[28M] Experiencing runny nose while eating and sharp back and shoulder pain when sneezing

Patient Description

A 28-year-old male reports having a runny nose every time he eats, a condition that has persisted since recovering from COVID-19 two years ago. The patient states that the runny nose is not influenced by the type of food or the temperature of the food and has not found any relief from this symptom. Additionally, the patient experiences sharp back and shoulder pain rated at a severity of 7 out of 10, lasting for a couple of minutes when sneezing. This pain has been occurring for a year, and there is no reported history of recent injuries or accidents that could have caused the back pain.

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Arora's Assessment

What might be happening

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

  • Gustatory Rhinitis: This is a condition where the nose produces extra mucus in response to certain stimuli, including eating. It's not entirely clear why this happens, but it's thought to be related to the autonomic nervous system, which controls many of your body's automatic functions.

    • Treatment typically involves avoiding triggers and using a nasal spray to control symptoms.
  • Post-viral Syndrome: Since you mentioned your symptoms started after having COVID-19, it's possible that you're experiencing a post-viral syndrome. This is a complex condition that can cause a variety of symptoms, including a runny nose, long after the initial infection has resolved.

    • Treatment is generally supportive, focusing on managing symptoms.
  • Musculoskeletal Pain: Your back and shoulder pain could be due to a variety of causes, including muscle strain, poor posture, or stress. Since the pain is sharp and occurs when you sneeze, it could be due to a muscle strain or spasm.

    • Treatment typically involves physical therapy, pain relievers, and lifestyle modifications.

What you can do

  1. Try to identify any triggers for your runny nose and avoid them if possible.
  2. Stay hydrated and use a humidifier to keep your nasal passages moist.
  3. Over-the-counter nasal sprays may help control your symptoms. However, they should not be used for more than a few days at a time without a doctor's supervision.
  4. For your back and shoulder pain, try to maintain good posture and take breaks to move around if you're sitting for long periods. Over-the-counter pain relievers may also help.
  5. Regular exercise can help strengthen your back and improve your overall health.

What you should look out for

You should see a healthcare professional if:

  • Your symptoms persist or worsen.
  • You develop new symptoms, such as fever, difficulty breathing, or severe pain.
  • Your back pain is severe or doesn't improve with rest and over-the-counter pain relievers.

Remember, this advice is intended to be general in nature, and specific causes may not apply to your personal circumstances. 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 is gustatory rhinitis and how is it related to eating?

Gustatory rhinitis is a condition where the nose produces extra mucus in response to eating, regardless of the type or temperature of the food. It is thought to be related to the autonomic nervous system, which controls many automatic body functions.


Can COVID-19 cause long-term symptoms like a runny nose?

Yes, COVID-19 can lead to post-viral syndrome, which may cause persistent symptoms like a runny nose long after the initial infection has resolved. This condition is complex and varies among individuals.


Why do I experience sharp back and shoulder pain when sneezing?

Sharp back and shoulder pain when sneezing could be due to muscle strain or spasm. Sneezing involves a sudden, forceful movement that can strain muscles, especially if they are already tense or weak.


What are some effective treatments for musculoskeletal pain?

Effective treatments for musculoskeletal pain include physical therapy, maintaining good posture, regular exercise, and using over-the-counter pain relievers. Lifestyle modifications, such as taking breaks to move around if sitting for long periods, can also help.


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