[43F] Experiencing severe cough and other flu-like symptoms

Patient Description

A 43-year-old female presents with a severe, dry, barking cough persisting for two weeks, accompanied by a sore throat, constant headache rated 7/10 in severity, runny and congested nose, and loss of smell and taste. The patient also reports fever and chills. There is no specific time of day when the cough is worse, and it is occasionally productive of phlegm. The patient has been taking Tylenol to manage the headache, with up to 6 pills a day. There is no reported history of chronic illnesses or known drug allergies. The patient has experienced headaches in the past.

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Arora's Assessment

What might be happening

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

  • Common Cold: This is a viral infection that primarily affects the nose and throat. It is usually harmless and symptoms resolve within two weeks. Symptoms can include a runny or stuffy nose, cough, sore throat, and headache. However, loss of taste and smell is not a typical symptom of the common cold.

  • Influenza (Flu): This is a more severe viral infection that can cause fever, chills, cough, sore throat, runny or stuffy nose, headaches, and body aches. Like the common cold, symptoms usually resolve on their own within two weeks.

  • COVID-19: This is a viral infection caused by the SARS-CoV-2 virus. Symptoms can range from mild to severe and can include fever, cough, sore throat, headache, and loss of taste or smell. Given the current pandemic and your symptoms, especially the loss of taste and smell, it is important to consider this possibility.

What you can do

  1. Rest and hydrate: Regardless of the cause, getting plenty of rest and staying hydrated can help your body fight off the infection.

  2. Over-the-counter medication: You can continue taking Tylenol to help with your symptoms. However, please make sure you are not exceeding the recommended dosage.

  3. Isolate: If you have not already done so, please isolate yourself from others to prevent potential spread of infection.

  4. COVID-19 Test: Given your symptoms and the ongoing COVID-19 pandemic, it would be prudent to get a COVID-19 test.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

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

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

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11 mo ago

People Also Ask


What are the common symptoms of COVID-19?

Common symptoms of COVID-19 include fever, cough, sore throat, headache, loss of taste or smell, fatigue, and difficulty breathing. Symptoms can vary widely in severity.


How can I differentiate between a common cold and the flu?

The common cold usually presents with milder symptoms such as a runny or stuffy nose, sore throat, and cough, while the flu often includes more severe symptoms like high fever, body aches, and fatigue. Loss of taste and smell is more commonly associated with COVID-19.


Is it safe to take Tylenol for headaches, and what is the recommended dosage?

Tylenol (acetaminophen) is generally safe for managing headaches, but it is important not to exceed the recommended dosage, which is typically 3,000 to 4,000 mg per day for adults. Taking more can lead to liver damage.


What should I do if I experience a loss of taste and smell?

If you experience a loss of taste and smell, it is important to consider getting tested for COVID-19, as this is a common symptom. Additionally, you should isolate yourself to prevent potential spread and consult with a healthcare provider for further guidance.


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