[25F] Experiencing headache and cold symptoms

Patient Description

A 25-year-old female presents with a sudden onset of headache described as a pressure sensation around the whole head and forehead, rated at 6.5 out of 10 in intensity. The headache, which started on Tuesday, is exacerbated by actions such as blowing the nose, sneezing, or sniffling. Accompanying symptoms include constant sneezing, a runny and stuffy nose, body aches, low energy, and tiredness. The patient also reported experiencing chills and sweats from Monday night to Wednesday night. There is no history of recent cold or flu prior to the onset of the headache, but the patient suspects the headache may be related to a cold that developed afterward. The patient has no known allergies or adverse reactions to medications and is currently taking Adderall (20mg and 5mg once daily), Lexapro (10mg once daily), and Trazodone (50mg at night), with no reported side effects and no recent changes in medication. There is no history of pre-existing conditions or chronic illnesses.

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Arora's Assessment

What might be happening

Based on your symptoms, the most likely diagnosis is:

  • Sinusitis: This is an inflammation or swelling of the tissue lining the sinuses. When they become blocked and filled with fluid, germs can grow and cause an infection. The symptoms of sinusitis can include a headache, runny or stuffy nose, and body aches. The pressure you're feeling in your head could be due to the blocked sinuses.
    • Treatment typically involves managing symptoms with over-the-counter medications, such as decongestants and pain relievers. If your sinusitis is caused by a bacterial infection, your doctor may prescribe antibiotics.

It's also possible that you're experiencing:

  • Common Cold: This viral infection of your nose and throat can cause a runny nose, sneezing, and body aches. The headache could be a result of the cold.
    • Treatment involves rest, fluids, and over-the-counter cold remedies to help manage your symptoms.

Please note that while these are the most likely explanations for your symptoms, there are other possible causes that would require further testing to rule out.

What you can do

While waiting to see a doctor, you can:

  1. Rest and stay hydrated. This can help your body fight off an infection and speed up recovery.
  2. Use a humidifier. This can help keep your throat and nasal passages moist and relieve congestion.
  3. Try over-the-counter remedies. Decongestants can help clear your nasal passages and relieve the pressure in your head. Pain relievers can help with the headache and body aches.

What you should look out for

You should seek immediate medical attention if:

  • Your symptoms last for more than a week
  • Your headache becomes severe or is accompanied by a high fever, stiff neck, confusion, or persistent vomiting
  • You have difficulty breathing

Please remember that while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare professional.

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1 yr ago

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People Also Ask


What are the common symptoms of sinusitis?

Common symptoms of sinusitis include a headache, facial pain or pressure, runny or stuffy nose, loss of smell, cough or congestion, fever, and fatigue.


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

A sinus headache is often accompanied by pressure or pain in the forehead, cheeks, or around the eyes, and may worsen with sudden movements or straining. It is usually associated with nasal congestion or discharge, unlike a regular tension headache.


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

Over-the-counter medications that can help relieve sinusitis symptoms include decongestants like pseudoephedrine, nasal saline sprays, and pain relievers such as ibuprofen or acetaminophen.


When should I see a doctor for sinusitis symptoms?

You should see a doctor if your sinusitis symptoms last more than a week, if you experience severe headache, high fever, stiff neck, confusion, or persistent vomiting, or if you have difficulty breathing.


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