[59M] Experiencing persistent cough and runny nose

Patient Description

A 59-year-old male has been experiencing a persistent cough and runny nose for two weeks. The runny nose is described as loose and clear, with frequent need to blow his nose, especially in the morning. The patient finds some relief using Zicam. The cough is frequent, with clear and yellow phlegm, but there are no associated symptoms of fever, chills, shortness of breath, chest pain, sneezing, itchy eyes, body aches, or fatigue. The patient is also taking Nyquil alongside Zicam. There is no known history of allergies or adverse reactions to medications, and the patient does not report any other pre-existing conditions or chronic illnesses.

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Arora's Assessment

What might be happening

Based on the information you've provided, the most likely cause of your symptoms is:

  • 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 for a common cold is usually supportive, meaning it aims to relieve symptoms while your body fights off the virus. This typically includes rest, hydration, and over-the-counter cold remedies.

Less likely, but still possible, are:

  • Allergic Rhinitis: This is an allergic response to specific allergens. Some people have allergies to substances such as pollen, dust mites, or pet dander. Symptoms can include a runny nose, sneezing, and congestion.

    • Treatment typically involves avoiding known allergens and using over-the-counter or prescription medications to control symptoms.
  • Sinusitis: This is an inflammation or swelling of the tissue lining the sinuses. It can be caused by an infection or an allergic reaction. Symptoms can include a runny nose with thick, yellow or green mucus, a cough, and facial pain or pressure.

    • Treatment typically involves managing symptoms with over-the-counter remedies and sometimes prescription medications. If caused by a bacterial infection, antibiotics may be necessary.

What you can do

  1. Continue to rest and stay hydrated.
  2. Over-the-counter cold remedies can help with symptoms. Always follow the instructions on the packaging.
  3. Use a humidifier in your bedroom to help keep your nose and throat moist and relieve congestion.
  4. Avoid irritants such as cigarette smoke and sudden temperature changes.
  5. If your symptoms persist for more than two weeks, worsen, or you develop new symptoms such as high fever, severe headache, chest pain or other worrying symptoms, seek medical attention.

What you should look out for

  • If your symptoms persist for more than two weeks or get worse, you should seek medical attention.
  • If you develop new symptoms such as high fever, severe headache, chest pain or other worrying symptoms, seek medical attention immediately.

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 who can evaluate your symptoms in person.

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11 mo ago

People Also Ask


What are the common symptoms of a cold and how long do they typically last?

Common symptoms of a cold include a runny or stuffy nose, cough, sore throat, sneezing, and mild headache. These symptoms typically last about 7 to 10 days, but a cough can linger for a few weeks.


How can I differentiate between a common cold and allergic rhinitis?

A common cold is usually accompanied by a sore throat and cough, while allergic rhinitis often includes sneezing, itchy eyes, and is triggered by exposure to allergens like pollen or dust. Allergic rhinitis symptoms persist as long as exposure continues, whereas a cold resolves on its own.


When should I seek medical attention for a persistent cough and runny nose?

You should seek medical attention if your symptoms persist for more than two weeks, worsen, or if you develop new symptoms such as a high fever, severe headache, chest pain, or shortness of breath.


What are some effective over-the-counter remedies for managing cold symptoms?

Effective over-the-counter remedies for managing cold symptoms include decongestants, antihistamines, cough suppressants, and pain relievers like acetaminophen or ibuprofen. Always follow the instructions on the packaging and consult with a healthcare professional if needed.


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