[19F] With respiratory and gastrointestinal symptoms

Patient Description

A 19-year-old female presents with a moderate stuffed nose for three days, which developed gradually. She also reports a dry, moderate cough for two days, exacerbated by air exposure. Additional symptoms include a sore throat and diarrhea. The patient experienced chills and sweating last night but has not measured a fever, with a recent temperature reading of 97.6°F. She reports fatigue and a reduced appetite but no changes in taste or smell. There is no known recent exposure to illness or travel history. Current medications include Tylenol 650 mg every 6-8 hours and cough drops 3-4 times a day. The patient has a history of asthma diagnosed in early childhood and reports no known drug allergies.

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Arora's Assessment

What might be happening

Based on your symptoms, here are some possible explanations:

  • Common Cold or Viral Infection: Your symptoms of a sore throat, stuffed nose, cough, and fatigue are often associated with a viral infection like the common cold. These infections are usually self-limiting and resolve within a week or two.

    • Treatment: Rest, hydration, and over-the-counter medications like Tylenol can help manage symptoms. Cough drops can soothe your throat.
  • Allergic Rhinitis: If you have a history of allergies, nasal congestion and a dry cough could be due to allergens.

    • Treatment: Antihistamines or nasal sprays can help relieve symptoms.
  • Gastroenteritis: The diarrhea could be due to a mild stomach virus or something you ate.

    • Treatment: Stay hydrated and eat bland foods.

What you can do

  • Rest and Hydration: Ensure you get plenty of rest and drink fluids to stay hydrated.
  • Symptom Management: Continue using Tylenol for fever and pain, and cough drops for your throat.
  • Monitor Symptoms: Keep track of your symptoms using MDandMe to see if they change or worsen. This can help your healthcare provider if you need to visit them.

What you should look out for

  • Seek Medical Attention: If you develop a high fever, experience difficulty breathing, or if your symptoms persist beyond a week, consult a healthcare provider.
  • Asthma Management: Be mindful of your asthma, especially if your cough worsens or you experience wheezing.

Remember, this is not a substitute for professional medical advice. If you're concerned, it's always best to consult with a healthcare provider.

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2 mo ago


People Also Ask


What are the common symptoms of a viral infection like the common cold?

Common symptoms of a viral infection like the common cold include a sore throat, runny or stuffed nose, cough, fatigue, and sometimes a mild fever. These symptoms usually resolve on their own within a week or two.


How can I differentiate between a cold and allergies?

A cold often comes with a sore throat, cough, and nasal congestion, while allergies typically cause itchy eyes, sneezing, and a runny nose without a sore throat or fever. Allergies are also often seasonal or triggered by specific allergens.


What are some effective home remedies for managing a sore throat and cough?

Effective home remedies for a sore throat and cough include staying hydrated, using a humidifier, gargling with salt water, drinking warm teas with honey, and using over-the-counter medications like cough drops and Tylenol.


When should I seek medical attention for symptoms like these?

You should seek medical attention if you develop a high fever, have difficulty breathing, experience wheezing, or if your symptoms persist beyond a week. It's also important to consult a healthcare provider if you have a history of asthma and notice worsening symptoms.


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