[36F] Experiencing cough and sinus symptoms

Patient Description

A 36-year-old female presents with a mild, dry, and ineffective cough that worsens when lying down. The cough has been present for 3 days. Accompanying symptoms include the production of green mucus and sinus pressure for the past 2 days, as well as low energy. The patient also reports a mild, dull headache on the sides that has been persistent for 4 days. This headache is a new symptom for the patient. Additionally, the patient experiences sensitivity to motion. There is no report of fever, chills, or alleviating factors for the green mucus. The patient does not mention any pre-existing conditions, chronic illnesses, or other medications.

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Arora's Assessment

What might be happening

Based on the information you've provided, you may be experiencing:

  • Common Cold: This is a viral infection that primarily affects your nose and throat. It's usually harmless and symptoms improve within a week to ten days. The green mucus is a sign that your body is fighting off the infection.

    • Treatment typically involves rest, hydration, and over-the-counter remedies to manage symptoms.
  • Sinusitis: This is an inflammation or swelling of the tissue lining the sinuses. It can be caused by a common cold, allergic rhinitis, nasal polyps, or a deviated septum. The symptoms you've described, including sinus pressure, green mucus, and a cough that worsens when lying down, are consistent with this condition.

    • Treatment can include nasal sprays, antibiotics (if bacterial), and in some cases, surgery.
  • Influenza (Flu): This is a common viral infection that can be deadly, especially in high-risk groups. The flu attacks the lungs, nose, and throat. Symptoms are similar to a common cold but are usually more severe and come on suddenly.

    • Treatment includes rest, hydration, and antiviral medications prescribed by a doctor.

Please remember that while these are possible conditions, only a healthcare professional can provide a definitive diagnosis.

What you can do

  1. Rest and hydrate: Regardless of the cause, rest and hydration are key to recovery.
  2. Over-the-counter remedies: Over-the-counter cold remedies can help with symptoms. Decongestants can relieve sinus pressure and congestion.
  3. Warm compress: Applying a warm compress to the affected area can help reduce sinus pressure and pain.
  4. Seek medical attention: If your symptoms persist for more than a week, worsen, or you develop a fever, seek medical attention.

What you should look out for

  • If you develop a high fever (>100.4°F)
  • If you have severe headache or neck stiffness
  • If you have difficulty breathing or shortness of breath
  • If your symptoms persist for more than a week or get worse

Remember, it's important to consult with a healthcare professional for an accurate diagnosis and treatment.

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11 mo ago

People Also Ask


What causes a cough to worsen when lying down?

A cough that worsens when lying down can be due to postnasal drip or sinus drainage, which increases when you are in a horizontal position. Gravity causes mucus to pool in the throat, triggering a cough.


Why does green mucus indicate an infection?

Green mucus is often a sign that your body is fighting an infection. The color comes from white blood cells and other immune system components that are present in the mucus as your body responds to the infection.


What are the common symptoms of sinusitis?

Common symptoms of sinusitis include sinus pressure or pain, nasal congestion, green or yellow nasal discharge, headache, and sometimes a reduced sense of smell. It can also cause a cough that worsens at night.


When should I see a doctor for a persistent headache?

You should see a doctor for a persistent headache if it lasts more than a week, is severe, or is accompanied by other symptoms like fever, neck stiffness, or changes in vision. It's important to rule out more serious conditions.


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