[24F] With runny nose, congestion, and mild cough

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Patient Description

A 24-year-old female has been experiencing a runny nose and nasal congestion for the past few days, which started gradually and persists all day. Additionally, she has had a mild cough for the past three days. The patient also reports sneezing and itchy or watery eyes but denies having a sore throat, fever, or facial pain. She is unsure if she has been exposed to any allergens or irritants recently and has not been in contact with anyone exhibiting similar symptoms. The patient has known allergies to kiwi and pollen but no other known allergies or adverse reactions to medications. She has not taken any medications recently, including over-the-counter drugs or supplements, and has no pre-existing conditions or chronic illnesses.

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Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

  • Allergic Rhinitis (Hay Fever): This is a common condition where your immune system overreacts to allergens in the air, such as pollen, dust mites, or pet dander. Symptoms often include a runny nose, nasal congestion, sneezing, and itchy or watery eyes.

    • Treatment: Over-the-counter antihistamines (like cetirizine or loratadine), nasal corticosteroid sprays (like fluticasone), and decongestants can help manage symptoms. Avoiding known allergens is also crucial.
  • Common Cold: A viral infection that affects the upper respiratory tract. Symptoms can include a runny nose, congestion, sneezing, and coughing.

    • Treatment: Rest, hydration, and over-the-counter medications like decongestants and pain relievers can help alleviate symptoms.
  • Non-Allergic Rhinitis: This condition can cause similar symptoms to allergic rhinitis but is not triggered by allergens. It can be caused by irritants like smoke, strong odors, or changes in weather.

    • Treatment: Avoiding known irritants and using nasal sprays or antihistamines can help manage symptoms.

What you can do

While it's important to consult a healthcare provider for a formal diagnosis and treatment plan, here are some steps you can take to alleviate your symptoms:

  1. Over-the-Counter Medications: Consider using antihistamines (like cetirizine or loratadine) to help with sneezing and itchy eyes. Decongestants (like pseudoephedrine) can help with nasal congestion.
  2. Nasal Irrigation: Using a saline nasal spray or a neti pot can help clear out mucus and allergens from your nasal passages.
  3. Stay Hydrated: Drink plenty of fluids to help thin mucus and keep your throat moist.
  4. Humidifier: Using a humidifier in your room can add moisture to the air, which may help ease congestion.
  5. Avoid Triggers: Try to identify and avoid any potential allergens or irritants that may be causing your symptoms.
  6. Rest: Ensure you get plenty of rest to help your body recover.

You can also use MDandMe to journal your symptoms, track your progress, get insights, and share longitudinal medical notes with your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

  • High Fever: A temperature over 100.4°F (38°C) that doesn't go down with over-the-counter medications.
  • Severe Symptoms: If your symptoms worsen or do not improve after a week.
  • Difficulty Breathing: Any signs of respiratory distress or difficulty breathing.
  • Persistent Cough: A cough that lasts more than a week or produces green or yellow mucus.
  • Facial Pain or Swelling: This could indicate a sinus infection that may require antibiotics.

Remember, while these tips can help manage your symptoms, it's always best to consult with a healthcare provider for a formal diagnosis and treatment plan.

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3 mo ago


People Also Ask


What are the common symptoms of allergic rhinitis?

Common symptoms of allergic rhinitis include a runny nose, nasal congestion, sneezing, and itchy or watery eyes. These symptoms are often triggered by exposure to allergens like pollen, dust mites, or pet dander.


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

Allergic rhinitis typically involves symptoms like sneezing, itchy eyes, and a runny nose that occur after exposure to allergens, while a common cold may include a sore throat, cough, and sometimes a mild fever. Allergic rhinitis symptoms persist as long as exposure to allergens continues, whereas a cold usually resolves within a week or two.


What over-the-counter medications can help with nasal congestion and sneezing?

Over-the-counter medications that can help with nasal congestion and sneezing include antihistamines like cetirizine or loratadine, and decongestants like pseudoephedrine. Nasal corticosteroid sprays such as fluticasone can also be effective.


When should I seek medical attention for my symptoms?

You should seek medical attention if you experience a high fever over 100.4°F (38°C), severe symptoms that worsen or do not improve after a week, difficulty breathing, a persistent cough lasting more than a week, or facial pain or swelling, which could indicate a sinus infection.


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Arora (Bot)#28060

3 mo ago

It seems like your message was incomplete. Could you please provide more details or clarify your question so I can assist you better?

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