[25M] Experiencing migraines, cough, nosebleeds, and bowel irregularities

Patient Description

A 25-year-old male reports suffering from migraine-like headaches, a moderate deep wet cough with green mucus, and extremely bloody nosebleeds. Additionally, the patient has been experiencing bowel irregularities, with one individual having diarrhea and the other constipation, each persisting for two and a half weeks. The patient with diarrhea reports frequent bathroom visits every few hours and has been feeling chills and occasionally feverish for a week and a half. The patient with constipation experiences daily painful stomach aches in the mid to lower abdomen, rated as a light pain. Both individuals have not traveled recently, do not report any new medications or treatments in the last two weeks, and have no known drug allergies or family history of autoimmune or gastrointestinal diseases. The patient with diarrhea uses Fluticasone propionate daily and Albuterol a few times a week for a nasal drip and cough that have been present for six months but notes a change in the cough and new symptoms in the past two weeks.

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Arora's Assessment

What might be happening

Based on your symptoms, there are several possibilities:

  • Influenza (Flu): This is a common viral infection that can cause fever, chills, cough, and body aches. Given your symptoms of fever, chills, and a deep, wet cough, this could be a possibility. However, diarrhea is not a typical symptom of the flu.

  • Gastroenteritis: This is an inflammation of the stomach and intestines, typically resulting from a bacterial or viral infection. It can cause diarrhea, stomach ache, and sometimes fever. However, it doesn't usually cause a cough.

  • Sinusitis: This is an inflammation or swelling of the tissue lining the sinuses. It can cause a deep, wet cough, especially if the sinuses are draining into the throat, causing post-nasal drip. However, it doesn't usually cause diarrhea or constipation.

  • Side effects of medication: Fluticasone propionate and Albuterol, the medications you're taking, can sometimes cause side effects like diarrhea and constipation.

What you can do

  1. Stay hydrated: Diarrhea can lead to dehydration, so it's important to drink plenty of fluids. Try to drink water, broth, or rehydration drinks.

  2. Rest: Your body needs energy to fight off the virus. Getting enough sleep can help your body recover.

  3. Over-the-counter medication: Over-the-counter medication can help with symptoms like fever and cough. However, you should consult with a healthcare provider before starting any new medication.

What you should look out for

If your symptoms persist or get worse, you should seek medical attention. Here are some signs that you should seek immediate medical attention:

  • Severe abdominal pain
  • Blood in your stool
  • High fever (over 102°F)
  • Severe headache
  • 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 examination, testing, and care.

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1 yr ago

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People Also Ask


What could be causing my migraine-like headaches and bloody nosebleeds?

Migraine-like headaches can be caused by a variety of factors including stress, dehydration, or sinus issues. Bloody nosebleeds can occur due to dry air, nasal irritation, or sinus infections. It's important to consult a healthcare provider to determine the exact cause.


Is it normal to experience both diarrhea and constipation over a short period?

Experiencing both diarrhea and constipation in a short period can occur due to dietary changes, stress, or infections affecting the gastrointestinal tract. If these symptoms persist, it's advisable to consult a healthcare provider.


Can Fluticasone propionate and Albuterol cause gastrointestinal issues like diarrhea or constipation?

Yes, Fluticasone propionate and Albuterol can sometimes cause gastrointestinal side effects, including diarrhea or constipation, although these are not the most common side effects. It's important to discuss any new or worsening symptoms with a healthcare provider.


What are the signs that I should seek immediate medical attention for my symptoms?

You should seek immediate medical attention if you experience severe abdominal pain, blood in your stool, a high fever over 102°F, severe headache, or difficulty breathing. These could be signs of a more serious condition that requires prompt medical evaluation.


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