[45M] Experiencing eye pain, cough, and shortness of breath

Patient Description

A 45-year-old male reports moderate to severe coughing that is mostly dry with occasional phlegm, and eye pain described as hot and painful when keeping the eyes open, relieved by closing them. These symptoms have been present for 1-2 days. The patient also experiences shortness of breath but no wheezing or difficulty breathing. Additionally, there is a presence of fever and chills. There has been no recent injury to the eye, no foreign object exposure, and no discharge from the eyes. The discomfort affects both eyes. There is no mention of severe headaches or sudden changes in vision.

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Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions might be causing your symptoms:

  • Common Cold or Flu: These viral infections can cause a variety of symptoms, including cough, fever, and body aches. Eye pain can be a result of sinus congestion associated with these conditions.

    • Treatment typically involves rest, hydration, and over-the-counter remedies to manage symptoms.
  • Sinusitis: Inflammation or swelling of the tissue lining the sinuses can cause symptoms like cough, eye pain, and fever. This can be caused by a viral or bacterial infection.

    • Treatment usually involves rest, hydration, and over-the-counter remedies. If symptoms persist or worsen, antibiotics may be prescribed by a healthcare professional.
  • COVID-19: The coronavirus disease 2019 (COVID-19) can cause symptoms like cough, fever, and shortness of breath. Some people also report eye pain.

    • Treatment involves supportive care to relieve symptoms and, in severe cases, hospitalization. It's important to get tested and self-isolate to prevent spreading the virus to others.

What you can do

  1. Rest and hydrate: Make sure you're getting plenty of sleep and drinking lots of fluids.
  2. Over-the-counter remedies: Over-the-counter cold and flu remedies can help manage your symptoms. Pain relievers can help with your eye pain and fever.
  3. Seek medical attention: If your symptoms persist or worsen, seek medical attention. If you're experiencing severe shortness of breath, seek emergency medical attention.
  4. Get tested for COVID-19: Given the current pandemic and your symptoms, it would be wise to get a COVID-19 test.

What you should look out for

  • Difficulty breathing or shortness of breath that worsens
  • High fever that doesn't improve with over-the-counter remedies
  • Severe eye pain or changes in vision
  • Symptoms that persist for more than a week or worsen over time

Please remember that while I strive to provide accurate information, I'm not a doctor. It's important to consult with a healthcare professional for a formal diagnosis and treatment.

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8 mo ago


People Also Ask


What are the common causes of dry coughing with occasional phlegm?

Dry coughing with occasional phlegm can be caused by viral infections such as the common cold or flu, allergies, or irritants like smoke. It can also be a symptom of more serious conditions like COVID-19.


How can sinusitis lead to eye pain?

Sinusitis can lead to eye pain because the sinuses are located near the eyes. Inflammation or infection in the sinuses can cause pressure and pain around the eyes, especially when the sinuses are congested.


What are the typical symptoms of COVID-19 that overlap with other respiratory illnesses?

Typical symptoms of COVID-19 that overlap with other respiratory illnesses include cough, fever, shortness of breath, and fatigue. Some people may also experience muscle aches, sore throat, and loss of taste or smell.


When should I seek medical attention for symptoms like fever and shortness of breath?

You should seek medical attention if you experience difficulty breathing or shortness of breath that worsens, a high fever that doesn't improve with over-the-counter remedies, severe eye pain, or if your symptoms persist for more than a week or worsen over time.

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