[36F] Experiencing nasal congestion, fatigue, and gastrointestinal upset

Patient Description

A 36-year-old female presents with a 2-week history of a stuffy nose rated 7/10 in severity, accompanied by thick, mucus-like nasal discharge. The patient also reports fatigue and a history of severe headache and neck stiffness within the last week, but not currently present. Additionally, the patient has been experiencing nausea and bloating at the top of the abdomen for the past 3 days, with a severity of 8/10 at its peak. The bloating was associated with vomiting, diarrhea, and cramps, though vomiting has resolved in the last 2 days. The patient notes that all foods and drinks, except water, exacerbate the upset stomach. There is no reported improvement with any remedies for the nasal congestion. The patient is currently taking Sertraline and has no known allergies or adverse reactions to medications. No pre-existing conditions or chronic illnesses have been reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are a few possible explanations for your symptoms:

  • Common Cold: This is a viral infection of your nose and throat. It's usually harmless, although it might not feel that way. Common symptoms include a runny or stuffy nose, sneezing, mild headache, and general fatigue.

    • Treatment typically involves rest, hydration, and over-the-counter remedies for comfort.
  • Influenza (Flu): This is a more severe viral infection that can cause fever, chills, muscle aches, cough, congestion, runny nose, headaches, and fatigue.

    • Treatment typically involves rest, hydration, and possibly antiviral medications if diagnosed early.
  • Gastroenteritis: Also known as the stomach flu, this condition causes inflammation in your stomach and intestines, which can lead to symptoms like nausea, vomiting, diarrhea, and abdominal pain.

    • Treatment usually involves rest, hydration, and eating bland foods as tolerated.
  • Side effects of Sertraline: Sertraline can cause side effects such as nausea, diarrhea, and upset stomach.

    • If you suspect your symptoms are related to your medication, it's important to discuss this with your doctor. Do not stop taking your medication without consulting your doctor.

What you can do

While you should seek care from a healthcare professional for a formal diagnosis and treatment, here are some things you can do in the meantime:

  1. Rest and hydrate: Make sure you're getting plenty of sleep and drinking enough fluids. This can help your body recover.

  2. Over-the-counter remedies: Over-the-counter cold and flu remedies can help alleviate some of your symptoms.

  3. Monitor your symptoms: Keep track of your symptoms and how you're feeling. This information can be helpful when you see a healthcare professional.

  4. Avoid spreading the illness: If you have a cold or the flu, it's important to avoid close contact with others to prevent them from getting sick.

What you should look out for

If your symptoms worsen or you develop new symptoms, you should seek medical attention. Specifically, look out for:

  • Severe headache
  • High fever (over 100.4°F)
  • Severe abdominal pain
  • Blood in your stool or vomit
  • Symptoms that persist for more than a week

Please remember that while I strive to provide accurate information, I'm not a doctor. You should consult with a healthcare professional for a formal 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, sneezing, mild headache, and fatigue. Management typically involves rest, staying hydrated, and using over-the-counter remedies to alleviate symptoms.


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

The flu often presents with more severe symptoms than a cold, such as high fever, chills, muscle aches, and significant fatigue. A cold usually has milder symptoms like a runny nose and sneezing. If you suspect the flu, especially early on, antiviral medications may be prescribed by a doctor.


What are the typical symptoms of gastroenteritis and how should it be treated?

Gastroenteritis, or stomach flu, typically causes nausea, vomiting, diarrhea, and abdominal pain. Treatment involves resting, staying hydrated, and consuming bland foods as tolerated. It's important to avoid dehydration by drinking fluids.


Can Sertraline cause gastrointestinal side effects and what should I do if I suspect this?

Yes, Sertraline can cause gastrointestinal side effects such as nausea, diarrhea, and upset stomach. If you suspect these symptoms are related to your medication, consult your doctor before making any changes to your medication regimen.


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