[23F] Experiencing unilateral nasal congestion and sore throat

Patient Description

A 23-year-old female is experiencing nasal congestion that is localized to the left side and has been ongoing for two days. The severity of the congestion is rated as 3 out of 10, and no interventions have been attempted to relieve the symptom. The patient also reports a sore throat. There is no associated fever, chills, facial pain, or pressure, and no changes in the sense of smell or taste have been noted. The nasal discharge is described as runny.

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Arora's Assessment

What might be happening

Based on your symptoms, you might be experiencing:

  • Common Cold: This is a viral infection that primarily affects your nose and throat. It's usually harmless and symptoms improve within a week or two. Symptoms can include a runny or stuffy nose, sore throat, and mild headache.

    • Over-the-counter cold remedies can help alleviate symptoms. Rest and hydration are also beneficial.
  • Allergic Rhinitis: This is an allergic response to specific allergens, such as dust, pet dander, or pollen. It can cause symptoms like a runny or stuffy nose, sneezing, and sore throat.

    • Treatment typically involves avoiding known allergens and using over-the-counter or prescription allergy medications.
  • Sinusitis: This is an inflammation or swelling of the tissue lining the sinuses. It can cause symptoms like a runny or stuffy nose, facial pain or pressure, and headache. However, you mentioned not having any facial pain or pressure.

    • Treatment usually involves managing symptoms with over-the-counter remedies and sometimes prescription medications. If symptoms persist for more than a week, it's important to see a healthcare provider.

What you can do

  1. Continue to monitor your symptoms. If they worsen or persist for more than a week, seek medical attention.
  2. Stay hydrated and rest as much as possible to help your body recover.
  3. Over-the-counter remedies can help manage your symptoms. These include decongestants, pain relievers, and cough suppressants.
  4. If you suspect allergies may be causing your symptoms, try to avoid known allergens and consider over-the-counter or prescription allergy medications.

What you should look out for

Seek medical attention if:

  • Your symptoms persist for more than a week.
  • You develop a high fever.
  • You have severe facial pain or pressure.
  • You have difficulty breathing.

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 diagnosis and treatment.

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9 mo ago


People Also Ask


What are the common causes of nasal congestion on one side?

Nasal congestion on one side can be caused by a common cold, allergic rhinitis, or sinusitis. It can also be due to a deviated septum or nasal polyps, but these are less common in acute cases.


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

A common cold is usually accompanied by symptoms like a runny nose, sore throat, and sometimes a mild headache, and it typically resolves within a week or two. Allergic rhinitis often involves sneezing, itchy eyes, and symptoms that persist as long as exposure to allergens continues.


What over-the-counter remedies can help alleviate nasal congestion and sore throat?

Over-the-counter remedies for nasal congestion and sore throat include decongestants like pseudoephedrine, antihistamines for allergy-related symptoms, saline nasal sprays, and throat lozenges. Pain relievers like ibuprofen or acetaminophen can also help with discomfort.


When should I seek medical attention for nasal congestion and sore throat?

You should seek medical attention if your symptoms persist for more than a week, if you develop a high fever, experience severe facial pain or pressure, or have difficulty breathing.

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