[36F] With severe cough, sore throat, and headache

Patient Description

A 36-year-old female presents with a severe cough that changes between dry and wet, lasting for 4 days. The cough is severe and sudden, with no known triggers or specific time of day when it worsens. The patient also reports a sore throat, loss of voice (very hoarse), and a throbbing headache on the left side of the head, rated 10/10 in severity, lasting for 2 days. Additionally, she experienced watery diarrhea on the first day, occurring twice, but none since then. The patient has had similar headaches in the past. She has no known allergies and smokes approximately 6 cigarettes a day, with no noticeable changes in symptoms when smoking. There has been no recent travel or exposure to sick individuals, irritants, or pollutants. No other pre-existing conditions or chronic illnesses were mentioned.

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Arora's Assessment

What might be happening

Based on the symptoms you've described—coughing to the point of gagging, headache, loss of voice, sore throat, and a brief episode of watery diarrhea—here are some possible explanations:

  • Upper Respiratory Infection (URI): This is a common condition that includes colds and other viral infections. Symptoms often include a severe cough, sore throat, headache, and sometimes hoarseness or loss of voice. The diarrhea you experienced could be related to the viral infection.

    • Treatment: Typically, URIs are managed with rest, fluids, and over-the-counter medications to relieve symptoms. Antibiotics are not effective against viral infections.
  • Acute Bronchitis: This condition involves inflammation of the bronchial tubes and can cause a severe cough that may be dry or productive (wet). It can also lead to a sore throat and headache.

    • Treatment: Similar to URIs, acute bronchitis is often treated with rest, fluids, and over-the-counter medications. In some cases, a doctor may prescribe inhalers or other medications to help with breathing.
  • Laryngitis: This is inflammation of the voice box (larynx) and can cause hoarseness or loss of voice, often accompanied by a sore throat and cough.

    • Treatment: Resting your voice, staying hydrated, and using throat lozenges can help. Avoiding irritants like smoke is also important.
  • Sinusitis: Inflammation of the sinuses can cause a throbbing headache, sore throat, and cough. It can sometimes be accompanied by other symptoms like nasal congestion.

    • Treatment: Over-the-counter decongestants, saline nasal sprays, and pain relievers can help manage symptoms. In some cases, a doctor may prescribe antibiotics if a bacterial infection is suspected.

What you can do

While it's important to consult a healthcare provider 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 keep your throat moist and help thin mucus.
  2. Rest: Give your body time to heal by getting plenty of rest.
  3. Humidify the Air: Use a humidifier to add moisture to the air, which can help soothe a sore throat and reduce coughing.
  4. Avoid Irritants: Try to avoid smoking and exposure to other irritants like strong odors or chemicals.
  5. Over-the-Counter Medications: Consider using throat lozenges, cough suppressants, and pain relievers like acetaminophen or ibuprofen to manage your symptoms.
  6. Track Your Symptoms: Use MDandMe to journal your symptoms, track your progress, and share your notes with your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

  • Difficulty Breathing: If you have trouble breathing or feel short of breath, seek immediate medical attention.
  • High Fever: A fever over 100.4°F that doesn't improve with over-the-counter medications.
  • Persistent Symptoms: If your symptoms persist for more than a week or worsen, it's important to see a healthcare provider.
  • Chest Pain: Any chest pain, especially if it feels like pressure or tightness, should be evaluated by a doctor.

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

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4 mo ago

People Also Ask


What are the common causes of a severe cough that changes between dry and wet?

A severe cough that changes between dry and wet can be caused by conditions like upper respiratory infections, acute bronchitis, or sinusitis. These conditions can lead to inflammation and mucus production, resulting in a cough that varies in nature.


How can I relieve a sore throat and loss of voice at home?

To relieve a sore throat and loss of voice, you can rest your voice, stay hydrated by drinking plenty of fluids, use throat lozenges, and avoid irritants like smoke. Using a humidifier can also help soothe the throat.


What should I do if my headache is extremely severe and persistent?

If your headache is extremely severe and persistent, it's important to seek medical attention. Over-the-counter pain relievers may help, but a healthcare provider can offer a more comprehensive evaluation and treatment plan.


Is it normal to experience diarrhea with a respiratory infection?

Yes, it is possible to experience diarrhea with a respiratory infection, especially if it's caused by a virus. Viral infections can affect multiple systems in the body, leading to symptoms like diarrhea in addition to respiratory issues.


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