[26F] Experiencing runny nose, sneezing, and headache

Patient Description

A 26-year-old female has been experiencing a constant runny nose and sneezing for six days, with symptoms worsening at night. She reports an ache-type headache that is less severe in the mornings and is a new occurrence. Additionally, she has itchy nose and eyes, nasal congestion, and postnasal drip. She has been taking Histatussin for relief and regularly takes Aerius (10mg) for symptoms. The patient has been exposed to dust and has a family history of allergies. No changes in sense of smell or taste were reported, and she has no known drug allergies or other medical conditions.

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Arora's Assessment

What might be happening

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

  • Allergic Rhinitis: This is an allergic response to allergens in the air, such as dust, which you mentioned you've been exposed to. Symptoms can include a runny nose, sneezing, itchy or watery eyes, and nasal congestion. The fact that you have family members with allergies and that your symptoms seem to worsen at night (when dust mite exposure can be higher) also supports this possibility.

    • Treatment typically involves avoidance of the allergen, when possible, and medications to control symptoms. These can include antihistamines like the Aerius you're already taking, nasal corticosteroids, and decongestants.

  • Non-Allergic Rhinitis: This is a condition that causes chronic sneezing, a congested, drippy nose, and postnasal drip. Unlike allergic rhinitis, it's not triggered by allergens and is instead caused by infections, changes in weather, certain foods, and some medications.

    • Treatment typically involves managing symptoms with medications, including nasal sprays, antihistamines, and decongestants.

  • Common Cold: This is a viral infection of your nose and throat. Symptoms can include a runny nose, sneezing, and a headache. However, a cold usually resolves on its own within a week or two.

    • Treatment involves rest, hydration, and over-the-counter remedies to manage symptoms.

Please note that these are just possibilities based on the information you've provided, and it's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

Here are some steps you can take to manage your symptoms:

  1. Continue to take your Aerius as directed by your healthcare provider. This should help to control your symptoms.
  2. Try to avoid exposure to dust and other potential allergens as much as possible.
  3. Use a humidifier in your room at night to help soothe your nasal and throat passages.
  4. Stay hydrated and get plenty of rest to help your body recover.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Symptoms that persist for more than two weeks despite treatment
  • Severe headache or facial pain
  • Difficulty breathing or shortness of breath
  • High fever (temperature over 100.4°F)

Remember, while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare provider.

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9 mo ago

People Also Ask

What are the common symptoms of allergic rhinitis?

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

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

Allergic rhinitis and the common cold can have similar symptoms, such as a runny nose and sneezing. However, allergic rhinitis is usually accompanied by itchy eyes and nose, and symptoms persist as long as exposure to the allergen continues. A common cold typically resolves within a week or two and may include symptoms like a sore throat and cough.

What are some effective treatments for managing allergic rhinitis?

Effective treatments for allergic rhinitis include avoiding known allergens, using antihistamines like Aerius, nasal corticosteroids, and decongestants. In some cases, allergy shots (immunotherapy) may be recommended by a healthcare provider.

Can exposure to dust worsen allergic rhinitis symptoms?

Yes, exposure to dust can worsen allergic rhinitis symptoms, especially if you are allergic to dust mites. Symptoms may be more pronounced at night when dust mite exposure is higher, as they tend to accumulate in bedding and carpets.

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