ETHOS

I've had sinus congestion for over 10 days with no improvement.

Patient

Hi, I'm hoping you can provide some guidance on a health issue I've been having.

Triage Assistant

Where does it hurt?

Patient

It's not exactly pain, but more of an ongoing discomfort.

Triage Assistant

Can you specify the location of this discomfort?

Patient

Sure, it's in my nasal area.

Triage Assistant

When did your nasal discharge start?

Patient

It's been about 10 days now.

Triage Assistant

How much nasal discharge are you experiencing?

Patient

It's quite frequent, and there's a significant amount.

Triage Assistant

Do you have a cough? If yes, describe the color of your sputum (clear, white, yellow, green).

Patient

No, I don't have a cough.

Triage Assistant

Describe your breathing.

Patient

My breathing feels a bit obstructed, probably because of the nasal congestion. But I'm not experiencing any shortness of breath.

Triage Assistant

Do you have a fever? If yes, what is your temperature, how was it measured, and when did it start?

Patient

No, I don't have a fever.

Triage Assistant

Overall, how bad are you feeling right now? For example, does it interfere with your normal activities, are you staying home from work, or are you staying in bed?

Patient

It's quite bothersome, and it's affecting my daily activities, but I haven't had to stay home from work or stay in bed all day. It's just making things quite uncomfortable and tiring.

Triage Assistant

Do you have any other symptoms, such as a sore throat, earache, wheezing, or vomiting?

Patient

No, I don't have any other symptoms like a sore throat, earache, wheezing, or vomiting. It's mainly just the sinus congestion.

Triage Assistant

It seems like you have sinus congestion that has been persistent for over 10 days, which may indicate a bacterial sinus infection. ### Disposition: You should see a healthcare provider today or tomorrow to evaluate your symptoms further. ### First Aid Advice: 1. **Nasal Washes**: Try saline (salt water) nasal irrigation to relieve your congestion. - You can use a saline nasal spray or make a nasal wash at home with distilled or boiled water. - Instructions: - Mix 3/4 teaspoon of non-iodized salt and 1/4 teaspoon of baking soda in 1 cup of water. - Lean over a sink and gently squirt or spray the saline solution into one nostril, let it drain out, and then repeat on the other side. 2. **Hydration**: Drink plenty of fluids to stay hydrated. 3. **Humidifier**: Use a humidifier in your room to add moisture to the air, which can help relieve congestion. 4. **Over-the-Counter Medication**: If needed, you can use a nasal decongestant for short-term relief. Thank you for calling, goodbye.

Dispositions

  • Call EMS 911 Now

  • See More Appropriate Protocol

  • Go to ED/UCC Now (or to Office With PCP Approval)

  • Go to Office Now

  • See in Office Today

  • See in Office Today or Tomorrow

  • Strep Test Only Visit Today or Tomorrow

  • Home Care

  • Triage result was accurate.

  • First aid advice was given.

  • All assesssment questions asked.