[21M] Experiencing moderate nasal congestion, sneezing, and fatigue

Patient Description

A 21-year-old male presents with a 2-day history of moderate nasal congestion and sneezing accompanied by fatigue. The patient has been in contact with someone who had similar symptoms. No relief has been found from any measures yet. The patient also reports a recent onset of fever and chills. There is no known history of allergies or adverse reactions to medications, no pre-existing conditions, and the patient is not currently on any medications.

Arora's Assessment

What might be happening

Based on the information you have provided, possible diagnoses include:

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 runny or stuffy nose, sneezing, fatigue, and sometimes fever.
- Treatment for a common cold is usually supportive, meaning it aims to relieve symptoms while your body fights off the virus. This includes rest, hydration, and over-the-counter cold remedies.
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 include fever, fatigue, and nasal congestion.
- Treatment usually includes rest, hydration, and over-the-counter remedies. Antiviral medications can be prescribed by a doctor in some cases.
Allergic Rhinitis: This is a type of inflammation in the nose which occurs when the immune system overreacts to allergens in the air. Signs and symptoms include a runny or stuffy nose, sneezing, fatigue, and often itchy or watery eyes.
- Treatment includes avoiding known allergens, over-the-counter antihistamines, and prescription medications.

What you can do

Rest and hydrate: Regardless of the cause of your symptoms, getting plenty of rest and staying hydrated can help your body recover.
Over-the-counter remedies: Over-the-counter cold remedies can help with symptoms of both the common cold and the flu.
Avoid allergens: If your symptoms are due to allergic rhinitis, avoiding known allergens can help prevent symptoms.

What you should look out for

Reasons to see a doctor more urgently:

If your symptoms persist for more than a week
If your symptoms are severe or worsening
If you have difficulty breathing
If you have a high fever (temperature over 100.4°F)

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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