[18M] Experiencing nasal congestion, sneezing, and eye irritation

Patient Description

An 18-year-old male reports having a stuffy, runny, and itchy nose for approximately three weeks, with symptoms worsening today. Despite taking Benadryl, there has been no relief. The nasal discharge described is clear and slimy. Accompanying symptoms include sneezing and a mild sore throat, which began today, as well as itchy and watery eyes. The patient has no known allergies, no pre-existing conditions, and is not on any medications. There has been no fever, throat swelling, or redness reported.

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Arora's Assessment

What might be happening

Based on the information you provided, it seems like you may be experiencing symptoms consistent with:

  • Seasonal Allergies (Hay Fever): This condition is caused by an allergic response to outdoor or indoor allergens, such as pollen, dust mites, or tiny flecks of skin and saliva shed by cats, dogs, and other animals with fur or feathers (pet dander). Symptoms can include runny nose, itchy or watery eyes, sneezing, and sometimes an itchy throat.

    • Treatment typically involves over-the-counter or prescription antihistamines, nasal sprays, or eye drops.
  • Common Cold: This viral infection of your nose and throat can cause a runny or stuffy nose, sneezing, and a mild sore throat.

    • Treatment usually involves rest, hydration, and over-the-counter cold remedies to help with symptoms.

What you can do

  1. Try over-the-counter antihistamines: These can help with symptoms of both allergies and the common cold. They can help with sneezing, runny nose, and itching, watery eyes. Some examples include cetirizine (Zyrtec), fexofenadine (Allegra), and loratadine (Claritin).

  2. Nasal sprays: These can help with a stuffy nose. Some are available over-the-counter, like oxymetazoline (Afrin), and some require a prescription.

  3. Rest and hydrate: If you have a common cold, rest and hydration are the best treatment.

  4. Avoid allergens: If your symptoms are due to allergies, try to avoid exposure to potential allergens, which can include dust, pollen, and pet dander.

What you should look out for

If your symptoms persist or worsen, or if you develop new symptoms such as a high fever, severe headache, chest pain or pressure, difficulty breathing, or a severe sore throat, you should seek medical attention.

Remember, I'm an AI and this advice is based on the information you provided. It's always a good idea to consult with a healthcare professional for an accurate diagnosis and treatment.

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1 yr ago

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People Also Ask


What are the common symptoms of seasonal allergies?

Common symptoms of seasonal allergies include a runny or stuffy nose, itchy or watery eyes, sneezing, and sometimes an itchy throat. These symptoms are often triggered by exposure to allergens like pollen, dust mites, or pet dander.


How can I differentiate between a common cold and allergies?

Allergies and the common cold can have similar symptoms, such as a runny nose and sneezing. However, allergies often include itchy eyes and are not accompanied by a fever, while a cold may include a sore throat and sometimes a mild fever. Allergies are also more likely to persist as long as you are exposed to the allergen.


What over-the-counter medications can help with allergy symptoms?

Over-the-counter medications that can help with allergy symptoms include antihistamines like cetirizine (Zyrtec), fexofenadine (Allegra), and loratadine (Claritin). Nasal sprays like oxymetazoline (Afrin) can also help with a stuffy nose.


When should I see a doctor for my symptoms?

You should see a doctor if your symptoms persist or worsen, or if you develop new symptoms such as a high fever, severe headache, chest pain or pressure, difficulty breathing, or a severe sore throat.


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