Cold and cough lasting 3 weeks with:
• Facial pain
• Headache
• Thick nasal discharge
• Blocked nose
• Heaviness in head
This pattern strongly suggests acute bacterial sinusitis rather than simple viral cold.
When cold lasts beyond 10–14 days and discharge becomes thick/yellow/green with facial pressure, it usually means:
➡️ Sinus inflammation
➡️ Mucus stagnation
➡️ Possible secondary bacterial infection
The “heavy thick cold” happens because:
• Sinus openings get blocked
• Mucus cannot drain
• It becomes thick and infected
This is common after untreated viral cold or allergic rhinitis.
Next Steps
Medication (general guidance):
✔ Steam inhalation 2–3 times daily
✔ Saline nasal spray 3–4 times daily
✔ Levocetirizine at night (if allergy component)
✔ Paracetamol for pain
If symptoms are:
• Persistent >3 weeks
• Severe facial pain
• Thick discharge continuing
Then antibiotic may be required (only after doctor evaluation).
If:
• Fever develops
• Swelling around eyes
• Severe worsening headache
→ Immediate medical review required.
Health Tips
✔ Drink warm fluids
✔ Avoid cold exposure
✔ Sleep with head slightly elevated
✔ Avoid dust and allergens
✔ Do not overuse nasal decongestant drops (max 3–5 days only)
Most sinus infections improve with proper drainage and treatment.
Since your symptoms are already 3 weeks long, I recommend proper evaluation to decide whether antibiotics are needed or if this is allergic sinusitis.
Booking an online consultation will allow me to assess severity and prescribe the correct treatment so it resolves completely without recurrence.