[56F] Experiencing respiratory and flu-like symptoms

Patient Description

A 56-year-old female presents with a 24-hour history of sinus congestion, chest tightness, productive cough with whitish-yellow sputum, body aches, and chills. The cough is described as scratchy, exacerbated by lying down, and partially relieved by hot water with lemon. The chest tightness is wheezy and associated with a need to clear phlegm, also worsening in a supine position. The patient has a history of asthma since childhood. Current medications include an Albuterol inhaler, Brenna steroid inhaler, Sudafed, Nasacort, Xyzal, estradiol, and Lisinopril. The patient reports stomach pain with Traxadone and vomiting with Percocet. No new medications or changes in health behavior were reported.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, you may be experiencing:

  • A Respiratory Infection: Your symptoms of coughing, sinus congestion, body aches, chills, and chest tightness are common signs of a respiratory infection. This could be a common cold, but given the production of sputum and chest tightness, it could also be a more serious condition like bronchitis or pneumonia.

    • Treatment typically involves rest, hydration, and over-the-counter remedies to manage symptoms. Antibiotics may be prescribed if a bacterial infection is suspected.
  • An Asthma Flare-Up: Your asthma could be contributing to your chest tightness and coughing. Asthma symptoms can be triggered or worsened by respiratory infections.

    • Treatment involves using your prescribed inhalers as directed by your doctor. If your symptoms are not improving or are worsening, you should seek medical attention.

What you can do

  1. Continue using your inhalers as prescribed.
  2. Rest and stay hydrated.
  3. Use over-the-counter remedies to manage your symptoms. This can include decongestants for your sinus congestion and pain relievers for your body aches.
  4. Monitor your symptoms closely. If they worsen or do not improve in a few days, seek medical attention.

What you should look out for

Seek immediate medical attention if you experience:

  • Difficulty breathing or shortness of breath
  • High fever (temperature over 100.4°F)
  • Chest pain
  • Confusion or difficulty staying awake

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care.

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11 mo ago

People Also Ask


What are common symptoms of a respiratory infection?

Common symptoms of a respiratory infection include coughing, sinus congestion, body aches, chills, chest tightness, and sometimes fever. The production of sputum can indicate a more serious infection like bronchitis or pneumonia.


How can asthma be affected by a respiratory infection?

Asthma can be exacerbated by a respiratory infection, leading to increased chest tightness, wheezing, and coughing. Infections can trigger asthma symptoms or make them worse, requiring careful management with prescribed inhalers.


What are some effective home remedies for managing sinus congestion and cough?

Effective home remedies for managing sinus congestion and cough include staying hydrated, using a humidifier, inhaling steam, drinking hot fluids like tea with lemon, and using over-the-counter decongestants and pain relievers.


When should someone with asthma seek medical attention during a respiratory infection?

Someone with asthma should seek medical attention if they experience difficulty breathing, shortness of breath, high fever, chest pain, or confusion. If asthma symptoms do not improve with prescribed inhalers or worsen, medical advice should be sought promptly.


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