[22F] Experiencing fatigue and sinus headache

Patient Description

A 22-year-old female presents with symptoms of a stuffy and runny nose, sinus headache at the top of the head, fatigue, and occasional wet coughing, all of which started suddenly today. The patient slept for 11 hours and still feels the need to sleep more, with fatigue worsening upon walking and no relief from rest. The patient reports green nasal discharge and facial pressure but no fever, vision changes, or neck stiffness. Symptoms are similar to past experiences when sick, but there is no recent history of cold or upper respiratory infection. The patient has a history of allergies but no other pre-existing conditions or chronic illnesses mentioned.

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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. It's usually harmless, although it might not feel that way. Symptoms might include a runny or stuffy nose, sneezing, cough, mild headache, and fatigue.

    • Rest and hydration are typically sufficient for recovery. Over-the-counter cold remedies can help alleviate symptoms.
  • Sinusitis: This is an inflammation or swelling of the tissue lining the sinuses. It can cause headaches, a stuffy nose, and facial pain or pressure. The fact that your nasal discharge is green may suggest a bacterial infection.

    • Treatment often involves rest, hydration, and over-the-counter remedies. If symptoms persist for more than a week, or if they worsen, you may need to see a doctor for antibiotics.
  • Allergic Rhinitis: This is an allergic response to allergens like dust, animal dander, or pollen. It can cause symptoms like a runny nose, sneezing, and fatigue.

    • Treatment involves avoiding known allergens and taking over-the-counter allergy medications.

What you can do

  1. Rest and hydrate: These are key to recovery from many minor illnesses.
  2. Over-the-counter remedies: These can help with symptoms. Decongestants can help with a stuffy nose, while pain relievers can help with a headache.
  3. Monitor your symptoms: If your symptoms persist for more than a week, or if they worsen, you should see a doctor.

What you should look out for

  • If your symptoms persist for more than a week, or if they worsen, you should see a doctor.
  • If you develop a high fever, severe headache, chest pain or other worrying symptoms, seek medical attention immediately.

Remember, while I strive to provide accurate information, I'm not a doctor. Please consult with a healthcare professional for a formal diagnosis and treatment.

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11 mo ago

People Also Ask


What are the common symptoms of sinusitis and how can it be treated?

Common symptoms of sinusitis include a stuffy nose, facial pain or pressure, headache, and green or yellow nasal discharge. Treatment often involves rest, hydration, and over-the-counter remedies. If symptoms persist for more than a week or worsen, a doctor may prescribe antibiotics.


How can I differentiate between a common cold and allergic rhinitis?

A common cold often includes symptoms like a runny or stuffy nose, sneezing, cough, and mild headache, while allergic rhinitis is an allergic response that can cause similar symptoms but is often triggered by exposure to allergens like pollen or dust. Allergic rhinitis may also cause itchy eyes and throat.


What does green nasal discharge indicate and should I be concerned?

Green nasal discharge can indicate a bacterial infection, especially if accompanied by other symptoms like facial pain or pressure. While it can be a sign of sinusitis, it is not always a cause for concern unless symptoms persist or worsen.


When should I see a doctor for a sinus headache and fatigue?

You should see a doctor if your sinus headache and fatigue persist for more than a week, worsen, or are accompanied by severe symptoms like a high fever, severe headache, or chest pain. Immediate medical attention is advised if these severe symptoms occur.


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