[34F] With sinus pain, cough, and facial pressure post-travel

Patient Description

A 34-year-old female presents with a mild, dry cough that has been ongoing for 4 days, accompanied by throat pain and sinus pain. The cough hurts when she coughs and started suddenly. Initially, she experienced a fever and chills for one day, which resolved, but the cough returned after a brief period of improvement. She reports sinus pain and pressure on her cheeks and around her eyes for the past 2 days, rated as 7 out of 10 in severity. Additionally, her eyes have started to hurt and itch. She has nasal congestion with white nasal discharge but no loss of smell or taste. She experiences headaches when she coughs, a little shortness of breath, and some wheezing. She has no known allergies and has only taken ibuprofen for her symptoms. She recently traveled to Laughlin, NV, for 4 days and began feeling sick with a cough and sinus pain upon returning home. She did not have any exposure to dust, smoke, or other irritants during her trip. She has no pre-existing conditions or chronic illnesses.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are some possible explanations:

  • Sinusitis (Sinus Infection): This is an inflammation or swelling of the tissue lining the sinuses. It can cause pain and pressure in the cheeks, around the eyes, and forehead, along with nasal congestion, mucus discharge, and headaches. Sinusitis can be caused by a viral infection, bacterial infection, or allergies.

    • Treatment: Sinusitis often resolves on its own if it's viral. Bacterial sinusitis may require antibiotics. Over-the-counter decongestants, saline nasal sprays, and pain relievers like ibuprofen can help manage symptoms. In some cases, a doctor may prescribe corticosteroids to reduce inflammation.
  • Upper Respiratory Infection (Common Cold): This is a viral infection that affects the nose and throat. Symptoms can include a dry cough, nasal congestion, sinus pain, and a mild fever. The symptoms you described, including the sudden onset and the presence of a fever initially, are consistent with a common cold.

    • Treatment: Rest, hydration, and over-the-counter medications like ibuprofen for pain and fever, decongestants for nasal congestion, and cough suppressants can help alleviate symptoms.
  • Allergic Rhinitis: This condition is caused by an allergic reaction to airborne substances such as pollen, dust, or pet dander. It can cause nasal congestion, sinus pain, and itchy eyes.

    • Treatment: Avoiding known allergens, using antihistamines, nasal corticosteroids, and decongestants can help manage symptoms.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take to alleviate your symptoms:

  1. Stay Hydrated: Drink plenty of fluids like water, herbal teas, and broths to help thin mucus and stay hydrated.
  2. Use a Humidifier: Adding moisture to the air can help ease nasal congestion and sinus pain.
  3. Saline Nasal Spray: Using a saline nasal spray can help clear nasal congestion and soothe irritated nasal passages.
  4. Over-the-Counter Medications: Continue using ibuprofen for pain relief. You can also consider using decongestants and antihistamines to manage nasal congestion and sinus pain.
  5. Rest: Ensure you get plenty of rest to help your body recover.
  6. Warm Compress: Applying a warm compress to your face can help relieve sinus pain and pressure.
  7. MDandMe Journal: Use the MDandMe app to journal your symptoms, track your progress, and get insights. This can be helpful information to share with your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

  • High Fever: If your fever returns or becomes higher than 100.4°F.
  • Severe Headache: If you develop a severe headache that doesn't improve with over-the-counter pain relievers.
  • Worsening Symptoms: If your symptoms worsen or do not improve after a week.
  • Shortness of Breath: If you experience significant shortness of breath or wheezing.
  • Facial Swelling: If you notice swelling around your eyes or face.

Remember, while these tips can help manage your symptoms, it's important to consult a healthcare professional for a formal diagnosis and appropriate treatment.

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5 mo ago


People Also Ask


What are the common symptoms of sinusitis?

Common symptoms of sinusitis include pain and pressure in the cheeks, around the eyes, and forehead, nasal congestion, mucus discharge, headaches, and sometimes a reduced sense of smell.


How can I differentiate between a common cold and sinusitis?

A common cold typically starts with a sore throat, runny nose, and cough, and may include a mild fever. Sinusitis often involves more severe facial pain and pressure, thicker nasal discharge, and symptoms that persist longer than a typical cold.


What are effective home remedies for relieving sinus pain and pressure?

Effective home remedies for sinus pain and pressure include staying hydrated, using a humidifier, applying warm compresses to the face, using saline nasal sprays, and taking over-the-counter pain relievers like ibuprofen.


When should I see a doctor for sinus-related symptoms?

You should see a doctor if you experience a high fever, severe headache, worsening symptoms after a week, significant shortness of breath, or facial swelling, as these could indicate a more serious condition or the need for prescription medication.


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