[45M] With green discharge and facial pain

Patient Description

A 45-year-old male has been experiencing thick green discharge from the chest, ears, and nose, along with severe congestion and facial pain for the past 5 to 6 days. The symptoms are somewhat relieved by hot showers. The patient reports headaches localized around the forehead and cheeks, and changes in the sense of smell. There is no history of recent illnesses, allergies, fevers, upper respiratory infections, or dental procedures. The patient has been traveling around the country but has not been exposed to anyone who was sick. No pre-existing conditions or medications are reported.

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Arora's Assessment

What might be happening

Based on your symptoms, here are some possible explanations:

  • Sinus Infection (Sinusitis): This is an inflammation of the sinuses, often following a cold or due to allergies. Symptoms include thick nasal discharge, congestion, facial pain, and headaches. Changes in smell are also common.

    • Treatment typically involves decongestants, nasal saline rinses, and sometimes antibiotics if a bacterial infection is suspected.
  • Upper Respiratory Tract Infection: This could be viral or bacterial, leading to congestion and discharge. Viral infections usually resolve on their own, while bacterial ones might need antibiotics.

    • Rest, hydration, and over-the-counter medications can help manage symptoms.
  • Allergic Rhinitis: Although you mentioned no known allergies, new environments can trigger allergic reactions, causing nasal discharge and congestion.

    • Antihistamines and avoiding triggers can be effective.

What you can do

  1. Stay Hydrated: Drink plenty of fluids to help thin the mucus.
  2. Use a Humidifier: This can add moisture to the air and help relieve congestion.
  3. Nasal Rinses: Saline sprays or rinses can clear out mucus and allergens.
  4. Over-the-Counter Medications: Decongestants and pain relievers can help manage symptoms.
  5. Rest: Ensure you get plenty of rest to support your immune system.
  6. Track Symptoms: Use MDandMe to journal your symptoms, track progress, and share insights with your healthcare provider.

What you should look out for

Seek medical attention if you experience:

  • High fever or persistent symptoms beyond 10 days
  • Severe headache or facial pain
  • Vision changes or swelling around the eyes
  • Symptoms that worsen or do not improve with over-the-counter treatments

Remember, it's important to consult a healthcare professional for a formal diagnosis and treatment plan.

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3 mo ago

People Also Ask


What are the common symptoms of a sinus infection?

Common symptoms of a sinus infection include thick nasal discharge, congestion, facial pain, headaches, and changes in the sense of smell. These symptoms often follow a cold or can be due to allergies.


How can I differentiate between a viral and bacterial upper respiratory tract infection?

Viral upper respiratory tract infections usually resolve on their own and are often accompanied by symptoms like a runny nose, sore throat, and cough. Bacterial infections may persist longer and can cause more severe symptoms, such as high fever and thick, colored nasal discharge, and might require antibiotics.


Can traveling to new environments trigger allergic reactions even if I have no known allergies?

Yes, traveling to new environments can expose you to different allergens that you may not have encountered before, potentially triggering allergic reactions even if you have no known allergies.


What are some effective home remedies for relieving sinus congestion and pain?

Effective home remedies for relieving sinus congestion and pain include staying hydrated, using a humidifier, performing nasal rinses with saline solutions, taking over-the-counter decongestants and pain relievers, and getting plenty of rest.


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