[48F] Experiencing sinus headache, facial swelling, and cough

Patient Description

A 48-year-old female presents with symptoms consistent with a sinus infection, including a persistent sinus headache described as pain and pressure above and below the eyes, which worsens upon bending down. The headache has been present for over a week and is partially relieved by Tylenol. The patient also reports facial swelling, particularly under the eyes and around the nose, which has been present for a few days. Accompanying these symptoms is a cough, characterized as mild to moderate, resulting from postnasal drip, and it has been ongoing for a few days. The patient has a history of similar symptoms associated with sinus problems but denies any fever or chills. There is no mention of recent medical interventions or allergies.

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Arora's Assessment

What might be happening

Based on your symptoms, you may be experiencing:

  • Sinusitis: This is an inflammation or swelling of the tissue lining the sinuses. It can be caused by a cold, allergic rhinitis, or a nasal polyp. Symptoms can include a sinus headache, facial pain, nasal stuffiness, and cough due to post-nasal drip.
    • Treatment usually involves rest, hydration, over-the-counter pain relievers for any discomfort, and decongestants for congestion. If your symptoms persist for more than a week or get worse, you should see a doctor. They may prescribe antibiotics if a bacterial infection is suspected.

What you can do

Here are some things you can try to help alleviate your symptoms:

  1. Use a humidifier: This can help keep your nasal and sinus passages moist and relieve congestion.
  2. Stay hydrated: Drink plenty of fluids to thin your mucus, which may help relieve sinus pressure and congestion.
  3. Apply a warm compress: This can help relieve pain in your nose and sinuses.
  4. Over-the-counter medication: Decongestants can help reduce swelling and congestion in the nasal passages. Pain relievers can help alleviate pain and reduce inflammation.

What you should look out for

If your symptoms persist for more than a week, get worse, or are accompanied by a high fever, severe headache, chest pain, or shortness of breath, seek medical attention immediately.

Remember, while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare professional.

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10 mo ago

People Also Ask


What are the common symptoms of sinusitis?

Common symptoms of sinusitis include facial pain or pressure, nasal congestion, thick nasal discharge, reduced sense of smell, cough due to postnasal drip, and sometimes fever.


How can I differentiate between a sinus headache and a regular headache?

A sinus headache is often accompanied by facial pain or pressure, especially around the eyes, forehead, and cheeks, and it may worsen when bending over. A regular headache may not have these specific symptoms and can vary in location and intensity.


When should I see a doctor for sinusitis symptoms?

You should see a doctor if your sinusitis symptoms persist for more than a week, worsen, or are accompanied by a high fever, severe headache, chest pain, or shortness of breath.


What home remedies can help alleviate sinusitis symptoms?

Home remedies for sinusitis include using a humidifier, staying hydrated, applying a warm compress to the face, and using over-the-counter decongestants and pain relievers to reduce symptoms.


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