[19F] Experiencing shortness of breath and chest pain post-pneumonia

Question

should i see a doctor?

Patient Description

A 19-year-old female with a history of asthma since childhood presents with sudden onset of shortness of breath, chest pain, back pain, neck pain, and wheezing over the past three days. The patient reports a constant need to use her albuterol inhaler, which provides only temporary relief. Symptoms are exacerbated by physical activity, such as walking. The patient also experiences cough, chest tightness, fever, increased heart rate, palpitations, and dizziness. She recently recovered from pneumonia and has been in contact with someone who had adenovirus. Current medications include Yaz, sertraline, and daily Zyrtec. No known drug allergies. The patient is concerned about the effectiveness of her asthma management plan.

Arora's Assessment

What might be happening

Based on the symptoms you've described, it seems like your asthma may not be well-controlled at the moment, possibly exacerbated by a recent respiratory infection like pneumonia or exposure to adenovirus. Here are some possibilities:

Asthma Exacerbation: Asthma symptoms can worsen due to infections, allergens, or irritants, leading to increased shortness of breath, wheezing, and frequent use of your inhaler. The fact that your inhaler is not as effective as before suggests that your asthma may be flaring up.
- Treatment typically involves using a rescue inhaler more frequently and possibly adjusting your asthma management plan with your healthcare provider. They may prescribe oral corticosteroids or other medications to help control the flare-up.
Post-Infectious Bronchial Hyperreactivity: After a respiratory infection like pneumonia, the airways can remain sensitive and reactive, leading to symptoms similar to an asthma flare-up.
- Treatment may involve continued use of bronchodilators and possibly inhaled corticosteroids to reduce inflammation.
Viral Infection: Exposure to adenovirus or other viruses can cause respiratory symptoms, including shortness of breath and wheezing, especially in individuals with asthma.
- Treatment focuses on symptom management, as viral infections typically resolve on their own. Rest, hydration, and over-the-counter medications may help alleviate symptoms.

What you can do

Consult Your Doctor: It's important to reach out to your healthcare provider to discuss your symptoms and possibly adjust your asthma management plan. They may recommend additional treatments or tests to ensure your asthma is well-controlled.
Monitor Your Symptoms: Keep track of your symptoms, including how often you use your inhaler and any changes in your condition. You can use MDandMe to journal your symptoms, track progress, and share this information with your healthcare provider.
Avoid Triggers: Try to identify and avoid any potential asthma triggers, such as allergens, smoke, or strong odors, that could be worsening your symptoms.
Rest and Hydrate: Ensure you get plenty of rest and stay hydrated to support your recovery from any recent infections.

What you should look out for

Seek medical attention more urgently if you experience any of the following:

Severe shortness of breath that does not improve with your inhaler
Chest pain that is persistent or worsening
Signs of a severe asthma attack, such as difficulty speaking or bluish lips or face
High fever or worsening symptoms that could indicate a secondary infection

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

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2 mo ago

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