[19F] Experiencing shortness of breath, dry throat, and stomach discomfort

Patient Description

A 19-year-old female reports shortness of breath and a dry throat for the past two days, symptoms that began after consuming oranges. She experiences discomfort in her stomach, likely related to acid reflux, a condition she has managed for several years with occasional use of a 40mg Risek capsule and a careful diet. The patient has been practicing 23-hour intermittent fasting for a month and takes vitamins regularly. She rates her shortness of breath as 5 or 6 out of 10 in severity, which worsens with anxiety and improves upon sitting or standing. The stomach discomfort is rated as 4 out of 10. She has a history of GERD, diagnosed 3-4 years ago, and was treated for a bacterial infection associated with it. She has no known allergies to medications and is not currently taking any new prescribed medications. There is no fever, chills, chest pain, tightness, wheezing, coughing, or allergic reactions present, although she recently recovered from a viral flu.

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Arora's Assessment

What might be happening

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

  • Gastroesophageal Reflux Disease (GERD): This is a chronic condition where stomach acid frequently flows back into the tube connecting your mouth and stomach (esophagus). This backwash (acid reflux) can irritate the lining of your esophagus, causing symptoms like heartburn, chest pain, difficulty swallowing, dry cough, sore throat, and a sensation of a lump in your throat. Your history of GERD, along with your current symptoms of stomach discomfort, dry throat, and shortness of breath, especially after eating or lying down, suggest that your GERD may be acting up.

    • Treatment for GERD usually involves lifestyle changes and over-the-counter medications. If these don't help, your doctor might recommend prescription medications or surgery.
  • Anxiety: Anxiety can cause physical symptoms like shortness of breath, rapid breathing (hyperventilation), increased heart rate, sweating, trembling, feeling weak or tired, trouble concentrating, and sleep problems. Your mention of being an anxious person and experiencing shortness of breath when you worry a lot suggests that your symptoms might be related to anxiety.

    • Treatment for anxiety usually involves psychotherapy (counseling), medications, or both.
  • Depression: Depression is a mood disorder that causes a persistent feeling of sadness and loss of interest. It can lead to a variety of emotional and physical problems, including difficulty sleeping, loss of appetite, fatigue, and trouble concentrating. Your mention of suffering from depression suggests that this might be contributing to your overall health.

    • Treatment for depression usually involves medications, psychotherapy, or both.

What you can do

  1. Continue managing your GERD symptoms with a careful diet and occasional use of your Risek capsule. If your symptoms persist or worsen, consult your doctor. They might recommend stronger medications or other treatments.
  2. Try relaxation techniques like deep breathing, meditation, progressive muscle relaxation, or yoga to help manage your anxiety and shortness of breath.
  3. Seek help for your depression. If you're not already seeing a mental health professional, consider making an appointment. They can provide treatment and help you manage your depression.
  4. Stay hydrated and try to soothe your dry throat with lozenges, hard candies, or a humidifier.

What you should look out for

Seek immediate medical help if:

  • Your shortness of breath becomes severe or is accompanied by chest pain, fainting, or a blue coloration of your lips or face.
  • Your stomach discomfort becomes severe or is accompanied by vomiting, bloody or black stools, unexplained weight loss, or difficulty swallowing.
  • Your depression symptoms worsen or you start having thoughts of suicide.

Remember, I'm an AI and this advice is based on the information you've provided. It's always best to consult with a healthcare professional for a formal diagnosis and treatment.

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9 mo ago


People Also Ask


Can GERD cause shortness of breath and a dry throat?

Yes, GERD can cause shortness of breath and a dry throat. The acid reflux can irritate the esophagus and throat, leading to these symptoms, especially if the reflux occurs at night or when lying down.


How can anxiety affect breathing?

Anxiety can lead to shortness of breath by causing rapid breathing or hyperventilation. This is due to the body's fight-or-flight response, which can increase heart rate and breathing rate.


What lifestyle changes can help manage GERD symptoms?

Lifestyle changes to manage GERD include eating smaller meals, avoiding trigger foods (like citrus, spicy foods, and caffeine), not lying down immediately after eating, maintaining a healthy weight, and elevating the head of the bed.


What are some effective treatments for depression?

Effective treatments for depression often include a combination of medications (such as antidepressants) and psychotherapy (such as cognitive-behavioral therapy). Lifestyle changes, such as regular exercise and a healthy diet, can also support treatment.


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