[42F] Experiencing respiratory symptoms with green/bloody phlegm and facial pain

Patient Description

A 42-year-old female presents with a moderate to severe cough producing chunky green/bloody phlegm, facial pain, and difficulty breathing fully for approximately one and a half weeks. The patient also reports a constant headache, described as an ache, and a sore throat for the same duration. She experiences low-grade fever and chills, with no relief from symptoms identified. The patient's medical history includes Polycystic Ovary Syndrome (PCOS), Post-Traumatic Stress Disorder (PTSD), and recurrent bronchitis. She is currently taking Sertraline and has no known drug allergies. No other medications or significant health changes were reported.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, the following conditions could be possible:

  • Sinusitis: This is an inflammation or swelling of the tissue lining the sinuses. It can cause symptoms such as facial pain or pressure, nasal stuffiness, nasal discharge, loss of smell, and cough or congestion. It can also cause headaches and a sore throat. If your sinusitis is bacterial, the phlegm may be green and you may have a fever.

    • Treatment typically involves antibiotics if the sinusitis is bacterial, and decongestants, pain relievers, and medications for other symptoms like cough.
  • Bronchitis: This is an inflammation of the lining of your bronchial tubes, which carry air to and from your lungs. Symptoms of bronchitis include coughing up thickened mucus, which can be discolored. It can also cause shortness of breath.

    • Treatment typically involves rest, fluids, and pain relievers. If the bronchitis is bacterial, antibiotics may be prescribed.
  • Pneumonia: This is an infection that inflames the air sacs in one or both lungs. Symptoms can include cough with phlegm or pus, fever, chills, and difficulty breathing.

    • Treatment typically involves antibiotics, fever reducers, and cough medicine.

Please note that these are just possibilities based on your symptoms. You should see a healthcare professional for a proper diagnosis and treatment.

What you can do

While waiting for your appointment with a healthcare professional, here are some things you can do to manage your symptoms:

  1. Rest and hydrate: This can help your body recover and can also thin out mucus, making it easier to cough up.
  2. Use a humidifier: This can help keep your throat and nasal passages moist and relieve congestion.
  3. Avoid irritants: Smoke and other air pollutants can irritate your lungs and worsen your symptoms.

What you should look out for

You should seek immediate medical attention if:

  • Your symptoms get worse or do not improve after a week
  • You have difficulty breathing or chest pain
  • Your phlegm is dark colored, has a bad smell, or is accompanied by a high fever or chills

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 appropriate examinations, treatment, testing, and care recommendations.

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1 yr 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 facial pain or pressure, nasal stuffiness, nasal discharge, loss of smell, cough, and headaches. If bacterial, it may cause green phlegm and fever. Treatment often involves antibiotics for bacterial infections, decongestants, pain relievers, and medications for cough.


How can I differentiate between bronchitis and pneumonia based on symptoms?

Bronchitis typically involves coughing up thick mucus, which can be discolored, and shortness of breath. Pneumonia may present with cough producing phlegm or pus, fever, chills, and more severe difficulty breathing. A healthcare provider can perform tests to differentiate between the two.


What home remedies can help alleviate symptoms of a severe cough and sore throat?

Home remedies for a severe cough and sore throat include staying hydrated, using a humidifier to keep air moist, and avoiding irritants like smoke. Warm teas with honey and saltwater gargles can also provide relief.


When should I seek medical attention for respiratory symptoms?

You should seek medical attention if your symptoms worsen or do not improve after a week, if you experience difficulty breathing or chest pain, or if your phlegm is dark, has a bad smell, or is accompanied by a high fever or chills.


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