[19F] Experiencing severe cough and sharp lower back pain

Patient Description

A 19-year-old female presents with a severe, chesty, and wet cough persisting for 2 weeks, accompanied by a throbbing headache located above the nose and behind the eyes, rated 7/10 in severity, lasting for 3 days. The patient also reports sharp lower back pain, rated 10/10 in severity, which has been present for 5 days and is exacerbated by movement. Additionally, the patient experiences cramping stomach pain after eating, which started 2 days ago. The patient has a history of headaches and is currently experiencing fever and chills, but there is no blood in the cough, and no recent injuries have been reported. The cough is persistent throughout the day, and no relief for the headache has been found. The patient's bowel movements have not been described in detail.

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Arora's Assessment

What might be happening

Based on the information you provided, possible diagnoses include:

  • Common Cold or Influenza (Flu): These are viral infections that can cause a cough, blocked nose, and headache. The flu is often accompanied by a fever and chills.

    • Treatment typically involves rest, hydration, and over-the-counter remedies to manage symptoms. Antiviral medication may be prescribed if the flu is diagnosed early.
  • Sinusitis: This is an inflammation or swelling of the tissue lining the sinuses, often associated with a blocked nose and headache. It can be caused by a viral or bacterial infection.

    • Treatment may include nasal decongestants, pain relievers, and in some cases antibiotics.
  • Muscular Strain: Sharp pain in the lower back that worsens with movement could be due to a muscle strain or sprain.

    • Treatment typically involves rest, applying heat or cold to the affected area, and over-the-counter pain relievers.
  • Gastroenteritis: This is an inflammation of the stomach and intestines, often caused by a viral or bacterial infection. It can cause stomach cramps and pain, especially after eating.

    • Treatment usually involves rest, hydration, and eating bland foods. Antibiotics may be prescribed if a bacterial infection is suspected.

What you can do

  1. Rest and hydrate: Make sure you are getting enough sleep and drinking plenty of fluids. This can help your body fight off infections and recover from muscle strain.
  2. Over-the-counter remedies: You can try over-the-counter remedies to manage your symptoms. This may include pain relievers for your headache and back pain, and decongestants for your blocked nose.
  3. Heat or cold: Applying heat or cold to your lower back may help relieve your pain. Try a warm bath or a heating pad, or apply an ice pack wrapped in a cloth to the affected area.
  4. Bland diet: If your stomach pain continues, try eating bland foods like rice, bananas, and toast. Avoid spicy, fatty, or fried foods.

What you should look out for

You should seek immediate medical attention if:

  • Your symptoms persist or worsen over the next few days
  • You have difficulty breathing
  • You have severe abdominal pain or vomiting
  • Your back pain is severe or does not improve with rest and over-the-counter pain relievers

Remember, this advice is intended to be general in nature, and specific causes may not apply to your personal circumstances. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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11 mo ago

People Also Ask


What are the common symptoms of sinusitis and how is it treated?

Common symptoms of sinusitis include a blocked or runny nose, facial pain or pressure, headache, and sometimes a reduced sense of smell. Treatment may involve nasal decongestants, pain relievers, and in some cases, antibiotics if a bacterial infection is suspected.


How can I differentiate between a common cold and the flu?

The common cold and the flu share symptoms like a cough and sore throat, but the flu often includes a high fever, body aches, and fatigue, which are more severe than those seen with a cold. The flu can also lead to more serious complications.


What are the best ways to relieve lower back pain caused by muscle strain?

To relieve lower back pain from muscle strain, rest is important. Applying heat or cold to the affected area can help, as can over-the-counter pain relievers. Gentle stretching and avoiding activities that exacerbate the pain are also recommended.


What dietary changes can help alleviate stomach pain after eating?

To alleviate stomach pain after eating, try eating bland foods such as rice, bananas, and toast. Avoid spicy, fatty, or fried foods, and ensure you stay hydrated. Eating smaller, more frequent meals can also help reduce discomfort.


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