[66F] Experiencing dry cough and postnasal drip

Patient Description

A 66-year-old female presents with a moderate dry cough, sneezing, runny nose, and postnasal drip that have persisted for 2 days. The patient has found some relief using antihistamines. She reports a tickling sensation in her throat associated with the cough. There are no symptoms of fever or chills. The patient has allergies to cats and cottonwood trees but no known drug allergies or chronic medical conditions. No medications are currently being taken.

Show More

Arora's Assessment

Dry cough, sneezing, runny nose, and postnasal drip

Differential diagnosis

  • Given the patient's symptoms and known allergies, the most likely diagnosis is allergic rhinitis (J30.9).
  • Other possible diagnoses include common cold (J00), sinusitis (J32.9), and influenza (J11.1).

Plan

Continue with antihistamines and add a nasal corticosteroid spray to help manage symptoms. Recommend over-the-counter cough suppressants for the dry cough. Encourage the patient to avoid known allergens, such as cats and cottonwood trees. If symptoms persist or worsen, consider ordering a complete blood count (CBC) to rule out infection and a chest X-ray to rule out any lung conditions. If the patient's symptoms do not improve within a week, consider referral to an allergist for further evaluation and treatment.

Show More

1
 Hugs
0
 Comments

Save

11 mo ago

People Also Ask


What is allergic rhinitis and how is it different from a common cold?

Allergic rhinitis is an inflammation of the nasal passages caused by allergens such as pollen, dust, or pet dander. It is different from a common cold, which is caused by a viral infection. Allergic rhinitis typically does not cause fever, while a cold might.


How can antihistamines help with symptoms like sneezing and runny nose?

Antihistamines work by blocking the action of histamine, a substance in the body that causes allergy symptoms. They can help reduce sneezing, runny nose, and itching, providing relief from allergic reactions.


What are some effective ways to manage postnasal drip?

Managing postnasal drip can include using nasal saline sprays to rinse the nasal passages, staying hydrated, using a humidifier, and taking medications like antihistamines or nasal corticosteroids to reduce inflammation and mucus production.


When should someone with similar symptoms consider seeing a specialist like an allergist?

If symptoms persist despite treatment, worsen, or significantly impact daily life, it may be beneficial to see an allergist. They can perform tests to identify specific allergens and recommend more targeted treatments or therapies.


Preview

Post

No comments yet

Be the first one to comment

Share your feedback

All Stories

Experiencing symptoms?

Our AI will conduct a medical interview and assess what might be happening. You can also make a post afterwards.

Share your feedback