[46F] Experiencing severe cough and upper respiratory symptoms

Patient Description

A 46-year-old female presents with a severe dry cough that causes irritation in the larynx when talking, which has been ongoing for four days. The patient also reports a sore throat that began with painful swallowing but has since evolved to irritation from coughing, lasting for five days. Symptoms are worse in the morning and evening, and hot herbal tea provides some relief. Additionally, the patient has been experiencing hoarseness, and as of one day ago, started bringing up yellow-green phlegm. The runny nose began last night, with nasal discharge that is sometimes clear and sometimes yellow. The patient has no known pre-existing conditions or chronic illnesses, is currently taking Lexapro, and has a known allergy to Bactrim, which causes hives.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, you may have:

  • Common Cold: This is a viral infection of your nose and throat (upper respiratory tract). It's usually harmless, although it might not feel that way. Many types of viruses can cause a common cold. Symptoms might include a runny or stuffy nose, sore throat, cough, congestion, slight body aches or a mild headache, sneezing, low-grade fever, and generally feeling unwell (malaise).

    • Treatment for a common cold is usually supportive, meaning it aims to relieve your symptoms while your body fights off the virus. This typically includes rest, staying well-hydrated, and over-the-counter cold remedies.
  • Acute Bronchitis: This is an inflammation of the lining of your bronchial tubes, which carry air to and from your lungs. People with bronchitis often cough up thickened mucus, which can be discolored. Bronchitis may be either acute or chronic. While a common cold or flu can lead to acute bronchitis, in most cases it's caused by viruses.

    • Treatment for acute bronchitis is typically supportive as well. Antibiotics are usually not effective in treating acute bronchitis.
  • Sinusitis: This is inflammation or swelling of the tissue lining the sinuses. Healthy sinuses are filled with air. But when they become blocked and filled with fluid, germs can grow and cause an infection. Conditions that can cause sinus blockage include the common cold, allergic rhinitis (swelling of the lining of the nose), nasal polyps (small growths in the lining of the nose), or a deviated septum (a shift in the nasal cavity).

    • Treatment for sinusitis depends on the cause. It may include saline nasal washes, nasal corticosteroids, decongestants, or antibiotics.

What you can do

You should see a healthcare provider for a formal diagnosis and treatment plan. In the meantime, you can:

  1. Rest and stay hydrated.
  2. Use a humidifier to moisten your nasal passages and throat.
  3. Soothe a sore throat with a warm saltwater gargle.
  4. Use over-the-counter cold remedies to relieve symptoms like a runny nose and congestion.

What you should look out for

You should seek immediate medical attention if:

  • Your symptoms last more than a week.
  • You have a high fever.
  • You have severe headache or facial pain.
  • You have chest pain or shortness of breath.
  • You have an existing heart or lung condition.

Remember, I'm an AI and this advice is based on the symptoms you've told me. It's always a good idea to consult with a healthcare provider for an accurate diagnosis and treatment.

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1 yr ago

People Also Ask


What are the common causes of a severe dry cough and sore throat?

A severe dry cough and sore throat can be caused by viral infections such as the common cold or flu, allergies, or irritants like smoke or pollution. In some cases, it may also be due to conditions like acute bronchitis or sinusitis.


How can I differentiate between a common cold and acute bronchitis?

A common cold typically involves symptoms like a runny or stuffy nose, sore throat, and mild cough, while acute bronchitis often includes a persistent cough that produces mucus, which can be discolored. Bronchitis may also cause wheezing and chest discomfort.


What home remedies can help alleviate symptoms of a sore throat and cough?

Home remedies for a sore throat and cough include staying hydrated, drinking warm herbal teas, using a humidifier, gargling with warm salt water, and using over-the-counter remedies like throat lozenges or cough syrups.


When should I seek medical attention for a persistent cough and sore throat?

You should seek medical attention if your symptoms last more than a week, if you experience a high fever, severe headache, facial pain, chest pain, or shortness of breath, or if you have an existing heart or lung condition.


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