[23F] Experiencing respiratory and neurological symptoms

Patient Description

A 23-year-old female presents with a tickling sensation in her throat and lungs, described as similar to inhaling vapor, accompanied by occasional coughing and a sensation of mucus or phlegm. These symptoms have been present for approximately 2 weeks and are particularly noticeable at night and in the early morning. The patient also reports episodes of dizziness and visual disturbances, including swaying, twisting vision, blurriness, and dark spots, which have been occurring since November and have increased in frequency over the past month. Nausea has been persistent for 2 months, causing a significant loss of appetite and rating an 8 in severity. Additionally, the patient experiences minor headaches at the nape of her neck, separate from her usual migraines. There is no chest pain or difficulty breathing at the moment, but wheezing sounds have been noted during episodes of coughing. The patient has a history of endometriosis diagnosed at age 15. No known allergies or adverse reactions to medications have been reported, and the patient is not currently taking any medications.

Arora's Assessment

What might be happening

Based on the information you've provided, possible explanations for your symptoms include:

Asthma or Bronchitis: The tickling sensation in your throat and lungs, the cough, and the feeling of shortness of breath could be symptoms of a respiratory condition like asthma or bronchitis, especially since you've had bronchitis before. Asthma can also cause a wheezing sound when you breathe.
- Treatment typically involves inhalers to help open up the airways and reduce inflammation.
Anxiety or Panic Disorder: The sensation of being asphyxiated, the dizziness, visual disturbances, and nausea could be symptoms of an anxiety or panic disorder. These conditions can cause physical symptoms that are very real and distressing.
- Treatment usually involves a combination of cognitive-behavioral therapy and medication.
Migraine or Tension Headache: The minor headache at the bottom back of your skull could be a tension headache, which is often described as a band of pressure around the head. The dizziness and visual disturbances could also be associated with migraines, especially since you have a history of migraines.
- Treatment usually involves over-the-counter pain relievers or prescription medications for more severe cases.

Please note that these are only possibilities and not a definitive diagnosis. It's important to consult with a healthcare provider for a formal evaluation.

What you can do

In the meantime, here are some things you can do to manage your symptoms:

For the tickling sensation in your throat and lungs, try using a humidifier in your room at night and drink plenty of fluids throughout the day to keep your throat moist.
For the dizziness and visual disturbances, try to sit or lie down as soon as you feel dizzy. Avoid sudden changes in position, especially from lying down to standing up.
For the nausea, try eating small, frequent meals instead of three large meals a day. Avoid foods that are high in fat, spicy, or have strong odors.
For the headache, try over-the-counter pain relievers like acetaminophen or ibuprofen. Make sure to follow the instructions on the label.

What you should look out for

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

Difficulty breathing or shortness of breath that's getting worse
Severe headache or a headache that's different from your usual migraines
Dizziness or visual disturbances that are getting worse or affecting your ability to function
Chest pain or pressure

Remember, I'm an AI and this advice is based on the information you've provided. It's always important to consult with a healthcare provider for a formal evaluation and treatment.

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11 mo ago

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