[60M] With runny nose, wet cough, and body aches

Patient Description

A 60-year-old male presents with a runny nose, wet cough, and body aches for the past week. The patient reports that the runny nose and cough started around the same time and describes the cough as moderate. There are no known factors that exacerbate or alleviate the runny nose, and it does not worsen at any particular time of day. The patient has not experienced a runny nose like this before. There is no recent exposure to known allergens, irritants, or sick individuals, and no recent travel. The patient reports nasal congestion but denies fever, sore throat, sneezing, shortness of breath, and chest pain. The patient has no chronic respiratory conditions such as asthma or COPD and is not currently taking any medications for the symptoms. The patient does not smoke or use tobacco products. The patient's medical history is significant for HIV, diagnosed 13 years ago. There are no known drug allergies, and the patient is not taking any over-the-counter medications, supplements, or herbal remedies.

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Arora's Assessment

What might be happening

Based on the symptoms you've described—runny nose, wet cough, nasal congestion, and body aches—here are some possible explanations:

  • Common Cold: This is a viral infection of your nose and throat (upper respiratory tract). Symptoms often include a runny nose, cough, congestion, and body aches. It usually resolves on its own within a week or two.

    • Treatment: Rest, hydration, over-the-counter cold medications, and throat lozenges can help alleviate symptoms.
  • Acute Bronchitis: This condition involves inflammation of the bronchial tubes, which carry air to your lungs. It often follows a cold or other respiratory infection and can cause a wet cough, runny nose, and body aches.

    • Treatment: Rest, fluids, and over-the-counter medications to relieve symptoms. In some cases, a doctor may prescribe antibiotics if a bacterial infection is suspected.
  • Sinusitis: This is an inflammation or swelling of the tissue lining the sinuses, which can cause nasal congestion, runny nose, and sometimes a cough.

    • Treatment: Over-the-counter decongestants, saline nasal sprays, and pain relievers can help. In some cases, a doctor may prescribe antibiotics if a bacterial infection is suspected.

Given your history of HIV, it's important to monitor your symptoms closely, as your immune system may be compromised.

What you can do

While it's important to consult a healthcare provider for a formal diagnosis and treatment plan, here are some steps you can take to alleviate your symptoms:

  1. Stay Hydrated: Drink plenty of fluids like water, herbal teas, and broths to stay hydrated and help thin mucus.
  2. Rest: Ensure you get plenty of rest to help your body fight off the infection.
  3. Over-the-Counter Medications: Consider using over-the-counter medications like decongestants, cough suppressants, and pain relievers to manage your symptoms.
  4. Humidifier: Using a humidifier in your room can help keep the air moist and ease congestion and coughing.
  5. Warm Compress: Applying a warm compress to your face can help relieve sinus pressure and congestion.
  6. MDandMe Journal: Use the MDandMe app to journal your symptoms, track your progress, and share your notes with your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

  • High Fever: A temperature over 100.4°F (38°C) that doesn't go down with over-the-counter medications.
  • Shortness of Breath: Difficulty breathing or wheezing.
  • Chest Pain: Persistent or severe chest pain.
  • Worsening Symptoms: If your symptoms worsen or don't improve after a week.
  • New Symptoms: Any new or unusual symptoms, especially given your history of HIV.

Remember, while these tips can help manage your symptoms, it's crucial to consult a healthcare provider for a formal diagnosis and appropriate treatment.

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2 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 nose, cough, congestion, and body aches. These symptoms usually last about a week to ten days, but can sometimes persist for up to two weeks.


How can I differentiate between a common cold and acute bronchitis?

A common cold typically involves a runny nose, cough, and congestion, while acute bronchitis may also include a persistent wet cough and chest discomfort. Bronchitis often follows a cold and can last longer, sometimes requiring medical evaluation if symptoms persist.


What are some effective home remedies for relieving nasal congestion?

Effective home remedies for nasal congestion include staying hydrated, using a humidifier, applying a warm compress to the face, and using saline nasal sprays. Over-the-counter decongestants can also be helpful.


When should someone with a history of HIV seek medical attention for respiratory symptoms?

Individuals with a history of HIV should seek medical attention for respiratory symptoms if they experience a high fever, shortness of breath, chest pain, worsening symptoms, or any new or unusual symptoms, as their immune system may be compromised.


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