[65F] Experiencing headache, runny nose, and loss of smell

Patient Description

A 65-year-old female presents with a headache, runny nose, sore throat, and loss of smell ability, accompanied by persistent fatigue not alleviated by rest. The symptoms have been ongoing for three days, and the patient reports feeling tired throughout the day, which has affected her ability to work. She also experiences slight difficulty in breathing but no fever, chills, chest pain, or confusion. The patient has no known allergies, is not on any medications, and has no past medical history of chronic illnesses or conditions.

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Arora's Assessment

What might be happening

Based on the symptoms you've provided, possible diagnoses include:

  • COVID-19: This is a viral infection caused by the SARS-CoV-2 virus. Symptoms can include fatigue, runny nose, sore throat, and loss of smell or taste. Difficulty breathing can also occur in more severe cases.

    • Testing for COVID-19 is widely available and should be done if you have symptoms. Treatment is supportive, meaning it aims to relieve symptoms while your body fights the illness.
  • 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. Symptoms might include runny or stuffy nose, sore throat, cough, congestion, slight body aches or a mild headache, sneezing, low-grade fever, and generally feeling unwell (malaise).

    • The common cold is usually mild and resolves on its own. Treatment is aimed at relieving symptoms and may include rest, hydration, and over-the-counter cold remedies.
  • Influenza (flu): This is a common viral infection that can be deadly, especially in high-risk groups. The flu attacks the lungs, nose and throat. Symptoms include fatigue, runny nose, sore throat, and body aches.

    • Antiviral drugs can be used to treat the flu, but they are not a substitute for annual flu vaccination.

Please note that these are possible diagnoses and it's important to consult with a healthcare professional for an accurate diagnosis.

What you can do

  1. Get tested for COVID-19: Given your symptoms and the ongoing pandemic, it's important to get tested for COVID-19. You can contact your local health department for information on testing locations near you.
  2. Rest and hydrate: Regardless of the cause of your symptoms, rest and hydration are key to recovery. Try to get plenty of sleep and drink lots of fluids.
  3. Monitor your symptoms: Keep an eye on your symptoms and seek medical attention if they worsen. In particular, if your breathing difficulties increase, seek immediate medical attention.

What you should look out for

  • Worsening shortness of breath or difficulty breathing
  • Persistent pain or pressure in your chest
  • New confusion
  • Inability to wake or stay awake
  • Bluish lips or face

These are signs of a more serious condition and require immediate medical attention.

Remember, while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare professional.

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11 mo ago

People Also Ask


What are the common symptoms of COVID-19 and how do they differ from a cold or flu?

Common symptoms of COVID-19 include fever, cough, fatigue, loss of taste or smell, and difficulty breathing. The flu often presents with fever, body aches, and fatigue, while a cold typically involves a runny nose and sore throat. COVID-19 symptoms can be more severe and include loss of smell or taste, which is less common in colds and flu.


How can I differentiate between a common cold and COVID-19 based on symptoms?

While both COVID-19 and the common cold can cause a runny nose and sore throat, COVID-19 is more likely to cause loss of smell or taste and more severe fatigue. Testing is the most reliable way to differentiate between them.


What should I do if I experience loss of smell and persistent fatigue?

If you experience loss of smell and persistent fatigue, it is advisable to get tested for COVID-19, as these are common symptoms. Rest, hydrate, and monitor your symptoms closely.


When should I seek medical attention for breathing difficulties?

You should seek medical attention if your breathing difficulties worsen, if you experience persistent chest pain or pressure, new confusion, inability to wake or stay awake, or if you notice bluish lips or face, as these could be signs of a more serious condition.


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