[48F] Experiencing respiratory symptoms and fatigue

Patient Description

A 48-year-old female presents with nasal congestion, a mild cough due to postnasal drainage, sneezing, and fatigue. The nasal congestion is rated at a severity of 5/10 and is relieved by Sudafed. The drainage is described as clear to light yellow and thin, with no specific environmental triggers worsening the congestion. The patient denies any fever, chills, facial pain or pressure, changes in sense of smell or taste, shortness of breath, wheezing, and has not experienced any recent injuries. The patient also reports achy joints with a pain severity of 2/10, lasting for 3 days. There is no known history of allergies or asthma.

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Arora's Assessment

What might be happening

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

  • 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 congestion, cough, sneezing, and feeling tired.

    • Treatment typically involves rest, hydration, and over-the-counter cold remedies to help manage your symptoms.
  • Allergic Rhinitis: This is a type of inflammation in the nose which occurs when the immune system overreacts to allergens in the air. Signs and symptoms can include a runny or stuffy nose, sneezing, red, itchy, and watery eyes, and swelling around the eyes.

    • Treatment typically involves avoiding the allergen if known, and symptoms can be managed with antihistamines, decongestants, and nasal sprays.
  • Influenza (Flu): This is a viral infection that attacks your respiratory system — your nose, throat and lungs. Influenza is commonly called the flu, but it's not the same as stomach "flu" viruses that cause diarrhea and vomiting. For most people, the flu resolves on its own. But sometimes, influenza and its complications can be deadly.

    • Treatment typically involves rest, hydration, and over-the-counter flu remedies to help manage your symptoms. In some cases, antiviral medication might be prescribed by your doctor.

What you can do

  1. Rest and hydrate: Make sure you're getting plenty of sleep and drinking lots of fluids to help your body recover.
  2. Over-the-counter medication: Over-the-counter cold remedies can help you manage your symptoms. These might include a decongestant for a stuffy nose, antihistamines for allergies, or pain relievers for aches and pains.
  3. Avoid spreading the illness: If you have a fever, you're likely contagious. Try to avoid close contact with others until your fever has been gone for at least 24 hours.

What you should look out for

If your symptoms persist for more than a week, if they get worse, or if you develop a high fever, severe headache, chest pain or other worrying symptoms, seek medical attention promptly.

Remember, 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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10 mo ago

People Also Ask


What are the common symptoms of a cold and how can they be managed?

Common symptoms of a cold include nasal congestion, cough, sneezing, and fatigue. Management typically involves rest, hydration, and over-the-counter cold remedies such as decongestants and pain relievers.


How can I differentiate between a common cold and allergic rhinitis?

A common cold often includes symptoms like congestion, cough, and fatigue, while allergic rhinitis is characterized by a runny or stuffy nose, sneezing, and itchy eyes, often triggered by allergens. Allergic rhinitis symptoms can be managed with antihistamines and avoiding known allergens.


What are the typical treatments for nasal congestion and postnasal drip?

Nasal congestion and postnasal drip can be treated with decongestants like Sudafed, antihistamines if allergies are suspected, and nasal sprays. Staying hydrated and using a humidifier can also help alleviate symptoms.


When should I seek medical attention for symptoms like nasal congestion and fatigue?

You should seek medical attention if your symptoms persist for more than a week, worsen, or if you develop a high fever, severe headache, chest pain, or other concerning symptoms.


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