[27F] Experiencing respiratory symptoms and headache

Patient Description

A 27-year-old female presents with a one-week history of a moderate, wet cough with green, thick mucus production and no blood. She experiences occasional chills and has had a throbbing headache for one day, rated 4/10 in severity, localized to her temples and neck, and exacerbated by movement. The headache is alleviated by Tylenol and rest. She also reports unsteadiness and lightheadedness when moving or coughing, which has been present for three days. Additionally, she has difficulty breathing with occasional wheezing but no severe shortness of breath or chest pain. The patient has a sore throat and a medical history significant for Ehlers-Danlos syndrome and prothrombin gene mutation, diagnosed 5 years ago. She is currently taking Tylenol, vitamin D, and B12 supplements and has allergies to penicillin, morphine, and the flu shot.

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Arora's Assessment

What might be happening

Based on your symptoms, possible diagnoses include:

  • Bronchitis: This is an inflammation of the bronchial tubes, the airways that carry air to your lungs. It often develops from a cold or other respiratory infection. Symptoms can include coughing up thickened mucus and shortness of breath.

    • Treatment typically involves rest, fluids, and over-the-counter pain relievers and cough suppressants. If your bronchitis is caused by bacteria (which is less common), your doctor may prescribe antibiotics.
  • Pneumonia: This is an infection that inflames the air sacs in one or both lungs. The air sacs may fill with fluid or pus, causing cough with phlegm or pus, fever, chills, and difficulty breathing.

    • Treatment depends on the type and severity of pneumonia. Bacterial pneumonia can be treated with antibiotics. Viral pneumonia may improve with rest and hydration.
  • Influenza (Flu): This is a common viral infection that can be deadly, especially in high-risk groups. Symptoms can include a cough, sore throat, and body aches.

    • Antiviral drugs can treat the flu if you start them within 48 hours of when symptoms appear. Over-the-counter pain relievers can help with body aches and fever.

Please note that these are just possibilities and not a definitive diagnosis. It's important to consult with a healthcare provider for an accurate diagnosis and treatment.

What you can do

  1. Rest and hydrate: Your body needs energy to fight off the virus. Getting enough sleep can boost your immune system and help you fight off illness. Fluids prevent dehydration and make your throat feel better.

  2. Over-the-counter medication: Over-the-counter cold remedies can help with symptoms of sore throat and headache.

  3. Avoid spreading the illness: Cover your mouth and nose when you cough or sneeze. Wash your hands often to prevent the spread of your infection to others.

What you should look out for

Please seek immediate medical attention if you experience:

  • Difficulty breathing or shortness of breath
  • Persistent pain or pressure in your chest
  • New confusion or inability to arouse
  • Bluish lips or face

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 recommendations.

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11 mo ago

People Also Ask


What are the common symptoms of bronchitis and how is it treated?

Common symptoms of bronchitis include a persistent cough that produces mucus, wheezing, shortness of breath, and chest discomfort. Treatment typically involves rest, fluids, and over-the-counter pain relievers and cough suppressants. If it's bacterial, antibiotics may be prescribed.


How can I differentiate between pneumonia and a common cold?

Pneumonia often presents with more severe symptoms than a common cold, such as high fever, chills, difficulty breathing, and a productive cough with green or yellow mucus. A cold usually involves milder symptoms like a runny nose and sore throat. A healthcare provider can perform tests to confirm pneumonia.


What precautions should I take if I have a cough and sore throat to prevent spreading it to others?

To prevent spreading a cough and sore throat, cover your mouth and nose with a tissue or your elbow when you cough or sneeze, wash your hands frequently, and avoid close contact with others. Staying home when you're sick is also important.


What are the potential complications of having Ehlers-Danlos syndrome with a respiratory infection?

Ehlers-Danlos syndrome can complicate respiratory infections due to potential issues with connective tissue in the lungs and airways, possibly leading to more severe symptoms or slower recovery. It's important to monitor symptoms closely and consult with a healthcare provider for tailored advice.


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2 Comments


Archie#3960

11 mo ago

Could also be RSV

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Patt#4036

11 mo ago

When I have relatively severe symptoms like this for over a week, my doctor usually recommends me to go in for a covid and flu test. If negative, might be grounds to get antibiotics

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