[33F] Experiencing nasal and throat congestion with mild fever

Patient Description

A 33-year-old female presents with symptoms of nasal and throat congestion, fatigue, and a mild fever that began yesterday morning. The patient describes the throat congestion as linked to nasal congestion, with dark green mucus that is difficult to cough out. Despite using a steam humidifier, taking decongestants, and drinking plenty of water, relief has not been achieved. The patient rates the throat congestion severity as 7 out of 10. Headaches and facial pain are present, but there is no change in the sense of smell or taste, and a recent at-home COVID-19 test was negative. Asthma is a pre-existing condition for the patient, but no shortness of breath or chest pain has been reported, which is unusual for the patient when sick. The patient had a baby 10 months ago, is currently taking Adderall 20mg XR, and uses an Albuterol inhaler as needed. The patient reports an adverse reaction to augmentin, which causes nausea and vomiting.

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Arora's Assessment

What might be happening

Based on your symptoms, the most likely causes could be:

  • Common Cold: This is a viral infection of your nose and throat. It's usually harmless, although it might not feel that way. Common cold is characterized by runny or stuffy nose, sore throat, cough, congestion, slight body aches or a mild headache, sneezing, low-grade fever, and general feeling of being unwell.

    • Treatment typically involves rest, hydration, and over-the-counter cold remedies to help manage your symptoms.
  • Sinusitis: This is an inflammation or swelling of the tissue lining the sinuses. It can cause nasal congestion, thick nasal mucus, a plugged nose, and facial pain. It often follows a cold and can flare up on its own. The green color of your mucus could be an indication of a bacterial infection, which can occur in some cases of sinusitis.

    • Treatment can involve antibiotics if it's caused by a bacterial infection, nasal decongestants, and pain relievers.
  • Influenza (Flu): This is a viral infection that attacks your respiratory system. Symptoms can be very similar to a common cold, but the flu is usually more severe and comes on more suddenly.

    • Treatment typically involves rest, hydration, and over-the-counter flu remedies. In some cases, antiviral medication might be prescribed.

What you can do

You should continue to rest and hydrate. Over-the-counter decongestants and pain relievers may help with your symptoms. If your symptoms persist for more than a week, or if they get worse, you should seek medical attention.

What you should look out for

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

  • Difficulty breathing or shortness of breath
  • Pain or pressure in your chest or abdomen
  • Sudden dizziness
  • Confusion
  • Severe or persistent vomiting
  • Flu-like symptoms that improve but then return with fever and worse cough

Please remember that while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare professional.

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1 yr ago

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People Also Ask


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

Common symptoms of sinusitis include nasal congestion, thick nasal mucus, facial pain, and a plugged nose. Treatment may involve antibiotics if a bacterial infection is present, as well as nasal decongestants and pain relievers.


How can I differentiate between a common cold and the flu?

The common cold usually presents with a runny or stuffy nose, sore throat, and mild headache, while the flu often comes on suddenly with more severe symptoms like high fever, body aches, and fatigue. The flu can also lead to more serious complications.


What should I do if my symptoms persist or worsen over time?

If your symptoms persist for more than a week or worsen, it is important to seek medical attention. Persistent symptoms could indicate a more serious condition that may require different treatment.


Are there any specific precautions I should take given my asthma condition?

With asthma, it's important to monitor for any breathing difficulties or chest pain, especially when sick. Continue using your Albuterol inhaler as needed and consult with a healthcare provider if you notice any changes in your asthma symptoms.


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