ETHOS

I have yellow nasal discharge and pressure around my eyes even after using nasal wash for 2 days.

Patient

Hi there. I've been having some issues, and I'm looking for some advice.

Triage Assistant

Sure, I can help with that. Where does it hurt?

Patient

I have quite a bit of discomfort and pressure around my eyes at the moment.

Triage Assistant

When did the nasal discharge start?

Patient

The discharge started about two days ago.

Triage Assistant

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

Patient

No, I don't have a cough. It's really just the nasal discharge that's concerning me.

Triage Assistant

Do you have a fever? If yes, please mention your temperature, how it was measured, and when it started.

Patient

No, I haven't had a fever. It's just been the pressure and the discharge.

Triage Assistant

Overall, how bad are you feeling right now? Would you say it doesn't interfere with normal activities, you're staying home from work, or you're staying in bed?

Patient

I'm not bedridden, but it definitely interferes with my normal activities. The pressure around my eyes makes it hard to focus or feel comfortable.

Triage Assistant

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

Patient

No other symptoms like that, just the yellow nasal discharge and the pressure around my eyes.

Triage Assistant

Based on what you have described, it sounds like you might have sinusitis. It would be a good idea to see a healthcare provider to get a proper diagnosis and treatment. In the meantime, you can try nasal washes to help relieve the pressure and clear out the mucus. Here's how to prepare a saline nasal wash: 1. Put 1 cup (8 oz; 240 ml) of distilled or boiled water (let it cool) in a clean container. 2. Add 3/4 teaspoon of non-iodized salt. 3. Add 1/4 teaspoon baking soda and stir well. 4. Use a nasal spray bottle, a rubber ear syringe, a medical syringe without the needle, or a Neti Pot to gently squirt or pour the solution into one nostril while leaning over a sink. 5. Allow the water to run out of the other nostril or your mouth, and then blow your nose gently. 6. Repeat for the other nostril. Using a warm compress around your eyes and taking acetaminophen or ibuprofen for pain can also help with discomfort. 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 should be See in Office Today.

  • Incomplete first aid advice given.

  • Some assessment questions asked.