[22M] Experiencing worsening chest pain and respiratory symptoms

What might be happening

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

• Chronic Obstructive Pulmonary Disease (COPD): Given your history of smoking and vaping, COPD is a possibility. It is a chronic inflammatory lung disease that causes obstructed airflow from the lungs, leading to breathing difficulties, cough, mucus production, and wheezing. COPD can also cause chest pain and weight loss.

  • Treatment typically involves quitting smoking, using inhalers or medications to open the airways, and pulmonary rehabilitation.

• Tuberculosis (TB): The combination of a persistent cough with blood-tinged phlegm, weight loss, night sweats, and fever could suggest TB, a serious infectious disease that mainly affects the lungs.

  • Diagnosis is confirmed through a skin test, blood test, or chest X-ray. Treatment involves a long course of antibiotics.

• Asthma Exacerbation: Your history of asthma and recent return of symptoms could mean you're experiencing an exacerbation, especially if triggered by smoking or vaping. This can cause chest tightness, wheezing, and difficulty breathing.

  • Management includes avoiding triggers, using prescribed inhalers, and possibly oral medications.

• Lung Infection or Pneumonia: The symptoms of cough, chest pain, and phlegm production could also indicate a lung infection or pneumonia, which can be more severe in individuals with a weakened immune system.

  • Treatment typically involves antibiotics and supportive care.

What you can do

It's important to consult a healthcare provider as soon as possible to get a formal diagnosis and appropriate treatment. In the meantime, you can:

1. Quit Smoking and Vaping: This is crucial for improving your lung health and preventing further damage.
2. Monitor Symptoms: Keep track of your symptoms, including when they occur and what might trigger them. Use MDandMe to journal your symptoms, track progress, and share this information with your healthcare provider.
3. Stay Hydrated and Rested: Ensure you are drinking plenty of fluids and getting enough rest to support your immune system.
4. Avoid Triggers: Identify and avoid any known asthma or respiratory triggers, such as smoke, dust, or strong odors.

What you should look out for

Seek medical attention promptly if you experience:

• Increased difficulty breathing or shortness of breath
• Persistent or worsening chest pain
• Coughing up large amounts of blood
• High fever or chills
• Severe weight loss or fatigue

Remember, while I can provide information and suggestions, it's essential to see a healthcare professional for a thorough evaluation and treatment plan.