[55F] Experiencing nasal and chest congestion with yellow nasal discharge

Patient Description

A 55-year-old female presents with nasal and chest congestion, which has been ongoing for four days. The nasal congestion is characterized by the need to blow her nose, resulting in yellow discharge, and the congestion varies, allowing intermittent breathing through the nose. The patient reports that Advil Cold and Sinus provides partial relief. Accompanying symptoms include coughing and intermittent headaches with facial pressure. The patient has no fever, chills, shortness of breath, chest pain, tooth pain, or changes in sense of smell or taste. A recent COVID-19 test was negative. The patient's medical history is unremarkable with no known allergies or adverse reactions to medications. She is currently taking Levothyroxine 88 mcg daily.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, possible explanations include:

  • 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. The most common cold-causing viruses survive better in low humidity, which is why colds are more common in cooler months.

    • Treatment typically involves rest, hydration, and over-the-counter cold remedies to manage symptoms.
  • Sinusitis: This is an inflammation or swelling of the tissue lining the sinuses. It can be caused by a viral, bacterial, or fungal infection. Your symptoms of nasal congestion, yellow discharge, and facial pain or pressure could be indicative of this condition.

    • Treatment usually involves managing symptoms with over-the-counter remedies, nasal irrigation, and sometimes antibiotics if a bacterial infection is suspected.
  • Allergic Rhinitis: This is an allergic response to specific allergens. Some people are allergic to certain tree or grass pollens, for example. This can cause nasal congestion, coughing, and facial pressure.

    • Treatment involves avoiding known allergens, over-the-counter antihistamines, and nasal sprays.

What you can do

While you should definitely seek care from a healthcare professional for a formal diagnosis and treatment, here are some things you can do in the meantime:

  1. Rest and hydrate. This can help your body fight off an infection if that's the cause of your symptoms.
  2. Over-the-counter remedies. Decongestants can help with nasal congestion, while pain relievers can help with any discomfort or pressure.
  3. Nasal irrigation. Rinsing your nasal passages with a saline solution can help soothe your nasal passages and relieve congestion.
  4. Avoid allergens. If you notice your symptoms get worse around certain triggers, try to avoid them.

What you should look out for

You should seek immediate medical attention if:

  • Your symptoms persist for more than a week.
  • You have a high fever.
  • You have severe facial pain or pressure.
  • You have a severe headache.
  • Your symptoms are severe or worsening.

Remember, I'm an AI and this advice is based on the information you've given me. It's always important to consult with a healthcare professional for an accurate diagnosis and treatment.

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1 yr ago

People Also Ask


What are the common symptoms of a sinus infection?

Common symptoms of a sinus infection include nasal congestion, yellow or green nasal discharge, facial pain or pressure, headache, and sometimes a reduced sense of smell. It can also cause coughing and a feeling of fullness in the face.


How can I differentiate between a common cold and sinusitis?

A common cold typically involves symptoms like a runny nose, sore throat, and cough, and it usually resolves within a week. Sinusitis, on the other hand, often includes more severe facial pain or pressure, thicker nasal discharge, and symptoms that last longer than a week. If symptoms persist or worsen, it may indicate sinusitis.


What over-the-counter medications can help relieve nasal congestion?

Over-the-counter medications that can help relieve nasal congestion include decongestants like pseudoephedrine (found in products like Sudafed) and nasal sprays containing oxymetazoline. Antihistamines can also help if allergies are contributing to the congestion.


When should I see a doctor for nasal and chest congestion?

You should see a doctor if your symptoms persist for more than a week, if you experience a high fever, severe facial pain or pressure, a severe headache, or if your symptoms are severe or worsening. These could indicate a more serious condition that requires medical attention.


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