[18F] Experiencing breathing difficulties and dry cough

Patient Description

An 18-year-old female reports discomfort when breathing, likening it to breathing through a straw, and a persistent dry cough for approximately two weeks. The symptoms gradually began after a fever and cold/flu. The breathing difficulty is rated 7 out of 10 in severity and is exacerbated by standing up or talking for prolonged periods. The throat feels persistently dry despite hydration efforts, and cough drops provide only temporary relief. The patient also experiences chest tightness but no wheezing, whistling sounds, or cyanosis. The patient's medical history is unremarkable for chronic illnesses or known drug allergies. Current medications include hydroxyzine, citalopram, and vitamin D supplementation.

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Arora's Assessment

What might be happening

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

  • Bronchitis: This is an inflammation of the bronchial tubes, the air passages between the nose and the lungs. It's often caused by a viral infection, so it can follow a cold or other respiratory infection. Symptoms can include a cough that brings up mucus, shortness of breath, chest tightness, and fatigue.

    • Treatment usually involves rest, plenty of fluids, and over-the-counter pain relievers for discomfort. If your bronchitis is caused by a bacterial infection, your doctor may prescribe antibiotics.
  • Asthma: This is a condition in which your airways narrow and swell and produce extra mucus. This can make breathing difficult and trigger coughing, wheezing and shortness of breath. Asthma can't be cured, but its symptoms can be controlled.

    • Treatment involves identifying triggers and avoiding them, and taking medication to prevent or treat attacks.
  • COVID-19: Given the current pandemic, it's important to consider COVID-19, which can cause symptoms like a dry cough, shortness of breath, and fatigue. However, you've mentioned that you don't have a fever or chills, which are common symptoms of COVID-19.

    • If you suspect you have COVID-19, you should get tested as soon as possible and isolate yourself from others.

What you can do

  • Bronchitis: Rest, stay hydrated, and use a humidifier. Over-the-counter cough suppressants can help with your cough. If your symptoms persist for more than a week, seek medical attention.

  • Asthma: If you have an inhaler, use it as directed by your doctor. Avoid triggers, such as allergens or strenuous activity. Seek medical attention if your symptoms persist or worsen.

  • COVID-19: Get tested for COVID-19. While waiting for your results, stay home and isolate from others. Rest and stay hydrated. Seek medical attention if your symptoms worsen.

What you should look out for

  • Difficulty breathing or shortness of breath that becomes more severe
  • Chest pain or pressure
  • Confusion or difficulty waking up
  • Bluish lips or face

Please remember that while I strive to provide accurate information, I'm not a doctor. You should seek medical attention if your symptoms persist or worsen.

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1 yr ago

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People Also Ask


What are the common symptoms of bronchitis and how is it treated?

Common symptoms of bronchitis include a persistent cough that may produce mucus, shortness of breath, chest tightness, and fatigue. Treatment typically involves rest, staying hydrated, and using over-the-counter pain relievers. If it's bacterial, antibiotics may be prescribed.


How can I differentiate between asthma and other respiratory conditions?

Asthma is characterized by episodes of wheezing, shortness of breath, chest tightness, and coughing, often triggered by allergens or physical activity. Unlike other conditions, asthma symptoms can be controlled with medication and by avoiding triggers.


What should I do if I suspect I have COVID-19 but don't have a fever?

If you suspect COVID-19, get tested as soon as possible and isolate yourself from others. Even without a fever, symptoms like a dry cough and shortness of breath warrant testing. Rest and stay hydrated while awaiting results.


What are the warning signs that indicate I should seek immediate medical attention for breathing difficulties?

Seek immediate medical attention if you experience severe difficulty breathing, chest pain or pressure, confusion, difficulty waking up, or bluish lips or face, as these can be signs of a serious condition.


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