[18F] With respiratory symptoms and history of asthma

Question

i also am on 2 xolair 150mg shots once a month

Patient Description

An 18-year-old female presents with symptoms including headache, sore throat, nasal congestion, cough with mucus, body aches, and a fever with chills experienced yesterday. The patient also reports hallucinations, which have been occurring intermittently since summer 2022. Nasal congestion developed gradually over three days, initially severe, now moderate, with swelling observed in the nasal passages. The cough was initially dry, now productive, and moderate in severity. The patient experiences gagging when breathing through the mouth and reports sneezing, loss of smell, diluted taste, ear pain, and facial pressure. Known allergies include water (external), wasp/bee stings, coconut, temperature extremes, pomegranate, hay, and cat/dog dander. Recent exposure to a cat after a week-long absence may have exacerbated symptoms. Medical history includes asthma, idiopathic angioedema/urticaria, PTSD, and anemia. Current medications are sertraline 25mg daily for anxiety, ondansetron 8mg three times daily for nausea, and ferrous sulfate thrice weekly for anemia, with no reported side effects. The patient has not taken allergy medications since returning home.

Arora's Assessment

What might be happening

Based on your symptoms and history, here are some possibilities:

Viral Upper Respiratory Infection (Common Cold): Your symptoms, including sore throat, congestion, cough, and body aches, are consistent with a viral infection. These infections are common and usually resolve on their own.
- Treatment: Rest, hydration, and over-the-counter medications like decongestants or pain relievers can help manage symptoms.
Allergic Rhinitis: Given your history of allergies and recent return to your cat, your symptoms could be related to allergies.
- Treatment: Antihistamines or nasal sprays may help alleviate symptoms.
Sinusitis: The facial pain and pressure, along with congestion, could suggest sinusitis, which can occur after a cold or due to allergies.
- Treatment: Decongestants, nasal saline rinses, and sometimes antibiotics if a bacterial infection is suspected.

What you can do

Stay Hydrated: Drink plenty of fluids to help thin mucus.
Rest: Ensure you get enough sleep to support your immune system.
Humidify: Use a humidifier to keep the air moist, which can ease congestion.
Nasal Rinses: Consider saline nasal sprays or rinses to clear nasal passages.
Monitor Allergies: If allergies are suspected, try an over-the-counter antihistamine.

You can use MDandMe to journal your symptoms, track progress, and share insights with your healthcare provider.

What you should look out for

Seek Medical Attention If:
- Your symptoms worsen or do not improve in a week.
- You experience high fever, severe headache, or facial swelling.
- You have difficulty breathing or persistent chest pain.

Remember, it's always best to consult with a healthcare provider for a formal diagnosis and treatment plan.

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3 mo ago

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