[21F] Experiencing sensitive skin, headaches, and upper respiratory symptoms

Patient Description

A 21-year-old female presents with sensitive skin described as a sensation of ants moving under the skin, which started about 4 hours ago. She also reports a throbbing headache that began as a migraine the previous day, located at the front of her head, with an intensity of 3 out of 10, exacerbated by movement. Additionally, she is experiencing a stuffy nose and sore throat. The patient has no known pre-existing conditions, allergies, or adverse reactions to medications and is not on any medications.

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Arora's Assessment

What might be happening

Based on your symptoms, here are a few possibilities:

  • Common Cold: This is a viral infection of your nose and throat. 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, sore throat, cough, congestion, slight body aches or a mild headache.

    • Treatment for a common cold is simply rest and recovery. Over-the-counter cold remedies can help you feel better, but they won't make your cold go away any faster.
  • Sinusitis: This is an inflammation or swelling of the tissue lining the sinuses. This can result in symptoms such as a stuffy nose, headache (particularly in the front of the head and face), and a sore throat.

    • Treatment for sinusitis often involves using a humidifier, drinking plenty of fluids, and taking over-the-counter pain relievers for any discomfort.
  • Allergies: This is an overreaction by the body's immune system to substances that usually cause no reaction in most individuals. Symptoms can include a stuffy nose, headache, and skin sensitivity.

    • Treatment for allergies can involve avoiding known allergens, over-the-counter antihistamines, and nasal sprays.

Please note that these are just possibilities and not a definitive diagnosis. It's important to consult with a healthcare professional 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: Over-the-counter cold remedies can help with symptoms of a cold or allergies. Pain relievers can help with any discomfort or headaches.
  3. Avoid allergens: If your symptoms are due to allergies, try to avoid known allergens.

What you should look out for

If your symptoms persist or get worse, or if you develop new symptoms such as a high fever, severe headache, chest pain or difficulty breathing, seek medical attention immediately. These could be signs of a more serious condition.

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11 mo ago

People Also Ask


What could cause a sensation of ants moving under the skin?

The sensation of ants moving under the skin, also known as formication, can be caused by various factors including anxiety, allergies, or skin conditions. It is important to monitor the sensation and consult a healthcare professional if it persists.


How can I differentiate between a common cold and sinusitis?

A common cold typically involves symptoms like a runny or stuffy nose, sore throat, and mild headache, while sinusitis often includes more intense facial pain or pressure, a persistent headache, and nasal congestion. Sinusitis symptoms may last longer and can be more severe.


What are some effective over-the-counter remedies for a throbbing headache?

Over-the-counter remedies for a throbbing headache include pain relievers such as ibuprofen or acetaminophen. It's important to follow the dosage instructions and consult a healthcare provider if the headache persists.


When should I seek medical attention for a sore throat and stuffy nose?

You should seek medical attention if your sore throat and stuffy nose are accompanied by a high fever, severe headache, chest pain, or difficulty breathing, as these could indicate a more serious condition.


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