[22M] Experiencing respiratory and ENT symptoms

Patient Description

A 22-year-old male is presenting with clogged sinuses, moderate headache, dizziness upon standing, shortness of breath, cognitive fog, frequent sneezing, a productive cough with phlegm, and a sore throat. The symptoms have been present for 2 days. The patient rates the shortness of breath as a 6 out of 10 in severity, which is exacerbated by walking and fluctuating temperatures, and occurs both at rest and with exertion. The patient finds some relief from shortness of breath when nasal passages are cleared. The patient also reports cold sweats and fluctuating body temperature but denies having a fever. The dizziness is described as mild and occurs upon standing. There is a history of similar respiratory symptoms.

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Arora's Assessment

What might be happening

Based on your symptoms, the following conditions could be possible:

  • 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. Common symptoms include a runny or stuffy nose, sneezing, cough, sore throat, and mild headache.

    • Treatment: Rest, stay hydrated, and use over-the-counter cold remedies to help with symptoms.
  • Influenza (Flu): This is a common viral infection that can be deadly, especially in high-risk groups. The flu attacks the lungs, nose, and throat. Symptoms are similar to the common cold but are usually more severe and come on quickly.

    • Treatment: Antiviral drugs can be used to treat the flu. Rest, hydration, and over-the-counter remedies can also help with symptoms.
  • Sinusitis: This is inflammation or swelling of the tissue lining the sinuses. It can cause headaches, a stuffed nose, cough, congestion, and other symptoms.

    • Treatment: Treatment usually involves self-care measures such as rest and hydration. If symptoms persist, antibiotics may be needed.
  • COVID-19: This is a viral infection caused by a new coronavirus introduced to humans for the first time. It is spread from person to person mainly through the droplets produced when an infected person speaks, coughs, or sneezes.

    • Treatment: Most people with mild COVID-19 recover over time. If symptoms are severe, hospitalization may be required.

What you can do

  1. Rest and hydrate: Regardless of the specific illness, rest and hydration are key to recovery.
  2. Over-the-counter remedies: Over-the-counter cold remedies can help with symptoms such as a stuffy nose, congestion, and a cough.
  3. Seek medical attention: If your symptoms persist or get worse, seek medical attention. If you suspect you may have COVID-19, get tested as soon as possible.

What you should look out for

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

Please note, this advice is intended to be general in nature, and specific causes may need different management. Always consult with a healthcare provider for appropriate examination, testing, and care.

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9 mo ago


People Also Ask


What are the common symptoms of a sinus infection?

Common symptoms of a sinus infection (sinusitis) include a stuffed or runny nose, facial pain or pressure, headache, cough, congestion, and sometimes a reduced sense of smell. Symptoms can be similar to those of a cold but tend to last longer.


How can I differentiate between a common cold and the flu?

The common cold and the flu share symptoms like a runny nose, cough, and sore throat, but the flu often comes on suddenly and is more severe, with symptoms like high fever, body aches, and fatigue. The flu can also lead to more serious health complications.


What should I do if I experience shortness of breath?

If you experience shortness of breath, try to rest and clear your nasal passages, as this might provide some relief. If the shortness of breath is severe or persistent, seek medical attention promptly.


When should I seek medical attention for respiratory symptoms?

You should seek medical attention for respiratory symptoms 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.

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