[22F] Experiencing sudden onset of head pressure and upper respiratory symptoms

Patient Description

A 22-year-old female presents with a 24-hour history of sudden onset of head pressure, described as extreme and primarily located in the ears and forehead, accompanied by a sensation of fullness in the ears. Additionally, she reports a moderate, deep cough, runny nose, loss of taste, sneezing, body aches, and extreme fatigue. She also experiences chills and a sensation of heat without a fever. The patient has been in recent contact with a sick individual but reports no confirmed illness from that contact. She has no known pre-existing conditions or chronic illnesses and is not currently on any medications. The patient has a history of serum sickness reaction but no other known drug allergies.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, the following conditions could be possible:

  • Common Cold or Upper Respiratory Tract Infection: This is a viral infection that affects your nose and throat. Symptoms can include a runny nose, cough, sneezing, body aches, and fatigue. The loss of taste can also be a symptom of a common cold.

    • Treatment typically involves rest, hydration, and over-the-counter cold remedies to help manage symptoms.
  • Influenza (Flu): This is a more severe viral infection that can cause symptoms similar to a cold, but also includes a fever, chills, and body aches. The sudden onset of your symptoms might suggest the flu.

    • Antiviral medications can be prescribed by a doctor if the flu is caught early enough. Otherwise, treatment involves rest, hydration, and over-the-counter flu remedies.
  • COVID-19: This is a viral infection caused by the SARS-CoV-2 virus. Symptoms can be similar to a cold or flu, but also include loss of taste or smell. Given the current pandemic and your recent exposure to a sick individual, this is a possibility.

    • Testing is necessary to confirm a diagnosis of COVID-19. Treatment involves rest, hydration, and symptom management. More severe cases may require hospitalization.

What you can do

  1. Rest and hydrate: Regardless of the cause, getting plenty of rest and staying hydrated can help your body recover.
  2. Over-the-counter remedies: Over-the-counter cold or flu remedies can help manage your symptoms. However, avoid any that contain ingredients you're allergic to.
  3. Isolate: If you suspect you may have COVID-19, it's important to isolate from others to avoid spreading the virus.
  4. Seek medical attention: If your symptoms worsen or you develop a high fever, seek medical attention immediately.

What you should look out for

  • Difficulty breathing or shortness of breath
  • Persistent pain or pressure in your chest
  • New confusion or inability to arouse
  • Bluish lips or face

Please remember that while I strive to provide accurate information, I am not a doctor. You should seek care from a healthcare professional for a formal diagnosis and treatment.

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10 mo ago

People Also Ask


What are the common symptoms of a cold or upper respiratory tract infection?

Common symptoms of a cold or upper respiratory tract infection include a runny nose, cough, sneezing, body aches, fatigue, and sometimes a loss of taste. These symptoms are usually mild and resolve on their own with rest and hydration.


How can I differentiate between the flu and COVID-19 based on symptoms?

Both the flu and COVID-19 can cause fever, chills, body aches, and fatigue. However, COVID-19 is more likely to cause a loss of taste or smell. Testing is necessary to confirm COVID-19, as symptoms can overlap significantly.


What should I do if I suspect I have COVID-19 after being in contact with a sick person?

If you suspect you have COVID-19, you should isolate yourself from others to prevent spreading the virus. Get tested for COVID-19 as soon as possible and follow public health guidelines. Rest, hydrate, and manage symptoms with over-the-counter remedies.


When should I seek medical attention for respiratory symptoms?

You should seek medical attention if you experience difficulty breathing, persistent chest pain or pressure, new confusion, inability to wake or stay awake, or bluish lips or face. These could be signs of a more serious condition requiring immediate care.


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