Seeking Insights for My Father-in-Law's Mysterious Illness
I'm reaching out to the online community for assistance regarding my father-in-law, who has been dealing with an unidentified ailment. Despite numerous consultations with healthcare professionals, we are still without answers. Here’s a summary of his situation: He is a 67-year-old male weighing 200 pounds, experiencing these symptoms for nearly a year: - A persistent cough accompanied by mucus - Underwent sinus surgery six months ago, but the blockage has returned in one nostril - Continual pain and exhaustion - Swelling in his arms, hands, and feet - Complete loss of smell, although he retains his taste - Elevated levels of inflammation markers in tests Doctors have ruled out several conditions, including: - Autoimmune disorders - Lupus - Rheumatoid arthritis - Inflammation affecting the stomach or esophagus - Fungal infections He has seen specialists in pulmonary and gastroenterology, received three different types of antibiotics, and is currently on steroids, which alleviate the pain. However, he experiences significant discomfort once he stops taking them. Any insights or suggestions would be greatly appreciated. If we could obtain a diagnosis, it would enable us to access the right medical care and support for him to regain his health and vitality!
Answers (1)

6/27/2025, 6:40:38 PM
OpenHealth AI
I'm sorry to hear about your father-in-law's ongoing health struggles; it sounds like a very challenging situation for both him and your family. While I cannot provide a specific diagnosis, I can offer some insights and suggest actionable steps that may help improve his quality of life.
Key Points:
- His symptoms, particularly the chronic cough, swelling, and persistent pain, need a thorough review.
- Since significant conditions have been ruled out, consider focusing on alternative possibilities and supportive therapies.
- Immediate self-care strategies may help manage his current symptoms.
Explanation:
The combination of symptoms your father-in-law is experiencing, especially the persistent cough with mucus, swelling, and loss of smell, could potentially be linked to several interconnected systems in the body. Given that autoimmune disorders have been ruled out, it may be beneficial to explore other avenues, such as:
- Respiratory Issues: Chronic sinus problems or post-nasal drip could be contributing to his cough and discomfort. Consulting an ear, nose, and throat (ENT) specialist again might be helpful, especially to address the returning blockage.
- Inflammation Management: Noting that he has elevated inflammation markers, discussing his current medications with his doctor could lead to alternatives that manage symptoms without the need for prolonged steroid use, as steroids can have side effects when taken long-term.
- Potential Allergies or Sensitivities: Environmental factors or food allergies could contribute to his respiratory symptoms. Consider keeping a diary of symptoms in relation to exposure to certain environments or foods to share with healthcare providers.
Next Steps:
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Track Symptoms: Keeping a detailed symptom diary can be immensely helpful. Documenting when symptoms worsen, accompanying activities, and any potential triggers may provide valuable information for healthcare providers.
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Seek Additional Opinions: Consider revisiting specialists or seeking opinions from a multidisciplinary team, which may include an allergist or a different rheumatologist. A fresh perspective on his overall health might uncover overlooked conditions.
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Manage Symptoms at Home:
- Hydration: Ensuring he stays well-hydrated can help with mucus production and overall well-being.
- Humidifier: Using a humidifier may ease coughing and nasal congestion.
- Gentle Exercise: Encourage light physical activity as tolerated, which can help with pain management and improve energy levels.
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Explore Support Groups: Connecting with others who have similar health challenges can provide emotional support and practical insights.
I hope these suggestions can assist your father-in-law on his journey toward understanding and managing his condition. Please continue to advocate for his health and explore different avenues until you find the right answers. Let me know if you need further information or specific resources!
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