[24F] With shortness of breath, fatigue, and anxiety

Patient Description

A 24-year-old female has been experiencing shortness of breath and fatigue for approximately five days. The shortness of breath is moderate in severity, rated as 5 out of 10, and worsens when sitting in silence, though distraction provides some relief. The onset was sudden. Additionally, the patient reports lightheadedness, described as feeling faint, and has been dealing with anxiety that affects focus and mood. There is recent weight gain and a decrease in appetite. The patient has no known allergies, is not currently on any medications, and has no significant past medical history. There is no recent travel or family history of heart disease, stroke, or anxiety disorders.

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Arora's Assessment

What might be happening

Your symptoms could be related to a few different issues:

  1. Anxiety or Panic Disorder: Sudden shortness of breath, fatigue, and lightheadedness can be symptoms of anxiety. Stress and being alone might be triggering these feelings. Treatment often involves therapy, stress management techniques, and sometimes medication.

  2. Anemia: Fatigue and lightheadedness can also be signs of anemia, a condition where you don't have enough healthy red blood cells. A blood test can diagnose this, and treatment may include dietary changes or supplements.

  3. Respiratory Issues: Conditions like asthma or other respiratory problems can cause shortness of breath. A healthcare provider might recommend breathing tests or other evaluations.

What you can do

For Anxiety:

  • Practice relaxation techniques such as deep breathing or meditation.
  • Engage in regular physical activity to help manage stress.
  • Consider speaking with a mental health professional.

For Fatigue and Lightheadedness:

  • Ensure you're eating a balanced diet with enough iron-rich foods like spinach and lean meats.
  • Stay hydrated and get plenty of rest.
  • Avoid standing up too quickly to prevent dizziness.

General Tips:

  • Keep a journal of your symptoms using MDandMe to track any patterns or triggers.
  • Share your symptom journal with a healthcare provider for a more comprehensive evaluation.

What you should look out for

Seek medical attention if you experience:

  • Worsening shortness of breath or chest pain.
  • Fainting or severe dizziness.
  • Any new or concerning symptoms.

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

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3 mo ago

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People Also Ask


What are common symptoms of anxiety or panic disorder?

Common symptoms of anxiety or panic disorder include sudden feelings of fear or panic, shortness of breath, heart palpitations, sweating, trembling, and a sense of impending doom. These symptoms can vary in intensity and duration.


How can anemia be diagnosed and treated?

Anemia is typically diagnosed through a blood test that measures your hemoglobin and hematocrit levels. Treatment depends on the cause but may include dietary changes to increase iron intake, iron supplements, or treating any underlying conditions.


What are some potential causes of sudden shortness of breath?

Sudden shortness of breath can be caused by anxiety, respiratory conditions like asthma, infections, or cardiovascular issues. It's important to consult a healthcare provider for an accurate diagnosis.


What lifestyle changes can help manage anxiety and fatigue?

Lifestyle changes that can help manage anxiety and fatigue include practicing relaxation techniques such as deep breathing or meditation, engaging in regular physical activity, maintaining a balanced diet, staying hydrated, and ensuring adequate sleep. Consulting with a mental health professional can also be beneficial.


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