[19F] With chronic shortness of breath and chest tightness

Patient Description

A 19-year-old female has been experiencing shortness of breath for about five years, with episodes occurring more frequently recently, approximately twice a week. These episodes last from 2 to 10 hours and are accompanied by wheezing and a tight feeling in the chest, described as heavy and tight, with a severity of 7 out of 10. Relief is sometimes found by drinking water and placing the head between the knees, but often the symptoms must be waited out. No specific triggers have been identified, and episodes occur randomly. Family history includes a sister with asthma and a mother with bronchitis. The patient has not used inhalers or medications for these issues. There is a slight cough but no fever, voice changes, leg swelling, or unusual fatigue. The patient has allergies to dust mites, causing sneezing, a stuffy/runny nose, headaches, and chills, but has not used allergy medications. Occasionally takes Tylenol or ibuprofen for headaches.

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Arora's Assessment

What might be happening

Based on your symptoms, here are some possible explanations:

  • Asthma: This condition can cause wheezing, chest tightness, and shortness of breath. It often runs in families, as you've mentioned your sister has asthma. Asthma can be triggered by allergens, exercise, or irritants like smoke or strong odors.

    • Treatment typically involves inhalers to open the airways and control inflammation. A doctor can perform tests to confirm this diagnosis.

  • Allergic Rhinitis: Your allergy to dust mites could contribute to your symptoms, especially if congestion is involved. Allergies can sometimes exacerbate breathing issues.

    • Treatment includes antihistamines or nasal sprays to manage symptoms.

  • Bronchitis: Given your family history, it's possible that inflammation of the airways could be causing your symptoms, especially if you have a cough.

    • Treatment may involve bronchodilators or steroids to reduce inflammation.

What you can do

  1. Consult a Doctor: It's important to see a healthcare provider for a proper diagnosis and treatment plan. They may recommend tests like spirometry to assess your lung function.

  2. Avoid Triggers: Try to identify and avoid potential triggers, such as strong odors or allergens.

  3. Stay Hydrated: Continue drinking water to help ease congestion.

  4. Symptom Tracking: Use MDandMe to journal your symptoms, track any patterns, and share this information with your healthcare provider.

What you should look out for

Seek medical attention if you experience:

  • Severe shortness of breath or difficulty breathing
  • Chest pain or pressure
  • Symptoms that worsen or do not improve with usual measures

Remember, this information is not a substitute for professional medical advice. Please consult a healthcare provider for a formal diagnosis and treatment.

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2 mo ago

People Also Ask

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

Common symptoms of asthma include wheezing, shortness of breath, chest tightness, and coughing. It is often diagnosed through a combination of medical history, physical examination, and tests like spirometry, which measures lung function.

How can allergies contribute to breathing difficulties?

Allergies can cause inflammation and congestion in the airways, which may exacerbate breathing difficulties. Allergens like dust mites can trigger symptoms such as sneezing, runny nose, and wheezing, potentially worsening conditions like asthma.

What are the treatment options for bronchitis?

Treatment options for bronchitis may include bronchodilators to open the airways, steroids to reduce inflammation, and sometimes antibiotics if a bacterial infection is present. It's important to consult a healthcare provider for a tailored treatment plan.

How can I identify and avoid potential triggers for my breathing issues?

Identifying and avoiding triggers involves keeping a symptom diary to track when and where symptoms occur, and noting any potential environmental factors like smoke, strong odors, or allergens. Consulting with a healthcare provider can also help in identifying specific triggers.

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