[52F] Experiencing sinus pressure, cough, and related symptoms

Patient Description

A 52-year-old female presents with sinus pressure described as burning with fluid sensation and runny nose, alongside a moderate, dry cough with a rattling sound but non-productive of phlegm. These symptoms have been constant for 2 days. The patient also reports a headache with throbbing pain and constant pressure behind the eyes, rated at an intensity of 5 out of 10. Additionally, the patient experiences fluid behind the eardrum and sharp pain in the ear canal, leading to hearing impairment. The patient has a slight chill and low-grade fever. No changes in vision or neck stiffness are reported. There is a slight alteration in the sense of smell and taste. The patient's medical history does not include any chronic illnesses or known allergies. Current medications include Levothyronine, Levothyroxine, Metoprolol, Pravastatin, Ramapril, Plavix, Adderall, Tramadol, Zyrtec, and Acetaminophen.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possibilities:

  • Common Cold: This is a viral infection in your nose and throat. It usually involves a runny or stuffy nose, sneezing, mild cough, and a low-grade fever. Over-the-counter cold remedies can help you feel better.

  • Sinusitis: This is inflammation or swelling of the tissue lining the sinuses. It can be caused by a cold, allergic rhinitis, or a nasal polyp. Symptoms include sinus pressure, nasal congestion, cough, and a headache. Treatment often involves over-the-counter remedies, nasal irrigation, and sometimes antibiotics if a bacterial infection is suspected.

  • Influenza (Flu): This is a viral infection that attacks your respiratory system. Symptoms can be similar to a cold but are usually more severe and come on suddenly. They include fever, cough, sore throat, runny or stuffy nose, body aches, headache, and fatigue. Antiviral drugs can help reduce the severity and duration of the flu.

  • Middle Ear Infection (Otitis Media): This occurs when a virus or bacteria cause the area behind the eardrum to become inflamed. It often follows a cold or sinus infection. Symptoms include ear pain, fluid in the ear, and hearing loss. Treatment may involve pain relief and, in some cases, antibiotics.

Please remember that these are just possibilities and not a definitive diagnosis. It's important to consult with a healthcare provider for an accurate diagnosis and treatment.

What you can do

  1. Rest and stay hydrated: This can help your body fight off an infection and speed up recovery.

  2. Over-the-counter remedies: These can help with symptoms such as a runny nose, congestion, and body aches.

  3. Warm compress: Applying this to your sinuses can help reduce pressure and pain.

  4. Nasal irrigation: This can help clear your nasal passages.

  5. Pain relief: Over-the-counter pain relievers can help with your headache and body aches.

What you should look out for

You should seek immediate medical attention if you experience:

  • High fever (over 101°F)
  • Severe headache
  • Shortness of breath or difficulty breathing
  • Severe ear pain
  • Sudden or severe worsening of your symptoms

Please remember, while I strive to provide accurate information, I'm not a doctor. Always consult with a healthcare provider for a definitive diagnosis and treatment.

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11 mo ago

People Also Ask


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

Common symptoms of sinusitis include sinus pressure, nasal congestion, cough, and headache. Treatment often involves over-the-counter remedies, nasal irrigation, and sometimes antibiotics if a bacterial infection is suspected.


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

The common cold usually involves a runny or stuffy nose, sneezing, mild cough, and a low-grade fever, while the flu symptoms are more severe and come on suddenly, including fever, cough, sore throat, runny or stuffy nose, body aches, headache, and fatigue.


What are the signs of a middle ear infection and when should I see a doctor?

Signs of a middle ear infection include ear pain, fluid in the ear, and hearing loss. You should see a doctor if you experience severe ear pain, high fever, or if symptoms worsen suddenly.


Can over-the-counter medications help with sinus pressure and headaches?

Yes, over-the-counter medications can help alleviate symptoms such as sinus pressure and headaches. Pain relievers like acetaminophen can help with headaches, while decongestants can relieve sinus pressure.


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Tate McEwan#4033

11 mo ago

I think the fluid behind your ears and hearing loss is a red flag. Would probably go to the emergency room tbh

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