[37F] Experiencing loss of taste and smell with persistent dry cough

Patient Description

A 37-year-old female reports a complete loss of taste and smell persisting for three months, with no known exposure to others with similar symptoms. She has been suffering from a dry cough for approximately one year, which intensifies when lying down, in cold air, during physical activity, or when looking down. The cough is described as bothersome, especially at night, and is rated a 6 out of 10 in severity. The patient also experiences trouble breathing through the nose and has a phlegm taste in her throat. She is currently on Budesonide 32 mcg every other day and has no known drug allergies, adverse reactions, or pre-existing conditions.

Show More

Arora's Assessment

What might be happening

Based on the symptoms you've described, here are a few possibilities:

  • COVID-19: The coronavirus disease 2019 (COVID-19) has been known to cause loss of taste and smell, along with respiratory symptoms such as a dry cough and difficulty breathing. Even though you don't have a fever, not all COVID-19 patients experience one.

    • Testing for COVID-19 is widely available and should be considered, especially given the duration of your symptoms.
  • Sinusitis: This is an inflammation or swelling of the tissue lining the sinuses, often caused by an infection. Symptoms can include difficulty breathing through the nose and a reduced sense of smell. Post-nasal drip and cough, especially when lying down, are also common symptoms.

    • Treatment typically involves antibiotics, nasal decongestants, and nasal corticosteroids like Budesonide, which you are already taking.
  • Allergic Rhinitis: This is an allergic response to allergens like dust, pollen, or pet dander. It can cause symptoms such as a runny nose, coughing, and difficulty breathing through the nose. While it doesn't typically cause a loss of taste or smell, severe congestion can sometimes give that impression.

    • Treatment usually involves antihistamines, decongestants, and nasal corticosteroids.

Please note that this is not an exhaustive list and these conditions have other symptoms not mentioned here.

What you can do

  1. Consider getting tested for COVID-19, especially if you've been in contact with anyone who has tested positive.
  2. Continue taking your Budesonide as prescribed.
  3. Try to identify any potential allergens in your environment that could be causing or exacerbating your symptoms.
  4. Drink plenty of fluids and rest to help your body recover.
  5. Use a humidifier in your bedroom to help alleviate your cough at night.

What you should look out for

Please seek immediate medical attention if you experience:

  • Difficulty breathing or shortness of breath
  • Persistent pain or pressure in your chest
  • New confusion or inability to arouse
  • Bluish lips or face

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for accurate information.

Show More

1
 Hugs
0
 Comments

Save

11 mo ago

People Also Ask


Can COVID-19 cause a long-term loss of taste and smell?

Yes, COVID-19 can cause a long-term loss of taste and smell. Some individuals experience these symptoms for weeks or even months after the initial infection.


What are common symptoms of sinusitis?

Common symptoms of sinusitis include nasal congestion, facial pain or pressure, reduced sense of smell, post-nasal drip, and a cough that may worsen at night.


How can allergic rhinitis affect breathing?

Allergic rhinitis can cause nasal congestion, which may lead to difficulty breathing through the nose. This congestion can sometimes give the impression of a reduced sense of smell or taste.


What are some ways to alleviate a persistent dry cough?

To alleviate a persistent dry cough, you can use a humidifier, stay hydrated, avoid irritants like smoke, and consider over-the-counter cough suppressants. If the cough persists, consult a healthcare provider for further evaluation.


Preview

Post

No comments yet

Be the first one to comment

Share your feedback