[54F] Experiencing severe nasal congestion and watery left eye

Patient Description

A 54-year-old female presents with severe nasal congestion and a constantly watery left eye for the past 4 days. The nasal congestion is characterized by an inability to breathe through the nose despite the drainage of thin, clear mucus. The patient's left eye has been watering all day, which has made it difficult for her to read, but she reports no itchiness or vision changes aside from this. Additionally, the patient has been experiencing sharp, constant pain in the face, specifically below each eye on the cheeks, for the past 3 days. There is no reported fever, chills, loss of smell or taste, severe headaches, changes in vision, high fever, stiff neck, or confusion. The patient has been in contact with a sick toddler. No other symptoms or significant medical history were provided.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are a few possible conditions:

  • Sinusitis: This is an inflammation or swelling of the tissue lining the sinuses. This can result in symptoms such as a runny or stuffy nose, facial pain or pressure, and a reduced sense of smell. The watery eye could be related if the sinus near the eye (ethmoid sinus) is involved.

    • Treatment typically involves the use of over-the-counter remedies, nasal sprays, and sometimes antibiotics if a bacterial infection is suspected.
  • 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. Symptoms might include a runny or stuffy nose, sneezing, and a general feeling of being unwell.

    • Treatment involves rest, hydration, and over-the-counter cold remedies to help with symptoms.
  • Allergic Rhinitis: This is an allergic response to specific allergens. Some people have allergies to substances such as dust mites, pet dander, and pollen. Symptoms can include a runny nose, itchy or watery eyes, and sneezing.

    • Treatment usually involves avoiding known allergens and using over-the-counter or prescription medications to control symptoms.

What you can do

While you should definitely seek medical attention for a formal diagnosis, here are some things you can do in the meantime:

  1. Over-the-counter decongestants can help with the nasal congestion.
  2. Use a humidifier in your room to help keep your nasal and throat passages moist and relieve congestion.
  3. Drink plenty of fluids and rest as much as possible.
  4. Over-the-counter pain relievers can help with the facial pain.

What you should look out for

Please seek immediate medical attention if you experience:

  • High fever (temperature over 100.4°F)
  • Severe headache
  • Neck stiffness
  • Vision changes
  • Confusion or difficulty staying awake
  • Difficulty breathing

Remember, while I strive to provide accurate information, I'm not a doctor. Please consult with a healthcare professional for an accurate diagnosis and treatment.

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11 mo ago

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People Also Ask


What are the common symptoms of sinusitis?

Common symptoms of sinusitis include nasal congestion, facial pain or pressure, a runny or stuffy nose, and a reduced sense of smell. In some cases, it can also cause a watery eye if the sinuses near the eyes are affected.


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

A common cold typically includes symptoms like a runny or stuffy nose, sneezing, and a general feeling of being unwell, often accompanied by a sore throat and cough. Allergic rhinitis, on the other hand, is characterized by a runny nose, itchy or watery eyes, and sneezing, often triggered by exposure to allergens like pollen or dust.


What over-the-counter treatments are effective for nasal congestion?

Over-the-counter treatments for nasal congestion include decongestants such as pseudoephedrine or phenylephrine, saline nasal sprays, and antihistamines if allergies are suspected. It's important to follow the instructions on the packaging and consult a pharmacist or doctor if unsure.


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

You should seek medical attention for sinus-related symptoms if you experience a high fever, severe headache, neck stiffness, vision changes, confusion, or difficulty breathing, as these could indicate a more serious condition requiring prompt medical evaluation.


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