[21F] Experiencing moderate nasal congestion and body weakness

Patient Description

A 21-year-old female has been experiencing moderate nasal congestion with green mucus, hoarse voice, body weakness, and blocked ears for 4 days. The patient reports that nasal congestion is persistent, with no specific environmental or temporal triggers, and is somewhat relieved by blowing her nose. However, excessive nose blowing has led to ear congestion and inflamed sinuses. The weakness is described as a 4 out of 10 in severity, causing tiredness, headaches, and loss of appetite, but no weight changes have been noted. The patient also has a slightly reduced sense of smell but no change in taste, and no facial pain or toothache. She has a history of anemia diagnosed in childhood and a recent respiratory infection that began last Friday and is ongoing. The patient is currently taking medication every 12 hours and has no known drug allergies or other medications.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are a few possibilities:

  • Common Cold: This is a viral infection of your nose and throat (upper respiratory tract). It's usually harmless, although it might not feel that way. Many types of viruses can cause a common cold. Symptoms might include a runny or stuffy nose, sneezing, cough, sore throat, mild headache, fatigue, and slight body aches.

    • Treatment: Rest, stay hydrated, and manage symptoms with over-the-counter cold remedies.
  • Sinusitis: This is inflammation or swelling of the tissue lining the sinuses. When they become blocked and filled with fluid, germs can grow and cause an infection. Symptoms can include nasal congestion, thick nasal mucus, a plugged nose, and facial pain or pressure.

    • Treatment: Over-the-counter remedies can help, but if symptoms persist for more than a week, you may need antibiotics.
  • Influenza (Flu): This is a viral infection that attacks your respiratory system — your nose, throat and lungs. Influenza is commonly called the flu, but it's not the same as stomach "flu" viruses that cause diarrhea and vomiting. Symptoms can be similar to a common cold, but the flu tends to be more severe.

    • Treatment: Antiviral drugs can be used to treat the flu, but they are not a substitute for yearly vaccination.

Please note that this is not an exhaustive list of all possible conditions, and having these symptoms does not necessarily mean you have any of these conditions. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

  1. Rest and hydrate: Make sure you're getting plenty of sleep and drinking lots of fluids to help your body recover.
  2. Over-the-counter remedies: These can help with symptoms such as a runny nose, congestion, and body aches.
  3. Eat healthily: Even though you're not feeling hungry, try to eat small, balanced meals. This can give your body the energy it needs to recover.

What you should look out for

If your symptoms worsen or you develop new symptoms such as a high fever, severe headache, chest pain or pressure, confusion, severe weakness, or difficulty breathing, seek medical attention immediately.

Please remember that while I strive to provide accurate and helpful medical information, this advice is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.

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9 mo ago


People Also Ask


What are the common causes of nasal congestion with green mucus?

Nasal congestion with green mucus is often caused by a viral infection such as the common cold or sinusitis. The green color can indicate the presence of white blood cells fighting off an infection.


How can I differentiate between a common cold and sinusitis?

A common cold typically includes symptoms like a runny or stuffy nose, sneezing, and a sore throat, while sinusitis often involves more severe nasal congestion, thick nasal mucus, and facial pain or pressure. Sinusitis symptoms may persist longer than a week.


What are some effective home remedies for relieving nasal congestion?

Effective home remedies for nasal congestion include staying hydrated, using a humidifier, inhaling steam, using saline nasal sprays, and applying warm compresses to the face. Over-the-counter decongestants can also help.


When should I see a doctor for symptoms like these?

You should see a doctor if your symptoms persist for more than a week, worsen, or if you develop new symptoms such as a high fever, severe headache, chest pain, confusion, or difficulty breathing.

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