[26F] Experiencing runny nose and sinus pressure

Patient Description

A 26-year-old female presents with a runny nose and throat irritation that has been persistent for 3 days. The nasal discharge is described as thick and clear with a yellow tint. Symptoms worsen when lying down and are particularly severe in the morning. Blowing the nose provides temporary relief. The patient also experiences sinus pressure, which is aggravated by movement and bending over. There is a fluctuation in the intensity of the symptoms. The patient has a history of TGV surgery at birth and is currently taking Levothyroxine 112 mcg daily and Adderall 15 CP24 twice a day. No recent respiratory infections, known drug allergies, or use of other medications have been reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, you may be experiencing:

  • Common Cold: This is a viral infection that primarily affects the nose and throat. It's very common and usually harmless, although it might not feel that way. Many types of viruses can cause a common cold. Symptoms might include a runny or stuffy nose, sore throat, cough, congestion, slight body aches or a mild headache, sneezing, low-grade fever, and generally feeling unwell.

    • Treatment: There's no cure for a common cold. Antibiotics are of no use against cold viruses and shouldn't be used unless there's a bacterial infection. Treatment is directed at relieving signs and symptoms.
  • Sinusitis: This is inflammation or swelling of the tissue lining the sinuses. Healthy sinuses are filled with air. But when they become blocked and filled with fluid, germs can grow and cause an infection. Conditions that can cause sinus blockage include the common cold, allergic rhinitis (swelling of the lining of the nose), nasal polyps (small growths in the lining of the nose), or a deviated septum (a shift in the nasal cavity).

    • Treatment: Treatment of sinusitis depends on the cause. It may include saline nasal spray, nasal corticosteroids, decongestants, over-the-counter pain relievers, antibiotics, and immunotherapy.

What you can do

  1. Rest and hydrate: Make sure to get plenty of sleep and stay hydrated. This will help your body fight off the infection.
  2. Over-the-counter medication: Over-the-counter cold remedies can help with congestion and headache.
  3. Warm compress: Apply a warm compress over your nose and forehead to help relieve sinus pressure.
  4. Avoid triggers: If you notice that certain activities or foods worsen your symptoms, try to avoid them.

What you should look out for

If your symptoms persist for more than a week, or if they get significantly worse, you should seek medical attention. Other reasons to see a doctor include a high fever, severe headache, chest pain or shortness of breath, or a change in vision.

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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9 mo ago


People Also Ask


What are the common symptoms of a cold and how can they be managed?

Common symptoms of a cold include a runny or stuffy nose, sore throat, cough, congestion, slight body aches, mild headache, sneezing, and low-grade fever. Management includes rest, hydration, and over-the-counter medications to relieve symptoms.


How can I differentiate between a common cold and sinusitis?

A common cold typically involves a runny nose, sore throat, and cough, while sinusitis may include facial pain or pressure, nasal congestion, and thick nasal discharge. Sinusitis symptoms often persist longer and may require different treatments.


What are some effective home remedies for relieving sinus pressure?

Effective home remedies for sinus pressure include using a warm compress on the face, staying hydrated, inhaling steam, using saline nasal sprays, and resting with the head elevated.


When should I see a doctor for persistent cold or sinus symptoms?

You should see a doctor if your symptoms persist for more than a week, worsen significantly, or if you experience high fever, severe headache, chest pain, shortness of breath, or changes in vision.

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