[27M] Experiencing cough and nasal drainage

Patient Description

A 27-year-old male presents with a 2-day history of cough and nasal drainage. The nasal drainage is described as yellow-brown in color and is most severe upon waking. The act of blowing the nose seems to provide some relief. The cough is somewhat productive and wet, and is triggered by laughter, described as mild to moderate in severity. The patient also reports a sensation of a 'stuffy head' and has experienced a bloody nose. Additionally, the patient mentions feeling 'foggy' but does not report fever or chills, only some fatigue. No specific triggers for the worsening of nasal drainage were identified.

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Arora's Assessment

What might be happening

Based on the information you provided, possible diagnoses include:

  • Common Cold: This is a viral infection of your nose and throat (upper respiratory tract). It's 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, sneezing, cough, mild headache, and fatigue.

    • Treatment typically involves rest, hydration, and over-the-counter cold remedies to help with symptoms.
  • Sinusitis: This is an inflammation or swelling of the tissue lining the sinuses. When they become blocked and filled with fluid, germs can grow and cause an infection. Symptoms might include nasal congestion, thick yellow or green nasal discharge, cough, and fatigue.

    • Treatment might involve antibiotics if a bacterial infection is suspected, nasal decongestants, and pain relievers.
  • Allergies: These occur when your immune system reacts to a foreign substance — such as pollen, bee venom or pet dander — or a food that doesn't cause a reaction in most people. Symptoms can include a runny or stuffy nose, sneezing, and coughing.

    • Treatment typically involves avoiding known allergens and taking antihistamines to help with symptoms.

What you can do

  1. Rest and hydrate: This can help your body recover from any potential infection.
  2. Over-the-counter remedies: Decongestants can help with a stuffy nose, while cough suppressants can help with a cough.
  3. Avoid allergens: If your symptoms are due to allergies, avoiding known allergens can help.
  4. Seek medical attention: If your symptoms persist or worsen, it would be best to consult a healthcare professional for a formal assessment.

What you should look out for

Reasons to see a doctor more urgently:

  • If you develop a high fever (temperature over 100.4°F) or chills
  • If your symptoms persist for more than a week
  • If your symptoms significantly worsen or you develop new symptoms

Please remember that while I strive to provide accurate information, I'm not a doctor. Always seek the advice of a healthcare professional for a formal diagnosis and treatment.

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10 mo ago

People Also Ask


What causes yellow-brown nasal drainage and is it a sign of infection?

Yellow-brown nasal drainage can be caused by the presence of white blood cells and other debris, which may indicate an infection such as sinusitis. However, it can also occur with a common cold. If symptoms persist or worsen, it's advisable to consult a healthcare professional.


How can I differentiate between a common cold and sinusitis?

A common cold typically involves symptoms like a runny or stuffy nose, sneezing, and a mild cough, and usually resolves on its own. Sinusitis, on the other hand, often includes more severe nasal congestion, thick nasal discharge, facial pain or pressure, and may require medical treatment if bacterial.


What are some effective home remedies for relieving a stuffy head and nasal congestion?

Effective home remedies for a stuffy head and nasal congestion include staying hydrated, using a humidifier, inhaling steam, using saline nasal sprays, and applying warm compresses to the face. Over-the-counter decongestants can also provide relief.


When should I be concerned about a bloody nose during a cold or sinus infection?

A bloody nose during a cold or sinus infection can occur due to irritation and dryness in the nasal passages. However, if the bleeding is frequent, heavy, or accompanied by other concerning symptoms, it is important to seek medical attention.


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