[19F] Experiencing sudden shortness of breath and resolved headache

Patient Description

A 19-year-old female with a history of asthma, diagnosed 10 years ago, reports experiencing sudden onset shortness of breath, rated 7 out of 10 in severity. The patient also experienced a sharp headache on the top of the head, which has since resolved. There were no specific triggers or activities that exacerbated the headache, and no relief measures were identified. The patient denies recent exposure to allergens, irritants, or environmental changes. She recently recovered from the flu but reports that the shortness of breath did not start post-recovery, and there are no lingering symptoms such as fatigue or cough. The patient denies the use of substances like alcohol, tobacco, or recreational drugs and has not taken any new medications or supplements recently. There are no known allergies or adverse reactions to medications, and the patient is not currently on any medications.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

  • Asthma Exacerbation: Since you have a history of asthma, it's possible that your current shortness of breath is due to an asthma flare-up. Asthma symptoms can sometimes worsen without a clear trigger, and this can include increased difficulty breathing.

    • Typical treatments for asthma exacerbations include using a rescue inhaler (such as albuterol) to help open up the airways. If you don't have one or it's not effective, it's important to seek medical attention.
  • Post-Viral Bronchospasm: After recovering from a viral infection like the flu, some people experience lingering airway inflammation, leading to symptoms similar to asthma, such as shortness of breath.

    • Treatment may involve bronchodilators or inhaled corticosteroids, which a doctor can prescribe.
  • Anxiety or Stress-Related Breathing Issues: Sometimes, stress or anxiety can cause or worsen breathing difficulties, even if you don't feel particularly stressed.

    • Techniques such as deep breathing exercises or mindfulness can be helpful, but it's important to rule out other causes first.

What you can do

  1. Use Your Asthma Inhaler: If you have a rescue inhaler, use it as directed to see if it helps alleviate your shortness of breath.
  2. Monitor Your Symptoms: Keep track of your symptoms using the MDandMe app. This can help you identify any patterns or triggers and provide useful information to your healthcare provider.
  3. Stay Calm: Try to remain calm and practice slow, deep breathing. This can sometimes help reduce the sensation of breathlessness.
  4. Avoid Triggers: If you know of any specific asthma triggers, such as smoke or strong odors, try to avoid them.

What you should look out for

Seek medical attention if you experience any of the following:

  • Your shortness of breath worsens or does not improve with your inhaler.
  • You develop new symptoms, such as chest pain, wheezing, or a persistent cough.
  • You feel lightheaded, dizzy, or faint.
  • You notice any changes in your skin color, such as a bluish tint to your lips or fingertips.

Remember, it's important to consult with a healthcare professional for a formal diagnosis and appropriate treatment. If your symptoms are severe or worsening, don't hesitate to seek immediate medical care.

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People Also Ask


What are common triggers for asthma exacerbations?

Common triggers for asthma exacerbations include allergens (like pollen, dust mites, and pet dander), respiratory infections, exercise, cold air, smoke, and strong odors. However, sometimes asthma symptoms can worsen without a clear trigger.


Can a recent flu infection cause breathing difficulties even after recovery?

Yes, after recovering from a viral infection like the flu, some people may experience post-viral bronchospasm, which can cause breathing difficulties similar to asthma. This is due to lingering inflammation in the airways.


How can anxiety or stress affect breathing?

Anxiety or stress can lead to hyperventilation or shallow breathing, which may cause or worsen the sensation of shortness of breath. Stress management techniques such as deep breathing exercises can help alleviate these symptoms.


What should I do if my asthma inhaler does not relieve my shortness of breath?

If your asthma inhaler does not relieve your shortness of breath, it's important to seek medical attention promptly. This could indicate a more severe asthma exacerbation or another underlying issue that needs to be addressed by a healthcare professional.


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