Is It a Viral Infection or Allergies? Your Symptoms

Is it a viral infection or an allergy?

I have been experiencing recurrent colds for about two months.
At the end of August and beginning of September, I suddenly developed a fever, nasal congestion, and did not have a cough.
The doctor at the clinic diagnosed me with nasal mucosa inflammation and sinusitis (which I had not experienced before).
After finishing the medication, about a week later, I suddenly had a high fever and body aches.
Since it was a Sunday night around 9 PM and there were no clinics open, I could only go to the pharmacy for medication.
By the end of September, I continued to have a fever for about two days (my baseline temperature was around 37.5°C and wouldn't go down).
On October 4th, I visited another clinic where the doctor said I had severe post-nasal drip and some redness and swelling in my throat.
I was prescribed medication for nasal congestion and throat spray.
After finishing the medication, I returned on October 7th, but the post-nasal drip had not improved.
The doctor advised me to use steam inhalation.
On October 11th, my symptoms had not improved, so I went to a large hospital.
The doctor only mentioned it was a viral infection and prescribed medication.
Currently, my nasal congestion is still severe, I occasionally have a dry cough, lack of appetite, and feel nauseous.
What should I do now?

Rachel, 20~29 year old female. Ask Date: 2017/10/13

Dr. Liao Yaopan reply Family Medicine

Hello, theoretically, the acute phase of a viral respiratory infection should not last too long.
However, subsequent symptoms can vary based on individual factors.
If there are any abnormal temperature readings, it is advisable to consult with an infectious disease specialist or an immunologist to rule out other potential causes.
Additionally, the complexity of medications may lead to discomfort due to drug interactions, so it is important to be cautious.
Please note that online consultations do not equate to in-person visits and cannot provide a diagnosis or treatment recommendations.
Changhua Hospital cares about you.

Reply Date: 2017/10/13

More Info

Based on your symptoms and the timeline you've provided, it seems that you are experiencing a complex situation that could involve both a viral infection and possibly allergic reactions. The recurring nature of your symptoms over the past two months, including fever, nasal congestion, and throat discomfort, suggests that there may be an underlying issue that needs to be addressed.

Understanding Your Symptoms
1. Viral Infection: The symptoms you've described, such as fever, body aches, and nasal congestion, are common in viral infections, particularly upper respiratory infections. The fact that you experienced a high fever and body aches, followed by nasal congestion and throat irritation, aligns with typical viral illnesses like the flu or a common cold. Viral infections can sometimes lead to secondary bacterial infections, especially if the nasal passages or sinuses become involved, which could explain your diagnosis of sinusitis.

2. Allergic Reactions: Allergies can also present with similar symptoms, particularly nasal congestion, post-nasal drip, and throat irritation. If you have been exposed to allergens (such as pollen, dust, or pet dander), this could explain the nasal inflammation and the sensation of mucus drainage into your throat. Allergies can also cause fatigue and malaise, which might be contributing to your overall feeling of being unwell.

Diagnostic Considerations
Given that your symptoms have persisted for an extended period, it is crucial to consider further evaluation. Here are some steps you might take:
- Allergy Testing: If allergies are suspected, consider seeing an allergist for testing. Identifying specific allergens can help in managing your symptoms more effectively.

- Imaging Studies: If sinusitis is suspected, a CT scan of the sinuses may be warranted to assess for any blockages or complications that could be contributing to your symptoms.

- Further Blood Tests: Blood tests can help rule out other underlying conditions, such as autoimmune disorders or chronic infections that could be causing your symptoms.

Management Strategies
1. Medications: Continue taking any prescribed medications, including nasal sprays or antihistamines if allergies are suspected. Over-the-counter decongestants may also help relieve nasal congestion.

2. Steam Inhalation: Inhaling steam can help soothe irritated nasal passages and promote drainage. This can be done through a hot shower or using a bowl of hot water with a towel over your head.

3. Hydration: Staying well-hydrated is essential, especially if you are experiencing fever and potential dehydration from vomiting or lack of appetite.

4. Rest: Ensure you are getting adequate rest to help your immune system fight off any infections.

5. Follow-Up: If your symptoms do not improve or worsen, follow up with your healthcare provider. They may consider a referral to an ENT specialist for further evaluation of your nasal and throat symptoms.

Conclusion
In summary, your symptoms could be indicative of either a viral infection, allergies, or a combination of both. Given the duration and severity of your symptoms, it is essential to seek further medical evaluation to determine the underlying cause and appropriate treatment. Keeping a symptom diary, including any potential triggers or patterns, can also be helpful for your healthcare provider in making a diagnosis. Remember, persistent symptoms warrant thorough investigation to ensure that any serious conditions are ruled out.

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