[20M] Experiencing a range of symptoms including cough, chest tightness, and pain

Patient Description

A 20-year-old male has been experiencing an intermittent dry cough with chest tightness for 2-3 days, which seems to improve with fluid intake. The patient also reports a higher than normal heart rate, constipation with decreased appetite and bowel movements, dull lower back pain, and stomach pain around the belly button that is uncomfortable to press on. These symptoms have been present for the same duration as the cough. Additionally, the patient has been experiencing chills and an intermittent headache at the top and front of the head for about a month, which may be related to nicotine consumption. The patient has not experienced any recent injuries that could explain the back pain, and the last bowel movement was reported as normal this morning.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Viral Infection: Your symptoms of a dry cough, chest tightness, and chills could be indicative of a viral infection such as the common cold or flu. Viral infections can also cause general malaise and decreased appetite.

    • Treatment typically involves rest, hydration, and over-the-counter medications to manage symptoms.
  • Gastroenteritis: This condition, often caused by a viral or bacterial infection, can cause stomach pain, decreased appetite, and changes in bowel movements.

    • Treatment usually involves rest, hydration, and eating a bland diet until symptoms improve.
  • Stress or Anxiety: These conditions can cause a variety of physical symptoms, including stomach pain, changes in bowel habits, and a feeling of being in a "dissociative state". They can also cause an increased heart rate.

    • Treatment often involves stress management techniques and, in some cases, medication or therapy.

Please note that these are just possibilities and not a definitive diagnosis. It's important to consult with a healthcare provider for an accurate diagnosis and treatment.

What you can do

  1. Stay hydrated and eat a balanced diet: This can help manage symptoms of both viral infections and gastroenteritis.

  2. Rest: If you're feeling unwell, it's important to give your body time to recover.

  3. Over-the-counter medication: Over-the-counter medication can help manage symptoms such as a cough or headache.

  4. Stress management: If stress or anxiety is contributing to your symptoms, techniques such as deep breathing, meditation, and yoga may be beneficial.

What you should look out for

You should seek immediate medical attention if you experience any of the following:

  • Difficulty breathing or shortness of breath
  • Severe or worsening pain
  • Persistent vomiting or inability to keep down fluids
  • Blood in your stool or vomit
  • Symptoms that persist for more than a week or worsen over time

Remember, it's important to consult with a healthcare provider for an accurate diagnosis and treatment.

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10 mo ago

People Also Ask


What could be causing my intermittent dry cough and chest tightness?

Your intermittent dry cough and chest tightness could be caused by a viral infection, such as the common cold or flu. These symptoms are common in respiratory infections and can improve with rest, hydration, and over-the-counter medications.


Why am I experiencing a higher than normal heart rate along with constipation and decreased appetite?

A higher than normal heart rate, constipation, and decreased appetite can be symptoms of stress or anxiety. These conditions can affect your digestive system and heart rate. It's important to manage stress and consult a healthcare provider if symptoms persist.


Could my stomach pain and dull lower back pain be related to a viral infection?

Yes, stomach pain and dull lower back pain can be related to a viral infection like gastroenteritis, which affects the gastrointestinal tract. This can cause discomfort and changes in bowel habits. Staying hydrated and eating a bland diet can help alleviate symptoms.


How can nicotine consumption affect my symptoms, such as headaches and chills?

Nicotine consumption can contribute to headaches and chills, as it affects blood flow and can lead to withdrawal symptoms if usage is inconsistent. Reducing nicotine intake and managing stress can help improve these symptoms.


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