[20M] Experiencing sore throat, sinus pain, and nasal congestion

Patient Description

A 20-year-old male reports a 36-hour history of a sore throat, which is particularly painful when swallowing or drinking water. The sore throat is most severe upon waking in the morning. The patient also experiences a sharp pain around the eye socket when bending over, which has been present for a day and rates a 6 out of 10 in intensity. Additionally, the patient has nasal congestion and has felt ear pressure and fullness. The patient has been feeling very cold throughout the day but has not observed any white spots or patches on the throat, changes in vision, sensitivity to light, high fever, or neck stiffness. The patient has no known allergies, adverse reactions to medications, or pre-existing conditions and is not currently on any medications. The patient also mentions frequent cannabis use.

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Arora's Assessment

What might be happening

Based on your symptoms, the following conditions could be possible:

  • Sinusitis: This is an inflammation or swelling of the tissue lining the sinuses. It can cause headaches, particularly around the forehead, cheeks, and eyes, and these can become more severe when bending over. Other symptoms can include a stuffy nose, sore throat, and feeling of fullness or pressure in the ears. This is often caused by a viral infection, but can also be due to bacteria or fungi.

    • Treatment usually involves rest, hydration, and over-the-counter pain relievers. If symptoms persist for more than a week, or if they are severe, a doctor may prescribe antibiotics or other medications.
  • Common Cold: This is a viral infection that primarily affects the nose and throat. Symptoms can include a sore throat, stuffy or runny nose, cough, and feeling cold or chills. Headaches can also occur, particularly if the sinuses become congested.

    • Treatment involves rest, hydration, and over-the-counter cold remedies to help manage symptoms. The condition usually resolves on its own within a week or two.
  • Influenza (Flu): This is a more severe viral infection that can cause symptoms similar to a common cold, but often includes a fever and can cause more severe body aches and fatigue.

    • Treatment involves rest, hydration, and over-the-counter flu remedies. Antiviral medications may be prescribed if the condition is diagnosed within the first 48 hours of symptom onset.

Please note that smoking, including marijuana, can irritate the throat and nasal passages, potentially worsening symptoms or prolonging recovery.

What you can do

  1. Rest and hydrate: This can help your body fight off the infection and recover more quickly.
  2. Over-the-counter remedies: These can help manage symptoms. For example, decongestants can help with a stuffy nose, while pain relievers can help with a sore throat and headache.
  3. Avoid smoking: This can irritate the throat and nasal passages, potentially worsening symptoms or prolonging recovery.
  4. Seek medical attention: If your symptoms persist for more than a week, become severe, or you develop a high fever, seek medical attention.

What you should look out for

  • If your symptoms persist for more than a week or become severe
  • If you develop a high fever (temperature over 100.4°F)
  • If you have difficulty breathing or severe chest pain
  • If you have severe headache or neck stiffness

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

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11 mo ago

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People Also Ask


What are the common symptoms of sinusitis?

Common symptoms of sinusitis include headaches around the forehead, cheeks, and eyes, especially when bending over, a stuffy nose, sore throat, and a feeling of fullness or pressure in the ears. It can be caused by viral, bacterial, or fungal infections.


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

The common cold usually involves a sore throat, stuffy or runny nose, and mild symptoms, while the flu often includes a high fever, severe body aches, and fatigue. The flu symptoms are generally more intense and can lead to complications.


Can frequent cannabis use affect my symptoms or recovery?

Frequent cannabis use can irritate the throat and nasal passages, potentially worsening symptoms like a sore throat and nasal congestion, and may prolong recovery from respiratory infections.


When should I seek medical attention for a sore throat and nasal congestion?

You should seek medical attention if your symptoms persist for more than a week, become severe, or if you develop a high fever, difficulty breathing, severe chest pain, or neck stiffness.


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