[53F] With bitter nasal drainage and headache

Patient Description

A 53-year-old female reports experiencing nasal drainage with a very bitter taste and smell, accompanied by pressure in the head. The symptoms began suddenly two days ago. The bitter taste is consistent and unlike anything experienced before. The patient has not been around anyone with similar symptoms and has not started any new medications or supplements. There have been no recent changes in diet or exposure to new environments. The headache, located in the front part and temples, started four days ago with an intensity rated at 4 out of 10. It worsens with movement, such as getting up and walking, and is relieved by lying down. The patient also reports nasal congestion, fever, chills, and fatigue. There is no history of similar headaches, facial pain, recent travel, known allergies, exposure to strong odors, smoke, or chemicals, dental issues, or recent upper respiratory infections. The patient has no known pre-existing conditions or chronic illnesses and is not taking any medications.

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Arora's Assessment

What might be happening

Based on your symptoms, here are some possible explanations:

  • Sinus Infection (Sinusitis): This can cause nasal drainage with a bad taste or smell, along with pressure in the head. Sinus infections often follow a cold or allergies and can cause congestion and headaches.

    • Treatment typically involves decongestants, nasal sprays, and sometimes antibiotics if a bacterial infection is suspected.
  • Post-Nasal Drip: This occurs when excess mucus drips down the back of your throat, leading to a bitter taste and smell. It can be caused by allergies, infections, or irritants.

    • Treatment may include antihistamines, nasal sprays, or saline rinses.
  • Upper Respiratory Infection: This can cause similar symptoms, including congestion, headache, and unusual tastes.

    • Treatment usually involves rest, fluids, and over-the-counter medications to relieve symptoms.

What you can do

  1. Stay Hydrated: Drink plenty of fluids to help thin mucus and relieve congestion.
  2. Use a Humidifier: Adding moisture to the air can help ease nasal congestion and pressure.
  3. Try Saline Nasal Rinses: These can help clear out mucus and reduce post-nasal drip.
  4. Rest: Ensure you get plenty of rest to help your body fight off any infection.
  5. Track Symptoms: Use MDandMe to journal your symptoms, track progress, and share insights with your healthcare provider.

What you should look out for

Seek medical attention if you experience:

  • Worsening symptoms or no improvement after a few days
  • High fever or severe headache
  • Vision changes or swelling around the eyes
  • Persistent or severe facial pain

Remember, it's important to consult a healthcare professional for a proper diagnosis and treatment plan.

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2 mo ago


People Also Ask


What are the common symptoms of a sinus infection?

Common symptoms of a sinus infection include nasal congestion, facial pain or pressure, nasal discharge with a bad taste or smell, headache, fever, and fatigue.


How can post-nasal drip lead to a bitter taste?

Post-nasal drip occurs when excess mucus drips down the back of the throat, which can mix with bacteria or other substances, leading to a bitter taste and smell.


What are some effective home remedies for relieving sinus pressure?

Effective home remedies for relieving sinus pressure include staying hydrated, using a humidifier, trying saline nasal rinses, and getting plenty of rest.


When should I seek medical attention for sinus-related symptoms?

You should seek medical attention if you experience worsening symptoms, no improvement after a few days, high fever, severe headache, vision changes, or swelling around the eyes.


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