18-20 reduces thermal stress on the airways with minimal comfort trade-off
- Service AC units regularly: Clean filters every month during peak summer to prevent mould, bacteria, and dust buildup in ducts
- Use a humidifier: Aim for 40-60% indoor humidity, particularly in bedrooms overnight
- Stay up to date on vaccinations: Annual influenza vaccine and, for eligible individuals, pneumococcal vaccine, meaningfully reduce chest infection risk
- Avoid smoking and shisha: The single most impactful modifiable risk factor for both frequency and severity of chest infections
- Wash hands frequently and avoid close contact with visibly unwell colleagues or family, particularly in enclosed, air-conditioned spaces
- Stay hydrated year-round, not just when unwell — well-hydrated airway linings clear pathogens more effectively
- Transition gradually between temperature extremes where practical, rather than moving directly from full sun into deeply air-conditioned interiors
Doctor's Perspective: Managing Chest Infections in Dubai's Climate
"Chest infections are one of the most frequent reasons patients come to see me at DCDC, and the pattern here is genuinely different from what I'd expect in a more temperate climate. Dubai's constant swings between extreme outdoor heat and cold air-conditioned interiors keep the airways under repeated stress, which is why I see cases spike in summer as much as in winter. The most common misconception I encounter is that any chest infection automatically means antibiotics are needed — in reality, the majority are viral and clear up with rest, hydration, and time. My priority is always to take a proper history, examine the chest carefully, and use targeted testing — a chest X-ray and CRP where indicated — rather than guess. That combination lets me confidently tell a patient either 'this is viral, here is how to manage it at home' or 'this needs antibiotics now,' instead of leaving them uncertain or over-treating with medication they do not need." — Dr. Hadeel Elnur, MD, General Practice, DCDC Dubai Healthcare City
Book Your Chest Infection Assessment at DCDC
Same-day GP appointments are available at DCDC Dubai Healthcare City, with on-site chest X-ray, rapid blood tests, and specialist referral if needed. GP consultation from AED 150. MOHAP-licensed facility rated 4.8/5 on Google from 1,000+ reviews, with 98% patient satisfaction.
20+ insurance partners with direct billing. Open Sat-Thu 8AM-10PM, Fri 9AM-9PM. Free parking.
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Frequently Asked Questions
Chest Infections in Dubai: Take Symptoms Seriously, Not Anxiously
The vast majority of chest infections in Dubai are viral, self-limiting, and resolve within a few weeks with rest, hydration, and simple environmental adjustments — particularly moderating AC temperature and humidity. Understanding this takes the anxiety out of most cases and helps you avoid unnecessary antibiotic use.
At the same time, the term "chest infection" genuinely does cover pneumonia, a more serious condition that needs prompt recognition and treatment. The safest approach is to know the red flags — persistent high fever, breathlessness at rest, sharp chest pain, or blood-tinged sputum — and to get assessed rather than guess when any of them are present. At DCDC Dubai Healthcare City, our MOHAP-licensed team provides same-day evaluation with on-site chest X-ray and laboratory testing, 20+ insurance partners for direct billing, and a 4.8/5 Google rating from over 1,000 reviews. Whether you need reassurance that your cough will settle on its own, or thorough testing to confirm what is really going on, we are here to help — walk in, call, or WhatsApp us today.
Sources & References
This article was reviewed by our medical team and references the following sources:
- PubMed — Antibiotics for Community-Acquired Pneumonia in Adult Outpatients
- PubMed — C-Reactive Protein and Community-Acquired Pneumonia in Ambulatory Care: Systematic Review of Diagnostic Accuracy Studies
- PubMed — Antibiotics for Acute Bronchitis
- PubMed — Effect of Honey on Cough Symptoms in Children with Upper Respiratory Tract Infection: A Randomised Controlled Trial
- PubMed — Health, Work Performance, and Risk of Infection in Office-Like Environments: The Role of Indoor Temperature, Air Humidity, and Ventilation
- World Health Organization — Antimicrobial Resistance: Key Facts
Medical content on this site is reviewed by DHA-licensed physicians. See our editorial policy for more information.
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