[45F] Experiencing sinus pressure and congestion

Patient Description

A 45-year-old female is reporting symptoms of a stuffy nose with a severity of 7 out of 10, sinus pressure, malaise, and ear pressure that feels like a need to pop her ears after swimming. The onset of the stuffy nose was on Saturday evening, and while initially the nasal discharge was clear, it has since become darker, though not bright yellow. She has also noticed facial tenderness, tooth pain, and changes in her sense of smell and taste. The patient is feeling sleepy and has been experiencing these symptoms for 2 days. She has no known drug allergies and is currently taking Synthroid and Prozac. There are no pre-existing conditions or chronic illnesses reported.

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Arora's Assessment

What might be happening

Based on the symptoms you've provided, the most likely diagnoses include:

  • Sinusitis: This is an inflammation or swelling of the tissue lining the sinuses. It can cause symptoms such as a stuffy nose, sinus pressure, facial tenderness, and changes in sense of smell or taste. The fact that your nasal discharge has changed color over time is also a common sign of sinusitis.

    • Treatment typically involves rest, hydration, over-the-counter remedies, and sometimes antibiotics if a bacterial infection is suspected.
  • Common Cold: This is a viral infection of your nose and throat. Symptoms can include a runny or stuffy nose, sinus pressure, and general malaise. The common cold usually runs its course within a week or two.

    • Treatment involves rest, hydration, and over-the-counter cold remedies to help with symptoms.
  • Allergic Rhinitis: This is an allergic response to allergens like dust, animal dander, or pollen. It can cause a stuffy nose, sinus pressure, and changes in sense of smell or taste.

    • Treatment typically involves avoiding the allergen and taking over-the-counter or prescription allergy medication.

What you can do

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

  1. Stay hydrated: Drink plenty of fluids to help thin out the mucus and reduce pressure in your sinuses.

  2. Use a humidifier: This can help keep your nasal and sinus passages moist and relieve congestion.

  3. Rest: Your body needs energy to fight off the virus. Getting enough sleep can boost your immune system and help you recover more quickly.

  4. Over-the-counter remedies: Nasal sprays, decongestants, and pain relievers can help alleviate symptoms of sinusitis and the common cold.

What you should look out for

If your symptoms worsen or you develop new symptoms, you should seek medical attention. Here are some signs that you should see a healthcare professional:

  • Symptoms last more than 10 days
  • Symptoms are severe or unusual
  • You have a high fever (>100.4°F)
  • You have shortness of breath or difficulty breathing
  • You have a severe headache or facial pain

Remember, while this advice can provide guidance, it's always best to consult with a healthcare professional for a formal diagnosis and treatment.

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11 mo ago

People Also Ask


What are the common symptoms of sinusitis?

Common symptoms of sinusitis include a stuffy nose, sinus pressure, facial tenderness, changes in sense of smell or taste, and nasal discharge that may change color over time.


How can I differentiate between a common cold and sinusitis?

While both conditions can cause a stuffy nose and sinus pressure, sinusitis often includes facial tenderness and changes in smell or taste, and the nasal discharge may become darker. A common cold typically resolves within a week or two and is often accompanied by a sore throat and cough.


What over-the-counter remedies can help alleviate sinus pressure?

Over-the-counter remedies for sinus pressure include nasal sprays, decongestants, and pain relievers like ibuprofen or acetaminophen. These can help reduce congestion and alleviate pain.


When should I see a doctor for sinus-related symptoms?

You should see a doctor if your symptoms last more than 10 days, are severe or unusual, if you have a high fever, shortness of breath, or severe headache or facial pain.


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