[34F] Experiencing respiratory symptoms and dry eyes

Patient Description

A 34-year-old female presents with a 3-day history of moderate nasal congestion characterized by thick, sticky mucus and a runny nose, accompanied by sneezing. The patient also reports a moderate, dry cough that is exacerbated by cold air, along with shortness of breath and wheezing. No chest pain is reported. Additionally, the patient has a sore throat and dry, sensitive eyes. The congestion is temporarily relieved by blowing the nose and is worsened by exposure to smoke and mold. The patient has a history of epilepsy, sleep apnea, cardiomyopathy, asthma, osteoarthritis, and mild levoscoliosis, diagnosed at the age of 24. Current medications include Keppra, an Albuterol inhaler, Zyrtec, and Symbacort. The patient has a known allergy to penicillin.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, you might be experiencing one of the following conditions:

  • Common Cold: This is a viral infection that primarily affects your nose and throat. Symptoms typically include a runny nose, congestion, cough, and sore throat. It's quite common and usually harmless, although it might not feel that way.

    • Treatment: Rest, hydration, and over-the-counter remedies can help, but it can't be cured. You'll just need to let it run its course.
  • Allergic Rhinitis: This is an allergic response to allergens like dust, smoke, or pollen. It can cause sneezing, a runny nose, and congestion, among other symptoms.

    • Treatment: Avoiding the allergen, using over-the-counter antihistamines, and using nasal sprays can help manage symptoms.
  • Sinusitis: This is an inflammation or swelling of the tissue lining the sinuses. It can cause symptoms like a runny nose, congestion, and cough. It can be caused by an infection, but also by allergies.

    • Treatment: Treatment depends on the cause. It may include rest and hydration, over-the-counter remedies, antibiotics, or nasal sprays.
  • Asthma Flare-Up: Given your history of asthma, your symptoms could also be due to an asthma flare-up, especially considering your wheezing and shortness of breath.

    • Treatment: You should use your prescribed inhalers as directed by your doctor. If your symptoms don't improve or worsen, seek medical attention.

What you can do

  1. Rest and hydrate: These are key to recovery from many illnesses, including the common cold and sinusitis.

  2. Over-the-counter remedies: These can help manage symptoms of a cold, allergies, or sinusitis. Always follow the package instructions.

  3. Use your inhalers: If you think you're having an asthma flare-up, use your inhalers as directed.

  4. Avoid allergens: If possible, try to avoid smoke and mold, as you've noticed these make your symptoms worse.

What you should look out for

  • If your symptoms persist for more than a week, or if they get worse, you should seek medical attention.

  • If you have difficulty breathing, severe chest pain, or severe wheezing, you should seek immediate medical attention.

Remember, I'm an AI and this advice is based on the information you've given me. It's always a good idea to consult with a healthcare professional for an accurate diagnosis and treatment.

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11 mo ago

People Also Ask


What are the common symptoms of a cold and how can they be managed?

Common symptoms of a cold include a runny or stuffy nose, sore throat, cough, congestion, slight body aches, sneezing, and low-grade fever. Management includes rest, staying hydrated, and using over-the-counter medications to relieve symptoms.


How can I differentiate between allergic rhinitis and a common cold?

Allergic rhinitis often involves symptoms like sneezing, itchy eyes, and a runny nose triggered by exposure to allergens such as pollen or dust, whereas a common cold is caused by a virus and may include a sore throat and body aches. Allergy symptoms persist as long as exposure continues, while cold symptoms typically resolve within a week.


What are the signs of an asthma flare-up and how should it be treated?

Signs of an asthma flare-up include increased shortness of breath, wheezing, coughing, and chest tightness. Treatment involves using prescribed inhalers, such as a rescue inhaler like Albuterol, and seeking medical attention if symptoms do not improve or worsen.


What precautions should I take if I have a known allergy to penicillin?

If you have a known allergy to penicillin, it's important to inform all healthcare providers of this allergy. Avoid medications containing penicillin and wear a medical alert bracelet. In case of accidental exposure, seek immediate medical attention.


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