[55F] Experiencing sinus pressure and respiratory symptoms

Patient Description

A 55-year-old female presents with a 3-day history of sinus pressure localized between both ears, behind the eyes, and along the nose, accompanied by a headache that worsens with coughing and is described as an all-over ache. The patient reports a 5-day history of eye irritation rated 6/10 for severity, characterized by dryness and a burning sensation. Additionally, she has been experiencing ear itching for 1 week, with a feeling of fullness and minimal drainage. The patient also describes a mostly dry cough that has been present for 5 days, which is severe at times, and chills without fever. Dizziness described as lightheadedness began today, with difficulty maintaining balance. The patient also reports dry mouth and lips for the past 4 days, requiring frequent use of lip balm. No recent exposure to eye irritants or injury, and no known allergies.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

  • Sinusitis: This is an inflammation or swelling of the tissue lining the sinuses. It can cause symptoms such as a stuffy nose, facial pressure, and ear discomfort. It can also cause postnasal drip, which might be the cause of your cough and throat irritation.

    • Treatment typically involves rest, hydration, and over-the-counter remedies. If symptoms persist for more than a week or get worse, a healthcare provider may prescribe antibiotics.
  • Allergic Rhinitis: This is a common condition that can cause symptoms such as a stuffy nose, itching, and eye irritation. It can also cause postnasal drip, which might be the cause of your cough and throat irritation.

    • Treatment typically involves avoiding the allergen and taking over-the-counter or prescription medication to control symptoms.
  • Dry Eye Syndrome: This can cause symptoms such as eye irritation and a feeling of dryness. It can be caused by a variety of factors, including aging, certain medications, and environmental conditions.

    • Treatment typically involves artificial tears, lifestyle changes, and potentially prescription medication.

Please note that these are just possibilities and not a definitive diagnosis. You should consult with a healthcare provider for a formal diagnosis and treatment.

What you can do

In the meantime, you can try the following to alleviate your symptoms:

  1. Stay hydrated: Drink plenty of fluids to help thin mucus and relieve dryness.
  2. Use a humidifier: This can help moisten your nasal and throat passages and may relieve some of your symptoms.
  3. Over-the-counter remedies: Decongestants, antihistamines, and nasal sprays may help with symptoms of sinusitis and allergic rhinitis. Artificial tears can help with dry eyes.
  4. Rest: Make sure you're getting enough sleep to help your body recover.

What you should look out for

You should seek immediate medical attention if you experience any of the following:

  • Difficulty breathing or shortness of breath
  • Severe headache or a headache that doesn't improve with over-the-counter medication
  • High fever (temperature over 100.4°F) or chills
  • Symptoms that worsen or do not improve after a week

Remember, this advice is intended to be general in nature, and specific causes may need different management. Always consult with a healthcare provider for appropriate treatment.

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1 yr ago

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People Also Ask


What are the common symptoms of sinusitis?

Common symptoms of sinusitis include facial pressure or pain, nasal congestion, thick nasal discharge, reduced sense of smell, and cough. Some people may also experience ear discomfort and headache.


How can I differentiate between sinusitis and allergic rhinitis?

Sinusitis often presents with facial pain, pressure, and thick nasal discharge, while allergic rhinitis typically involves sneezing, itching, and clear nasal discharge. Both can cause nasal congestion and postnasal drip, but allergic rhinitis is often triggered by exposure to allergens.


What are some effective home remedies for dry eye syndrome?

Effective home remedies for dry eye syndrome include using artificial tears, taking breaks from screens, using a humidifier, wearing sunglasses outdoors, and ensuring adequate hydration. Omega-3 fatty acids and warm compresses may also help.


When should I seek medical attention for dizziness and balance issues?

You should seek medical attention for dizziness and balance issues if they are severe, persistent, or accompanied by other symptoms such as difficulty breathing, severe headache, or high fever. These could indicate a more serious underlying condition.


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