[36M] Experiencing loss of taste, mild cough, and eye discharge

Patient Description

A 36-year-old male reports a general diminished sense of taste, a mild sporadic cough that worsens late at night, and a tingly throat for the past two weeks. Additionally, he has been waking up with crusty eyes and redness underneath the eyelids for the past two days. The patient does not report any significant changes in the sense of smell, fever, chills, headaches, body aches, difficulty swallowing, mouth sores, or difficulty breathing. There has been no known contact with sick individuals or those diagnosed with an upper respiratory infection or COVID-19. The patient has no history of allergies, pre-existing conditions, or chronic illnesses, and is not on any medications.

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Arora's Assessment

What might be happening

Based on the information provided, here are a few possibilities:

  • Common Cold: This is a viral infection of your nose and throat (upper respiratory tract). It's usually harmless, although it might not feel that way. Many types of viruses can cause a common cold. Symptoms might include a runny or stuffy nose, sneezing, cough, mild headache, watery eyes, mild fatigue, and a diminished sense of taste and smell.

    • Treatment: There's no cure for a common cold, but you can relieve your symptoms by resting, staying hydrated, and using over-the-counter cold remedies.
  • Allergic Rhinitis: This is an allergic response to specific allergens. Some people experience symptoms only during certain times of the year, especially when outdoor molds release their spores, and trees, grasses, and weeds release tiny pollen particles into the air to fertilize other plants. Symptoms might include runny nose, itchy or watery eyes, sneezing, cough, and a diminished sense of taste and smell.

    • Treatment: The most effective treatment is to avoid allergens that cause your symptoms. It may be impossible to avoid all allergens, but you can often take steps to reduce exposure.
  • COVID-19: This is a viral infection caused by a new coronavirus introduced to humans for the first time. It is spread from person to person mainly through the droplets produced when an infected person speaks, coughs, or sneezes. Symptoms might include fever, cough, and difficulty breathing, as well as symptoms similar to a cold or flu. Loss of taste and smell has been reported as a symptom of COVID-19.

    • Treatment: Most people with mild COVID-19 recover on their own by resting, staying hydrated, and taking over-the-counter medication to reduce symptoms. Severe cases may require hospitalization.

What you can do

  1. Rest and stay hydrated. Drink plenty of fluids and eat nutritious food. Even if you can't taste it, it's important to maintain your nutrition.
  2. Over-the-counter cold remedies can help with symptoms of a cold or allergic rhinitis.
  3. Avoid allergens if allergic rhinitis is suspected.
  4. If your symptoms persist or get worse, seek medical attention. If COVID-19 is suspected, you may need to get tested.

What you should look out for

  • If you develop a high fever, difficulty breathing, or chest pain, seek medical attention immediately.
  • If your symptoms persist for more than two weeks, or get worse, you should also seek medical attention.

Please remember that while I strive to provide accurate and timely information, I am not a doctor. Always consult with a healthcare provider for a formal diagnosis and treatment.

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1 yr ago

People Also Ask


What could cause a diminished sense of taste without changes in smell?

A diminished sense of taste without changes in smell can be caused by a variety of factors, including viral infections like the common cold, allergies, or even certain medications. It's important to consider other accompanying symptoms to narrow down the cause.


Why might a cough worsen at night?

A cough that worsens at night can be due to several reasons, such as postnasal drip, which is more noticeable when lying down, or asthma, which can be triggered by changes in temperature or allergens present in the bedroom.


What are the possible reasons for waking up with crusty eyes and redness under the eyelids?

Waking up with crusty eyes and redness under the eyelids can be indicative of conjunctivitis, which can be caused by allergies, bacterial or viral infections. It is important to monitor for other symptoms like itching or discharge to determine the cause.


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

To differentiate between a common cold and allergic rhinitis, consider the timing and triggers of symptoms. A common cold is usually accompanied by a sore throat, fatigue, and may resolve within a week or two. Allergic rhinitis often involves itchy eyes, sneezing, and symptoms that persist as long as exposure to allergens continues.


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