[25F] With persistent runny nose and facial pressure

Patient Description

A 25-year-old female presents with a persistent stuffy and runny nose, which has not improved with the use of nasal spray and over-the-counter medication. The patient reports excessive nose blowing has caused redness. She experiences shivering but no fever, and some facial pain or pressure. There is no change in her sense of smell or taste, no shortness of breath, and no recent travel or known exposure to sick individuals. The patient has a history of interstitial cystitis and no known allergies. There have been no recent changes in her environment, diet, or dental work.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are some possible explanations:

  1. Sinusitis: This is an inflammation of the sinuses, often following a cold. It can cause a stuffy or runny nose, facial pain or pressure, and green mucus. Since your symptoms have persisted for more than 10 days, it might be a bacterial sinus infection, which sometimes requires medical treatment.

  2. Upper Respiratory Tract Infection (URTI): This is a common viral infection that affects the nose, throat, and airways. Symptoms can include a sore throat, cough, runny nose, and body aches. These infections usually resolve on their own, but if symptoms persist or worsen, it might be worth consulting a healthcare professional.

  3. Allergic Rhinitis: Although you mentioned no known allergies, it's possible to develop new sensitivities. Allergic rhinitis can cause a runny or stuffy nose, sneezing, and itchy eyes.

What you can do

While these are the most likely causes, it's important to rule out other conditions, especially if your symptoms continue or worsen. Here are some steps you can take:

  1. Stay Hydrated: Drink plenty of fluids to help thin mucus and stay hydrated.
  2. Use a Humidifier: Adding moisture to the air can help relieve nasal congestion.
  3. Warm Compress: Applying a warm compress to your face can help ease sinus pressure and pain.
  4. Rest: Ensure you get plenty of rest to help your body fight off the infection.
  5. Over-the-Counter Medications: Continue using over-the-counter medications as directed to manage symptoms.
  6. MDandMe Journal: Use the MDandMe app to journal your symptoms, track progress, and share insights with your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

  • High fever or persistent fever
  • Severe headache or facial pain
  • Shortness of breath or difficulty breathing
  • Symptoms that worsen or do not improve after a week

Remember, it's always best to consult with a healthcare professional for a formal diagnosis and appropriate treatment.

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19 d ago

People Also Ask


What are the common symptoms of sinusitis?

Common symptoms of sinusitis include a stuffy or runny nose, facial pain or pressure, green or yellow mucus, headache, and sometimes a reduced sense of smell. It often follows a cold and can last longer than 10 days.


How can I differentiate between a cold and a sinus infection?

A cold typically resolves within a week and includes symptoms like a runny nose, sore throat, and cough. A sinus infection may follow a cold and is characterized by persistent symptoms such as facial pain, pressure, and thick nasal discharge lasting more than 10 days.


Can someone develop new allergies as an adult?

Yes, it is possible to develop new allergies as an adult. Allergies can develop at any age due to changes in the immune system or increased exposure to allergens.


What are some effective home remedies for relieving sinus pressure?

Effective home remedies for relieving sinus pressure include staying hydrated, using a humidifier, applying a warm compress to the face, and resting. These methods can help reduce congestion and ease discomfort.


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