[65M] Experiencing runny nose, mild cough, and low energy

Patient Description

A 65-year-old male presents with a constant clear, thick runny nose and a mild dry cough that have been persisting for 2-3 days. The patient has also been feeling a sense of weakness with low energy levels during the same timeframe. The symptoms of runny nose are managed by blowing the nose, and no specific aggravating or alleviating factors have been identified. The patient experienced chills a few days ago, which resolved within a few hours. There is no reported sore throat, breathing difficulty, sinus pain, or headache, and the weakness does not significantly impact daily activities. The patient does not have a history of allergies or underlying medical conditions, is not on any medications, and has not had recent vaccinations for influenza or pneumococcal disease. No recent exposure to sick contacts or allergens has been reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, the most likely causes of your symptoms include:

  • Common Cold: This is a viral infection of your nose and throat. 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, mild headache, body aches, and a low-grade fever.

    • Treatment typically involves rest, hydration, and over-the-counter remedies for your symptoms.
  • Influenza (Flu): This 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. It can cause severe illness and life-threatening complications in many people. Symptoms are similar to a common cold but tend to be more severe and may also include chills and body aches.

    • Treatment typically involves rest, hydration, and sometimes antiviral medications if started early in the course of illness.
  • Allergic Rhinitis: This is a type of inflammation in the nose which occurs when the immune system overreacts to allergens in the air. Signs and symptoms include a runny or stuffy nose, sneezing, red, itchy, and watery eyes, and swelling around the eyes. However, you mentioned that you have no known allergies, making this less likely.

    • Treatment involves avoiding known allergens, over-the-counter antihistamines, and nasal steroids.

Please note that this is not an exhaustive list of all possible conditions that could be causing your symptoms.

What you can do

  1. Rest and hydrate: Make sure you're getting plenty of sleep and drinking enough fluids. This can help your body recover more quickly.
  2. Over-the-counter remedies: Over-the-counter cold remedies can help alleviate symptoms like a runny nose, congestion, and body aches. These include decongestants, pain relievers, and cough suppressants.
  3. Stay home: If you have a fever or a severe cough, it's best to stay home to rest and avoid spreading any potential infection to others.

What you should look out for

You should seek immediate medical attention if you experience any of the following:

  • Difficulty breathing or shortness of breath
  • Pain or pressure in your chest or abdomen
  • Sudden dizziness or confusion
  • Severe or persistent vomiting
  • Flu-like symptoms that improve but then return with fever and worse cough

Please remember that while I strive to provide accurate and helpful medical information, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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11 mo ago

People Also Ask


What are the common symptoms of a cold and how can they be managed?

Common symptoms of a cold include a runny or stuffy nose, sneezing, mild headache, body aches, and sometimes a low-grade fever. Management typically involves rest, staying hydrated, and using over-the-counter remedies like decongestants and pain relievers to alleviate symptoms.


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

The flu often presents with more severe symptoms than a common cold, including high fever, chills, body aches, and fatigue. While both can cause a runny nose and cough, the flu can lead to more serious complications and may require antiviral medications if caught early.


What are some effective over-the-counter remedies for a runny nose and cough?

Effective over-the-counter remedies for a runny nose and cough include decongestants, antihistamines, and cough suppressants. These can help reduce nasal congestion and control coughing, providing relief from symptoms.


When should I seek medical attention for flu-like symptoms?

You should seek medical attention if you experience difficulty breathing, chest pain, sudden dizziness, confusion, severe vomiting, or if flu-like symptoms improve but then return with a fever and worse cough. These could indicate complications that require prompt medical evaluation.


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