[54F] With facial pressure, ear fluid, and swelling above collarbone

What might be happening

Based on the symptoms you've described, several potential diagnoses come to mind. Here are some possibilities:

1. Sinus Infection (Sinusitis):

   • Rationale: Your symptoms of sinus pressure, fluid in the ear, and nasal congestion are consistent with a sinus infection. Sinusitis can cause headaches, facial pain, and pressure, especially around the eyes and forehead.
   • Typical Treatments: Treatment often includes decongestants, nasal saline rinses, and sometimes antibiotics if a bacterial infection is suspected. Over-the-counter pain relievers can help manage headaches and facial pain.

2. Lymphadenopathy:

   • Rationale: The swelling above your collarbone (supraclavicular lymph nodes) could indicate an infection or other underlying condition. Lymph nodes can swell due to infections, inflammation, or more serious conditions like lymphoma.
   • Typical Treatments: Treatment depends on the underlying cause. If an infection is present, antibiotics may be prescribed. If the swelling persists or other symptoms develop, further evaluation by a healthcare provider is necessary.

3. Possible Respiratory or Cardiovascular Issues:

   • Rationale: Labored breathing when talking and feeling extremely hot then freezing could indicate a respiratory or cardiovascular issue. These symptoms, along with fatigue and weakness, warrant further investigation.
   • Typical Treatments: Depending on the diagnosis, treatments may include medications, lifestyle changes, or other interventions. It's important to see a healthcare provider for a thorough evaluation.

What you can do

Sinus Infection (Sinusitis):

• At Home:
  • Use a saline nasal spray or rinse to help clear your nasal passages.
  • Stay hydrated and use a humidifier to keep your sinuses moist.
  • Over-the-counter decongestants and pain relievers can help alleviate symptoms.
• Seek Medical Care:
  • If symptoms persist for more than a week or worsen, see a healthcare provider. They may prescribe antibiotics if a bacterial infection is suspected.

Lymphadenopathy:

• At Home:
  • Monitor the swelling and note any changes in size or consistency.
  • Apply a warm compress to the swollen area to help reduce discomfort.
• Seek Medical Care:
  • If the swelling persists, increases, or is accompanied by other symptoms like unexplained weight loss or night sweats, see a healthcare provider for further evaluation.

Respiratory or Cardiovascular Issues:

• At Home:
  • Avoid strenuous activities that exacerbate your breathing difficulties.
  • Ensure you are in a well-ventilated area and use a fan or open windows to help with temperature regulation.
• Seek Medical Care:
  • Given the severity of your symptoms, it's important to see a healthcare provider as soon as possible. They may perform tests such as blood work, imaging studies, or a physical examination to determine the cause.

What you should look out for

Given the combination of your symptoms, it's important to seek medical care promptly. Here are some specific signs that warrant immediate attention:

• Severe or worsening shortness of breath
• Persistent or worsening swelling above the collarbone
• Unexplained weight loss or persistent night sweats
• Severe headaches or changes in vision
• Any new or worsening symptoms

Remember, while I can provide information and suggestions, it's crucial to consult with a healthcare provider for a formal diagnosis and appropriate treatment. You can use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.