[29F] Experiencing respiratory and olfactory symptoms

Patient Description

A 29-year-old female presents with a 2-day history of a runny nose, productive cough, and loss of taste and smell. The patient describes the nasal discharge as light yellow and thick, with symptoms worsening at night and when lying down. There is associated facial pain and pressure, as well as headaches, but no fever, chills, or changes in vision. The patient has a history of COVID-19 infection on two occasions, with the exact dates of diagnosis not recalled. She reports allergies and a known allergy to naproxen. Current medications include Viibryd (started 3 days ago), trazodone (for 6 months), Buspar, and Pepcid (duration not specified).

Arora's Assessment

What might be happening

Based on your symptoms, the following conditions could be possible:

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. Common symptoms include a runny nose, congestion, cough, and mild headache.
- Treatment typically involves rest, hydration, and over-the-counter remedies for your symptoms.
Sinusitis: This is inflammation or swelling of the tissue lining the sinuses. This can result in symptoms such as a runny or stuffy nose, facial pain or pressure, and cough.
- Treatment can involve the use of nasal decongestants, steam inhalation, and in some cases, antibiotics.
COVID-19: Given your loss of taste and smell, along with your history of COVID-19, it's possible that you may have contracted the virus again. Other symptoms can include a cough and runny nose.
- Testing is necessary to confirm this diagnosis. If positive, treatment involves rest, hydration, and symptom management. It's also important to isolate to prevent spreading the virus to others.

What you can do

Rest and hydrate: Regardless of the cause, getting plenty of rest and staying hydrated can help your body recover.
Over-the-counter remedies: Over-the-counter cold remedies can help alleviate symptoms like a runny nose and cough.
COVID-19 test: Given your symptoms and history of COVID-19, it would be prudent to get a COVID-19 test.
Consult a doctor: If your symptoms persist or worsen, please consult a healthcare professional. They can provide a formal diagnosis and appropriate treatment.

What you should look out for

If your symptoms persist for more than a week, or they get worse
If you develop a high fever, difficulty breathing, or severe headache
If you test positive for COVID-19

Please note that while I strive to provide accurate and helpful health information, this advice is not a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.

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11 mo ago

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