[21M] Experiencing shortness of breath and nausea

Patient Description

A 21-year-old male reports experiencing sudden onset shortness of breath and nausea upon waking. The shortness of breath, which is the most bothersome symptom, has been occurring for about a month, with episodes happening multiple times a day and lasting up to two hours. The severity is rated as 7 out of 10. The patient has not found any relief for the shortness of breath and denies any chest pain. Recently, the patient has vomited solid food and has been experiencing vomiting for a couple of hours. The patient uses nicotine but has not identified any changes in activity level or exposure to allergens that could be contributing to the symptoms.

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Arora's Assessment

What might be happening

Based on the symptoms you've described—shortness of breath, nausea, and vomiting—there are a few possible explanations:

  1. Respiratory Issues: Conditions such as asthma or chronic obstructive pulmonary disease (COPD) can cause shortness of breath. While these conditions are less common in young adults, they can still occur. If you have a history of respiratory issues, this might be a factor.

  2. Gastroesophageal Reflux Disease (GERD): This condition can cause nausea and vomiting, especially in the morning. It can also lead to shortness of breath if stomach acid irritates the airways.

  3. Anxiety or Panic Attacks: These can cause sudden shortness of breath and nausea. If you are feeling stressed or anxious, this might be contributing to your symptoms.

  4. Nicotine Use: As you mentioned using nicotine, it's important to note that it can affect your respiratory system and might contribute to nausea and shortness of breath.

Typical treatments or testing might include lung function tests, imaging studies, or evaluations for GERD. It's important to consult a healthcare provider for a formal diagnosis and appropriate treatment.

What you can do

While it's important to see a healthcare provider for a proper diagnosis, here are some steps you can take in the meantime:

  1. Avoid Triggers: If you suspect that nicotine or other substances might be contributing to your symptoms, try to reduce or eliminate their use.

  2. Practice Breathing Exercises: Techniques such as deep breathing or pursed-lip breathing can help manage shortness of breath.

  3. Stay Hydrated: Ensure you are drinking enough fluids, especially if you are experiencing vomiting.

  4. Use MDandMe: Consider using the MDandMe app to journal your symptoms, track your progress, and share your notes with your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

  • Worsening shortness of breath or difficulty breathing
  • Chest pain or pressure
  • Persistent vomiting or inability to keep fluids down
  • Any new or concerning symptoms

Remember, it's important to consult a healthcare professional for a formal diagnosis and treatment plan.

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2 mo ago

People Also Ask


What could be causing my sudden shortness of breath and nausea?

Sudden shortness of breath and nausea can be caused by several conditions, including respiratory issues like asthma, gastroesophageal reflux disease (GERD), anxiety or panic attacks, and the effects of nicotine use. It's important to consult a healthcare provider for a proper diagnosis.


How does nicotine use affect my respiratory system?

Nicotine use can affect the respiratory system by irritating the airways, leading to symptoms like shortness of breath. It can also contribute to nausea and other gastrointestinal symptoms.


What are some common symptoms of GERD that I should be aware of?

Common symptoms of GERD include heartburn, regurgitation of food or sour liquid, difficulty swallowing, and nausea. In some cases, it can also cause respiratory symptoms like shortness of breath if stomach acid irritates the airways.


What steps can I take to manage my symptoms before seeing a doctor?

To manage your symptoms before seeing a doctor, you can try avoiding triggers like nicotine, practicing breathing exercises, staying hydrated, and using tools like the MDandMe app to track your symptoms and share them with your healthcare provider.


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