[18F] Experiencing severe shortness of breath and chest pain

Patient Description

An 18-year-old female has been experiencing severe shortness of breath and chest pain for the past year. The shortness of breath is present even at rest and is rated 8 out of 10 in severity. The chest pain is described as a tightness that occurs with deep breaths and is also rated 8 out of 10 in severity. The patient has a family history of pulmonary diseases and an allergy to dust, which exacerbates breathing difficulties. There is no history of smoking or current medication use. Previous medical consultations have not identified the cause of occasional wheezing. The patient has no known pre-existing conditions or chronic illnesses.

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Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions could be causing your symptoms:

  • 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. You mentioned a family history of pulmonary diseases and an allergy to dust, both of which can trigger asthma symptoms.

    • Asthma is typically diagnosed with a physical exam and lung function tests. Treatment usually involves avoiding triggers and using medications to reduce inflammation and open up the airways.
  • Anxiety or Panic Disorder: These conditions can cause physical symptoms like chest tightness and difficulty breathing. They're often associated with feelings of fear or worry, but can also occur without any identifiable trigger.

    • Treatment typically involves a combination of therapy and medication.
  • Pulmonary Embolism: This is a blockage in one of the pulmonary arteries in your lungs. It's usually caused by blood clots that travel to your lungs from your legs. It can cause shortness of breath, chest pain, and a rapid heart rate. However, you didn't mention any leg swelling or pain, which are common symptoms of blood clots in the legs.

    • Pulmonary embolism is a medical emergency and requires immediate treatment, usually with medications to dissolve the clot and prevent new ones from forming.

What you can do

  1. Seek immediate medical attention: Given the severity of your symptoms, it's important to get evaluated by a healthcare professional as soon as possible. They can perform the necessary tests to determine the cause of your symptoms and recommend appropriate treatment.

  2. Monitor your symptoms: Keep track of when your symptoms occur, how long they last, and any potential triggers. This information can be helpful for your healthcare provider.

  3. Avoid known triggers: If dust triggers your symptoms, try to avoid exposure as much as possible. This might involve cleaning your home more frequently, using air purifiers, and wearing a mask when necessary.

What you should look out for

Seek immediate medical attention if:

  • Your symptoms worsen or become severe
  • You experience sudden, sharp chest pain
  • You cough up blood
  • You have a rapid heart rate or palpitations
  • You feel lightheaded, dizzy, or faint

Please remember that while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare professional.

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10 mo ago

People Also Ask


What are the common symptoms of asthma and how is it diagnosed?

Common symptoms of asthma include shortness of breath, chest tightness, wheezing, and coughing. It is typically diagnosed through a physical exam and lung function tests, such as spirometry, which measure how much air you can inhale and exhale and how quickly you can exhale.


Can anxiety or panic disorders cause physical symptoms like shortness of breath and chest pain?

Yes, anxiety or panic disorders can cause physical symptoms such as shortness of breath, chest pain, and a feeling of tightness in the chest. These symptoms can occur even without an identifiable trigger and are often accompanied by feelings of fear or worry.


What are the signs of a pulmonary embolism and why is it considered a medical emergency?

Signs of a pulmonary embolism include sudden shortness of breath, chest pain that may become worse with deep breaths, a rapid heart rate, and sometimes coughing up blood. It is considered a medical emergency because it can block blood flow to the lungs, which can be life-threatening if not treated promptly.


How can I manage allergies to reduce breathing difficulties?

To manage allergies and reduce breathing difficulties, it is important to avoid known triggers such as dust. This can involve cleaning your home frequently, using air purifiers, and wearing a mask when necessary. Additionally, allergy medications or treatments prescribed by a healthcare provider can help manage symptoms.


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