[46F] With respiratory symptoms and voice hoarseness

Patient Description

A 46-year-old female presents with a moderate productive cough that started five days ago as laryngeal irritation and has since been accompanied by a low-grade intermittent fever of 99.1°F for the past 36 hours. The cough is worse in the mornings and evenings, and the patient has been coughing up discolored mucus described as creamy to green to brown. The patient also experienced complete voice loss on Wednesday, which has now progressed to hoarseness. Hot tea and menthol cough drops provide some relief for the hoarseness and help to loosen the mucus, but only slightly reduce the cough. Nasal discharge is mostly clear with occasional yellow mucus, and runny nose symptoms are more noticeable at night. The patient 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 information you have provided, possible diagnoses include:

  • Common Cold: This is a viral infection that primarily affects the nose and throat. Symptoms can include a runny nose, cough, and low-grade fever. It usually resolves on its own within a week.

    • Treatment typically involves rest, hydration, and over-the-counter remedies to manage symptoms.
  • Influenza (Flu): This is a more severe viral infection that can cause fever, cough, and body aches. Your symptoms are less typical of the flu, but it cannot be ruled out without testing.

    • Treatment can include antiviral medications if started early in the illness, rest, and hydration.
  • COVID-19: Given the ongoing pandemic, COVID-19 should be considered especially with symptoms of cough and fever. Testing is necessary to confirm this diagnosis.

    • Treatment involves supportive care, rest, hydration, and isolation to prevent spread to others.
  • Bronchitis: This is an inflammation of the bronchial tubes, the air passages between the nose and the lungs. It's often caused by a viral infection, but can also be caused by bacteria. Symptoms can include cough with mucus production, fatigue, slight fever and chills, and chest discomfort.

    • Treatment typically involves rest, hydration, and over-the-counter remedies to manage symptoms. Antibiotics may be necessary if a bacterial infection is suspected.

What you can do

  1. Rest and hydrate: Regardless of the cause, rest and hydration are key to recovery.
  2. Over-the-counter remedies: Over-the-counter cough suppressants and pain relievers can help manage your symptoms.
  3. Isolate: Until you know what is causing your symptoms, it's best to stay away from others as much as possible to prevent potential spread of infection.
  4. Seek testing: If you have not done so already, consider getting tested for COVID-19 given your symptoms and the ongoing pandemic.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Difficulty breathing or shortness of breath
  • Persistent pain or pressure in your chest
  • New confusion or inability to arouse
  • Bluish lips or face

Please remember that while I strive to provide accurate and helpful medical information, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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1 yr ago

People Also Ask


What are the common symptoms of bronchitis and how is it treated?

Common symptoms of bronchitis include a persistent cough that produces mucus, fatigue, slight fever and chills, and chest discomfort. Treatment typically involves rest, hydration, and over-the-counter remedies to manage symptoms. Antibiotics may be necessary if a bacterial infection is suspected.


How can I differentiate between a common cold and the flu?

The common cold usually presents with a runny nose, cough, and low-grade fever, and symptoms are generally milder. The flu, on the other hand, often includes a higher fever, body aches, and more severe fatigue. Testing is required to confirm the flu.


What should I do if I suspect I have COVID-19?

If you suspect you have COVID-19, it is important to get tested as soon as possible. Meanwhile, isolate yourself to prevent spreading the virus to others, and follow public health guidelines. Seek medical attention if you experience severe symptoms such as difficulty breathing.


Are there any home remedies that can help alleviate a productive cough?

Home remedies for a productive cough include staying hydrated, using a humidifier, drinking warm fluids like tea with honey, and using menthol cough drops. These can help soothe the throat and loosen mucus.


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