[57F] Experiencing sinus pain, dry cough, and congestion

Patient Description

A 57-year-old female presents with moderate sinus congestion causing facial pain, a moderate hacking dry cough that worsens when lying down, and clear nasal discharge, all persisting for four days. The patient also experiences intermittent shortness of breath and chest pain, in addition to nausea and cramping. The patient's medical history is significant for anemia diagnosed 15 years ago. No current medications are being taken, and there are no known drug allergies.

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Arora's Assessment

What might be happening

Based on your symptoms, here are a few possible conditions:

  • 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. Many types of viruses can cause a common cold. Symptoms might include a runny or stuffy nose, sneezing, cough, sore throat, and mild headache.

    • Treatment: There's no cure for a common cold, but you can manage your symptoms while you wait for the cold to go away on its own. Plenty of rest and fluids can help your body recover.
  • Influenza (Flu): Influenza is a viral infection that attacks your respiratory system — your nose, throat and lungs. Influenza is commonly called the flu, but it's not the same as stomach "flu" viruses that cause diarrhea and vomiting.

    • Treatment: Antiviral drugs can treat flu illness. They can make illness milder and shorten the time you are sick.
  • Sinusitis: Sinusitis is inflammation or swelling of the tissue lining the sinuses. Healthy sinuses are filled with air. But when they become blocked and filled with fluid, germs can grow and cause an infection.

    • Treatment: Treatment for sinusitis depends on the cause. In most cases, home remedies are all that's needed. However, persistent sinusitis can lead to serious infections and other complications. Sinusitis that lasts more than 12 weeks, despite medical treatment, is considered chronic sinusitis.

Please note that these are just possibilities and not a definitive diagnosis. It's important to consult with a healthcare provider for an accurate diagnosis and treatment.

What you can do

  1. Rest and hydrate: Make sure to get plenty of sleep and stay hydrated. This can help your body fight off the infection and speed up recovery.

  2. Over-the-counter medication: Over-the-counter cold remedies can help with symptoms like a runny nose, congestion, and body aches. Just make sure to follow the instructions on the label.

  3. Humidifier: Using a humidifier can help keep your throat and nasal passages moist and relieve congestion.

  4. Warm compress: Applying a warm compress to your face can help relieve pain in your nose and sinuses.

What you should look out for

If your symptoms persist for more than a week, or you experience any of the following, you should seek medical attention:

  • High fever (over 100.4°F)
  • Severe headache
  • Chest pain or difficulty breathing
  • Symptoms that get worse or won't go away

Remember, it's important to consult with a healthcare provider for an accurate diagnosis and treatment.

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11 mo ago

People Also Ask


What are the common symptoms of sinusitis and how can it be treated?

Common symptoms of sinusitis include facial pain or pressure, nasal congestion, nasal discharge, reduced sense of smell, and cough. Treatment often involves home remedies such as rest, hydration, and using a humidifier. Persistent or severe cases may require medical treatment.


How can I differentiate between a common cold and the flu?

The common cold and the flu share symptoms like cough and congestion, but the flu often includes more severe symptoms such as high fever, body aches, and fatigue. The flu can also lead to more serious complications.


What home remedies can help alleviate sinus congestion and facial pain?

Home remedies for sinus congestion and facial pain include staying hydrated, using a humidifier, applying warm compresses to the face, and taking over-the-counter decongestants or pain relievers as needed.


When should I seek medical attention for respiratory symptoms like cough and shortness of breath?

You should seek medical attention if you experience symptoms that persist for more than a week, a high fever, severe headache, chest pain, or difficulty breathing, as these could indicate a more serious condition.


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