ETHOS

I was told by my doctor to follow up about my stuffy nose not improving after 10 days.

Patient

Hi, I was hoping to get some advice on a problem I'm having. It's been concerning me for a while now, and I'm not sure what to do next. Can you help me?

Triage Assistant

Where does it hurt?

Patient

It's mostly an issue with my nose.

Triage Assistant

When did the nasal discharge start?

Patient

It started about 10 days ago.

Triage Assistant

How much discharge is there?

Patient

It's been pretty constant, which is why I'm getting more concerned.

Triage Assistant

Do you have a cough?

Patient

No, I haven't noticed any coughing.

Triage Assistant

Describe your breathing.

Patient

My breathing has been a bit harder than usual because of how congested my nose is.

Triage Assistant

Do you have a fever?

Patient

No, I haven't had a fever at all.

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 even staying in bed?

Patient

It's definitely been interfering with my daily activities, but I haven't had to stay home from work or stay in bed. It's just been uncomfortable and persistent.

Triage Assistant

Do you have any other symptoms? For example, a sore throat, earache, wheezing, or vomiting?

Patient

No, none of those symptoms. It's just been the nasal congestion that's really persistent.

Triage Assistant

Based on your symptoms and the duration of your nasal discharge, it looks like you might need to see a doctor. The nasal discharge persisting for more than 10 days without improvement could be indicative of a more serious condition such as bacterial sinusitis. Until you see a doctor, you can try the following first-aid advice: - Use saline (salt water) nasal irrigation to help clear your nasal passages. You can make a saline solution at home using distilled or boiled water, non-iodized salt, and baking soda. - Stay hydrated by drinking adequate liquids. - Consider using a humidifier in your room to maintain moisture in the air. - Use over-the-counter nasal decongestants sparingly and not for more than three days if needed. Please arrange to see a healthcare professional as soon as possible. Thank you for calling. Goodbye.

Patient

Thank you for the advice. I'll follow up with my doctor soon to get this checked out. Thank you for your help! Goodbye!

Triage Assistant

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.