[23F] Experiencing shortness of breath with exertion

Patient Description

A 23-year-old female reports shortness of breath rated 7/10 in severity, occurring during physical activities such as playing sports, climbing stairs, or walking for extended periods. The symptoms have been present for about a year and are accompanied by dry mouth, chest pain, and dizziness, with a noted improvement upon resting. The patient has a history of anxiety diagnosed last year, with anxiety attacks that also present with chest pain and shortness of breath. The patient is not currently on any medications and has no known drug allergies.

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Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions could be causing your symptoms:

  • Exercise-induced Asthma: This condition can cause shortness of breath, chest tightness, and coughing during or after exercise. The symptoms can be worse when the air is cold and dry.

    • Treatment typically involves using an inhaler before exercise to prevent symptoms.
  • Anxiety Disorder: Anxiety can cause physical symptoms like shortness of breath, chest pain, and dizziness. It's possible that your anxiety is causing or contributing to your symptoms, especially since you've noticed a correlation between anxiety attacks and these symptoms.

    • Treatment typically involves a combination of therapy, lifestyle changes, and medication.
  • Anemia: This condition, which is characterized by a lack of healthy red blood cells, can cause shortness of breath, especially during physical activity. Other symptoms can include fatigue and weakness.

    • Treatment depends on the cause of the anemia, but may include dietary changes or supplements.
  • Heart Conditions: Certain heart conditions, like heart disease or heart failure, can cause shortness of breath during physical activity.

    • Treatment depends on the specific condition and its severity, but may include medication, lifestyle changes, or surgery.

What you can do

You should make an appointment with your doctor to discuss your symptoms. They may want to perform some tests to determine the cause of your symptoms. In the meantime, you can try the following:

  1. Monitor your symptoms: Keep a record of when your symptoms occur, what you're doing when they occur, and how long they last. This information can help your doctor diagnose your condition.
  2. Stay hydrated: Dehydration can make symptoms like dry mouth and dizziness worse.
  3. Limit caffeine: Caffeine can make symptoms of anxiety worse.
  4. Practice deep breathing: Deep breathing exercises can help manage symptoms of both anxiety and shortness of breath.

What you should look out for

You should seek immediate medical attention if:

  • Your symptoms suddenly get worse
  • You experience severe chest pain
  • You faint or feel like you're going to faint

Remember, I'm an AI and this advice is based on the information you've provided. It's important to consult with a healthcare professional who can evaluate your symptoms and condition in person.

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1 yr ago

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People Also Ask


What is exercise-induced asthma and how is it treated?

Exercise-induced asthma is a condition where physical activity triggers symptoms like shortness of breath, chest tightness, and coughing. It is often treated with an inhaler used before exercise to prevent symptoms.


How can anxiety cause physical symptoms like shortness of breath and chest pain?

Anxiety can cause physical symptoms due to the body's 'fight or flight' response, which can lead to increased heart rate, rapid breathing, and muscle tension, resulting in shortness of breath and chest pain. Treatment often involves therapy, lifestyle changes, and sometimes medication.


What are the symptoms and treatments for anemia?

Anemia is characterized by a lack of healthy red blood cells, leading to symptoms like shortness of breath, fatigue, and weakness. Treatment depends on the cause and may include dietary changes or supplements.


When should I seek immediate medical attention for shortness of breath and chest pain?

You should seek immediate medical attention if your symptoms suddenly worsen, you experience severe chest pain, or you faint or feel like you're going to faint.


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