[29F] Experiencing respiratory and sinus symptoms with facial flushing

Patient Description

A 29-year-old female presents with a moderate to severe cough producing thick, dark brown phlegm, particularly in the morning, ongoing for one month. She reports recent onset of sinus pressure, facial flushing with warm, throbbing cheeks, and a sensation of 'stuck' sinuses when breathing through the nose. Additional symptoms include muffled ears, pressure in ears, a raspy voice, mild headaches, achy eyes, and a dry nose. She has a history of ear infections and an allergic reaction to Diflucan. The patient is currently taking Sertraline, Adapex, and Levothyroxine, with recent side effects from Adapex including increased irritability and sweating. No known family history of atopy and no known recent exposure to allergens or irritants.

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Arora's Assessment

What might be happening

Based on the information you've provided, the possible causes of your symptoms include:

  • Acute Bronchitis: This is an inflammation of the bronchial tubes in your lungs. It can cause a cough that brings up mucus, as well as other symptoms, such as sore throat, fatigue, and chest discomfort. The color of the mucus can vary from clear to yellow, green, or even dark brown.

    • Treatment typically involves rest, fluids, and over-the-counter medication to manage symptoms. Antibiotics may be necessary if the cause is bacterial.
  • Sinusitis: This is an inflammation or swelling of the tissue lining the sinuses. It can cause symptoms such as facial pressure, nasal congestion, cough, and sore throat.

    • Treatment typically involves nasal decongestants, pain relievers, and sometimes antibiotics if the cause is bacterial.
  • Allergic Rhinitis: This is an allergic response to allergens like dust, pollen, or pet dander. It can cause symptoms such as sneezing, stuffy nose, runny nose, watery eyes, and coughing.

    • Treatment typically involves avoiding the allergen and taking antihistamines, decongestants, or nasal sprays.

Please note that these are possible causes based on the symptoms you've described. It's important to consult with a healthcare provider for a formal diagnosis and treatment.

What you can do

While waiting for your appointment with a healthcare provider, here are some things you can do to help manage your symptoms:

  1. Rest and hydrate: Make sure you're getting plenty of sleep and drinking lots of fluids. This can help your body recover and can thin the mucus in your lungs, making it easier to cough up.

  2. Over-the-counter medication: Over-the-counter cough suppressants and expectorants can help manage your cough. Decongestants can help with sinus pressure and stuffiness.

  3. Humidifier: Using a humidifier can help keep your throat and nasal passages moist, which can help reduce symptoms.

  4. Avoid irritants: Try to avoid exposure to anything that might irritate your lungs or worsen your cough, such as smoke or dust.

What you should look out for

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

  • Difficulty breathing or shortness of breath
  • Chest pain
  • High fever (temperature over 100.4°F)
  • Coughing up blood or large amounts of mucus
  • Symptoms that last longer than a week or get worse over time

Remember, while I strive to provide accurate information, I'm an AI and not a doctor. Always consult with a healthcare provider for a formal diagnosis and treatment.

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1 yr ago

People Also Ask


What are the common symptoms of acute bronchitis?

Common symptoms of acute bronchitis include a persistent cough that may produce mucus, fatigue, shortness of breath, slight fever and chills, and chest discomfort. The mucus can vary in color from clear to yellow, green, or dark brown.


How can sinusitis be distinguished from a common cold?

Sinusitis and the common cold share many symptoms, such as nasal congestion and a runny nose. However, sinusitis often includes facial pain or pressure, a reduced sense of smell, and thick nasal discharge. If symptoms persist for more than 10 days or worsen after initial improvement, it may be sinusitis rather than a cold.


What are the potential side effects of taking Adapex?

Potential side effects of Adapex (phentermine) include increased heart rate, dry mouth, restlessness, insomnia, and irritability. Some people may also experience increased sweating, dizziness, or gastrointestinal issues.


How can I manage symptoms of allergic rhinitis at home?

To manage allergic rhinitis at home, you can avoid known allergens, use over-the-counter antihistamines or nasal sprays, keep windows closed during high pollen seasons, use air purifiers, and regularly clean your home to reduce dust and pet dander.


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