[43F] Experiencing severe cough and sinus pressure with associated symptoms

Patient Description

A 43-year-old female presents with a 10-day history of severe cough that worsens at night and is accompanied by breathlessness and wheezing prior to coughing fits. The cough produces thick saliva mixed with light yellow phlegm. Additionally, the patient reports sinus pressure, post-nasal drip, ear pressure with mild to moderate infrequent itching, and deep throbbing pain in the right ear, which has been present for 6 days. The patient also has diarrhea, described as liquid in consistency, occurring several times a day, especially after eating or drinking, for the past 3 days. The patient has not traveled recently but has been in contact with someone with similar symptoms. Past medical history includes an ear infection, which also presented with ear itching. No fever, chills, or blood in phlegm or stool reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Acute Sinusitis: This is an inflammation of the sinuses often caused by a viral or bacterial infection. Symptoms can include sinus pressure, post-nasal drip, and coughing.

    • Treatment usually involves rest, hydration, and over-the-counter remedies. If symptoms persist for more than a week, or if they worsen, antibiotics may be prescribed by a doctor.
  • Acute Otitis Media: This is an infection of the middle ear, which can cause pain, pressure, and itching. It is often associated with upper respiratory infections.

    • Treatment typically involves pain management and sometimes antibiotics if a bacterial infection is suspected.
  • Gastroenteritis: This is an inflammation of the stomach and intestines, often caused by a viral or bacterial infection. Symptoms can include diarrhea, nausea, and vomiting.

    • Treatment usually involves rest, hydration, and eating a bland diet. If symptoms persist for more than a few days, or if they worsen, a doctor may prescribe medication to manage the symptoms.

What you can do

  1. Rest and hydrate: Make sure to drink plenty of fluids to replace those lost from diarrhea and to soothe your throat from coughing.
  2. Over-the-counter remedies: Decongestants can help with sinus pressure and post-nasal drip. Pain relievers can help with ear pain.
  3. Eat a bland diet: This can help manage your diarrhea. Avoid foods that are high in fiber, fat, or sugar.
  4. Seek medical attention: If your symptoms persist for more than a week, or if they worsen, seek medical attention. Your doctor can provide a formal diagnosis and prescribe medication if necessary.

What you should look out for

  • If your ear pain worsens or if you develop a fever, this could indicate a more serious infection that requires medical attention.
  • If your diarrhea continues for more than a few days or if you notice blood in your stool, seek medical attention.
  • If your cough persists for more than a week, or if it worsens, seek medical attention.

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

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10 mo ago

People Also Ask


What are the common symptoms of acute sinusitis?

Common symptoms of acute sinusitis include sinus pressure, nasal congestion, post-nasal drip, facial pain, headache, and a cough that may worsen at night.


How can I differentiate between a viral and bacterial ear infection?

Viral ear infections often resolve on their own and may present with mild symptoms, while bacterial infections can cause more severe pain, fever, and may require antibiotics. A healthcare professional can help determine the cause.


What dietary changes can help manage diarrhea caused by gastroenteritis?

To manage diarrhea, it's recommended to follow a bland diet, including foods like bananas, rice, applesauce, and toast. Avoid high-fiber, fatty, or sugary foods, and stay hydrated.


When should I seek medical attention for a persistent cough?

You should seek medical attention for a persistent cough if it lasts more than a week, worsens, or is accompanied by symptoms like fever, chest pain, or difficulty breathing.


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