[38F] Experiencing severe cough, sinus pressure, and loss of smell and taste

Patient Description

A 38-year-old female presents with a severe productive cough that worsens with laughter or heat, accompanied by sinus pressure, a burning sensation in the nostrils, and a headache from the nose to behind the eyes rated 7/10 in severity. These symptoms have been present for approximately 5 days, with the cough lasting slightly longer. The patient reports a loss of smell and taste, which are not functioning normally. She has experienced similar symptoms in the past with a previous sinus infection. Additionally, she is experiencing shortness of breath, chest pain, and wheezing, even at rest. The patient had a fever which resolved yesterday morning. There is no history of exposure to strong chemicals or pollutants, no recent changes in the appearance of the inside of the nose, and no difficulty speaking, weakness on one side of the body, or changes in vision. The patient has a history of frequent sinus infections or chronic sinusitis.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, you might be experiencing:

  • Sinusitis: This is an inflammation or swelling of the tissue lining the sinuses. It can cause headaches, facial pain, nasal congestion, and can affect your sense of smell and taste. It can also cause a cough that may be worse at night.

    • Treatment typically involves rest, hydration, over-the-counter remedies, and in some cases, antibiotics.

  • Upper respiratory tract infection: This can cause a cough, congestion, headache, and can affect your sense of smell and taste. It can be caused by a variety of viruses and bacteria.

    • Treatment typically involves rest, hydration, and over-the-counter remedies to manage symptoms.

  • COVID-19: Some of the symptoms you've described, such as loss of smell and taste, cough, and fever, are common symptoms of COVID-19.

    • Testing is necessary to confirm this diagnosis. If confirmed, treatment involves rest, hydration, and symptom management. In severe cases, hospitalization may be necessary.

Please note that these are possible conditions based on your symptoms and you should seek care from a healthcare professional for a formal diagnosis.

What you can do

  1. Rest and hydrate: These are general measures that can help your body recover from many illnesses.
  2. Over-the-counter remedies: Decongestants can help with sinus pressure and a runny nose. Pain relievers can help with headaches and any general discomfort.
  3. Seek medical attention: Given your symptoms, it would be a good idea to reach out to a healthcare professional who can evaluate your condition and possibly perform tests.

What you should look out for

  • If your symptoms worsen or don't improve after a few days
  • If you develop high fever or severe chest pain
  • If you have difficulty breathing

Remember, this advice is intended to be general in nature, and specific causes may need different management. Always consult with a healthcare provider for appropriate examination, testing, and care.

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11 mo ago

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People Also Ask

What are the common symptoms of sinusitis and how is it treated?

Common symptoms of sinusitis include headaches, facial pain, nasal congestion, and a reduced sense of smell and taste. Treatment typically involves rest, hydration, over-the-counter decongestants, and sometimes antibiotics if a bacterial infection is suspected.

How can I differentiate between a common cold and a more serious upper respiratory tract infection?

A common cold usually presents with mild symptoms like a runny nose, sore throat, and mild cough. A more serious upper respiratory tract infection may include severe cough, fever, and difficulty breathing. If symptoms are severe or persistent, it's important to consult a healthcare provider.

What should I do if I suspect I have COVID-19 based on my symptoms?

If you suspect you have COVID-19, it's important to get tested to confirm the diagnosis. Meanwhile, isolate yourself to prevent spreading the virus, rest, stay hydrated, and manage symptoms with over-the-counter medications. Seek medical attention if symptoms worsen.

When should I seek medical attention for a cough and shortness of breath?

You should seek medical attention if your cough and shortness of breath are severe, if you experience chest pain, or if these symptoms do not improve after a few days. Immediate medical care is necessary if you have difficulty breathing or if your symptoms rapidly worsen.

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