[24F] Experiencing cough, shortness of breath, heart flutter, and dizziness

Patient Description

A 24-year-old female has been experiencing a moderate, dry cough and shortness of breath for 5 years, which occurs randomly throughout the day and night and is not influenced by specific activities. The cough sometimes induces vomiting when severe. She also reports heart palpitations described as a spinning sensation, accompanied by sharp pains, more pronounced when lying in bed. Additionally, the patient experiences chest pains when going to the toilet and dizziness upon standing, leading to prolonged periods of lying down. The patient's feet are swollen, and she has difficulty fitting into shoes. She is currently overweight and reports sweating in the armpits. The patient has been under significant stress due to the recent deaths of close family members from cancer, which has also caused emotional distress. No family history of heart or lung conditions was reported, and no symptoms of confusion, seizures, or loss of consciousness have been noted. There is no mention of alcohol use.

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Arora's Assessment

What might be happening

Based on the information you provided, possible diagnoses include:

  • Chronic Obstructive Pulmonary Disease (COPD): This is a chronic inflammatory lung disease that causes obstructed airflow from the lungs. It's caused by long-term exposure to irritating gases or particulate matter, most often from cigarette smoke. People with COPD are at increased risk of developing heart disease, lung cancer and a variety of other conditions.

    • Treatment of COPD typically involves medications, pulmonary rehabilitation, oxygen therapy, and lifestyle changes.
  • Heart Failure: This is a condition where the heart doesn't pump blood as well as it should. Symptoms can include shortness of breath, cough, and swelling of the feet and ankles.

    • Treatment of heart failure typically involves medications, lifestyle changes, and sometimes surgery or devices.
  • Anxiety: This is a mental health disorder characterized by feelings of worry, anxiety, or fear that are strong enough to interfere with one's daily activities. Symptoms include stress that's out of proportion to the impact of the event, inability to set aside a worry, and restlessness.

    • Treatment of anxiety typically involves psychotherapy, medications, and coping strategies.

Please note that these are potential explanations for your symptoms, but you should consult a healthcare professional for a formal diagnosis.

What you can do

  1. Seek immediate medical attention. Your symptoms are serious and require urgent evaluation by a healthcare professional.
  2. If you're still drinking alcohol, consider seeking help to stop. Alcohol can worsen many health conditions, and withdrawal can be dangerous without proper medical supervision.
  3. Try to stay as active as possible within your limits. Bed rest can lead to muscle weakness and deconditioning, which can make your symptoms worse.
  4. Try to eat a balanced diet. Good nutrition can help your body fight off illness and recover from it.

What you should look out for

  • If your shortness of breath or chest pain gets worse, seek immediate medical attention.
  • If you develop a fever, cough up blood, or have a change in your mental status, seek immediate medical attention.
  • If you're feeling suicidal or very depressed, reach out to a mental health professional immediately.

Remember, while I strive to provide accurate information, I'm not a doctor. Please consult with a healthcare professional for a formal diagnosis and treatment.

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9 mo ago


People Also Ask


What are the common symptoms of Chronic Obstructive Pulmonary Disease (COPD)?

Common symptoms of COPD include a persistent cough, shortness of breath, wheezing, and chest tightness. It often results from long-term exposure to lung irritants, such as cigarette smoke.


How can heart failure lead to symptoms like shortness of breath and swollen feet?

Heart failure can cause shortness of breath and swollen feet because the heart is unable to pump blood efficiently, leading to fluid buildup in the lungs and extremities.


What are some effective treatments for managing anxiety?

Effective treatments for managing anxiety include psychotherapy (such as cognitive-behavioral therapy), medications (like SSRIs or benzodiazepines), and lifestyle changes such as regular exercise, mindfulness, and stress management techniques.


How does stress and emotional distress impact physical health?

Stress and emotional distress can impact physical health by triggering or worsening conditions like heart disease, high blood pressure, and mental health disorders. It can also weaken the immune system, making the body more susceptible to illness.

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