[57F] With severe cough and intense headache

Patient Description

A 57-year-old female presents with a severe cough that feels deep in the chest and has been persistent for 4 days. The patient is coughing up yellowish-green phlegm. Additionally, she is experiencing sharp, throbbing headaches rated 9.5 out of 10 in intensity, located at the temples and across the back of the head, which worsen with movement. These headaches have been present for the same duration as the cough. The patient reports no fever or chills. There are no other symptoms mentioned.

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Arora's Assessment

What might be happening

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

  • Bronchitis: This is an inflammation of the bronchial tubes, the airways that carry air to your lungs. It often develops from a cold or other respiratory infection. Symptoms can include coughing up thickened mucus which can be discolored.

    • Treatment usually involves rest, paracetamol (or ibuprofen) and plenty of fluids. Antibiotics are not usually needed unless you have severe symptoms or are at risk of complications.
  • Sinusitis: This is inflammation or swelling of the tissue lining the sinuses. When they become blocked and filled with fluid, germs can grow and cause an infection. Symptoms can include headache, cough, and greenish or yellowish nasal discharge.

    • Treatment often involves using a decongestant and a saline nasal spray and drinking plenty of fluids.
  • Tension headache: This is the most common type of headache. It can cause a feeling of pressure at the temples or the back of the head. It's often caused by stress, lack of sleep, or poor posture.

    • Treatment usually involves over-the-counter pain relievers, rest, and stress management.

Please note that these are just possibilities and not a definitive diagnosis. You should consult with a healthcare professional for an accurate diagnosis.

What you can do

Here are some general suggestions that might help:

  1. Rest and hydrate: Make sure you're getting enough sleep and drinking plenty of fluids.
  2. Over-the-counter medication: Over-the-counter pain relievers can help with the headache. Over-the-counter cough suppressants can help with the cough.
  3. Avoid irritants: Smoke and other irritants can make your cough worse.

What you should look out for

You should seek immediate medical attention if:

  • Your symptoms persist for more than a week.
  • Your cough is accompanied by high fever, chest pain, or difficulty breathing.
  • Your headache is severe and does not improve with rest or over-the-counter medication.

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

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10 mo ago

People Also Ask


What are the common symptoms of bronchitis?

Common symptoms of bronchitis include a persistent cough that produces mucus, fatigue, shortness of breath, slight fever and chills, and chest discomfort.


How can I differentiate between a tension headache and a sinus headache?

A tension headache typically causes a feeling of pressure or tightness around the forehead or back of the head and neck, often related to stress or poor posture. A sinus headache is usually accompanied by facial pain or pressure, nasal congestion, and possibly a greenish or yellowish nasal discharge.


When should I see a doctor for a persistent cough?

You should see a doctor if your cough persists for more than a week, is accompanied by high fever, chest pain, or difficulty breathing, or if you have underlying health conditions that could complicate the situation.


What home remedies can help alleviate sinusitis symptoms?

Home remedies for sinusitis include using a humidifier, applying warm compresses to the face, staying hydrated, using saline nasal sprays, and inhaling steam to help clear nasal passages.


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