[18F] Experiencing worsening shortness of breath and fast heart rate

What might be happening

Based on the symptoms you've described, here are some possible explanations:

1. Asthma or Reactive Airway Disease:

   • Rationale: Your symptoms of shortness of breath, wheezing, and chest tightness, especially when exposed to cleaning chemicals, could indicate asthma or a similar condition. Asthma can be triggered by irritants like chemicals and can cause the airways to narrow, leading to difficulty breathing.
   • Typical Treatments/Testing: Diagnosis often involves lung function tests, such as spirometry. Treatment may include inhalers (bronchodilators and corticosteroids) to reduce inflammation and open the airways.

2. Anxiety or Panic Disorder:

   • Rationale: Rapid heart rate, shortness of breath, and chest tightness can also be symptoms of anxiety or panic attacks. These conditions can cause physical symptoms that mimic respiratory or cardiac issues.
   • Typical Treatments/Testing: Diagnosis is usually clinical, based on your history and symptoms. Treatment may include therapy (such as cognitive-behavioral therapy) and medications (such as SSRIs or benzodiazepines).

3. Chemical Irritant-Induced Respiratory Issues:

   • Rationale: Exposure to cleaning chemicals can cause respiratory symptoms, including shortness of breath and wheezing. This could be due to irritation or an allergic reaction to the chemicals.
   • Typical Treatments/Testing: Avoidance of the irritant is key. Treatment may include bronchodilators or antihistamines. A healthcare provider might recommend allergy testing or a referral to a pulmonologist.

What you can do

Shortness of Breath and Wheezing:

• See a doctor: It's important to consult a healthcare provider to determine the exact cause of your symptoms. They may perform lung function tests or other diagnostic tests.
• Avoid triggers: Try to minimize exposure to cleaning chemicals and other potential irritants. Use protective equipment like masks if you must handle these substances.
• Monitor symptoms: Keep track of when your symptoms occur and any potential triggers. You can use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.

Fast Heart Rate:

• Consult a healthcare provider: A fast heart rate, especially when accompanied by shortness of breath, should be evaluated by a doctor. They may perform an ECG or other cardiac tests.
• Relaxation techniques: Practice deep breathing exercises, meditation, or other relaxation techniques to help manage anxiety and reduce heart rate.

Dizziness and Lightheadedness:

• Stay hydrated: Ensure you are drinking enough water throughout the day.
• Avoid sudden movements: Stand up slowly from sitting or lying positions to prevent dizziness.
• Consult a doctor: Persistent dizziness and lightheadedness should be evaluated by a healthcare provider to rule out underlying conditions.

What you should look out for

Given the severity of your symptoms and the potential for serious underlying conditions, you should seek medical care as soon as possible. Reasons to seek care even more urgently include:

• Severe shortness of breath: If you find it extremely difficult to breathe or if your symptoms worsen suddenly.
• Chest pain: If you experience severe or persistent chest pain.
• Fainting or severe dizziness: If you faint or feel like you might faint.
• Swelling in legs or ankles: If you notice swelling, which could indicate a cardiac issue.

Remember, while I can provide information and suggestions, it's crucial to consult with a healthcare professional for a formal diagnosis and appropriate treatment.