[23F] Experiencing severe headache, cough, and nasal congestion

Patient Description

A 23-year-old female presents with a severe headache rated 10/10 in intensity, described as a constant pressure in the front of the head, worsening with movement or coughing, accompanied by nausea and light sensitivity. The headache has persisted for 48 hours. The patient also reports a moderate dry cough due to throat drainage, ongoing for 7 days, and green nasal discharge. She has a recent history of pneumonia two weeks ago. Current medications include ibuprofen, pseudoephedrine, Benadryl, acetaminophen, birth control pills, sertraline, and Zyrtec. No known drug allergies or chronic illnesses were reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, you may be experiencing:

  • Sinusitis: This is an inflammation or swelling of the tissue lining the sinuses. It can cause headaches, particularly in the front of the head, and nasal congestion with green discharge. The pain can worsen when you bend over or move.

    • Treatment typically involves the use of over-the-counter remedies to relieve symptoms, such as decongestants and pain relievers. Antibiotics may be prescribed if a bacterial infection is suspected.
  • Migraine: This is a type of headache characterized by severe, throbbing pain, often on one side of the head. It can be accompanied by nausea and sensitivity to light.

    • Treatment involves medications to relieve symptoms and prevent future attacks.

Please note that these are possible explanations for your symptoms, but only a healthcare professional can provide a definitive diagnosis.

What you can do

  1. Continue taking over-the-counter medications as needed to manage your symptoms.
  2. Rest and stay hydrated.
  3. Use a humidifier to help clear your sinuses.
  4. Avoid triggers that worsen your headache, such as bright lights.
  5. Seek medical attention if your symptoms persist or worsen.

What you should look out for

If you experience any of the following symptoms, seek immediate medical attention:

  • Severe headache that doesn't improve with over-the-counter medications
  • High fever
  • Stiff neck
  • Confusion or changes in consciousness
  • Severe nausea or vomiting
  • Difficulty breathing

Remember, while I strive to provide accurate information, I'm not a doctor. Always seek advice from 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?

Common symptoms of sinusitis include facial pain or pressure, nasal congestion, green or yellow nasal discharge, reduced sense of smell, and sometimes fever. Headaches, particularly in the front of the head, are also common.


How can I differentiate between a migraine and a sinus headache?

A migraine is typically characterized by severe, throbbing pain, often on one side of the head, and can be accompanied by nausea, vomiting, and sensitivity to light and sound. A sinus headache usually involves a dull, constant pressure in the forehead, cheeks, or bridge of the nose, and is often accompanied by nasal congestion and discharge.


What over-the-counter medications can help relieve sinusitis symptoms?

Over-the-counter medications that can help relieve sinusitis symptoms include decongestants like pseudoephedrine, pain relievers such as ibuprofen or acetaminophen, and antihistamines like Benadryl or Zyrtec to reduce nasal drainage.


When should I seek medical attention for a severe headache?

You should seek medical attention for a severe headache if it doesn't improve with over-the-counter medications, is accompanied by a high fever, stiff neck, confusion, severe nausea or vomiting, or difficulty breathing.


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