[26F] Experiencing respiratory and visual symptoms during pregnancy

Patient Description

A 26-year-old female in her third trimester of pregnancy presents with a sudden onset of multiple symptoms, including a stuffy nose, chills, vomiting, nausea, post-nasal drip, trouble breathing, headache, double vision, and visual disturbances such as seeing spots. The patient reports that her breathing difficulties worsen when lying on her back or standing. She experiences light sensitivity but denies any neck stiffness or unilateral headache. The patient has a mild fever that started today and is currently taking Tylenol and Mucinex. She has a history of mental illnesses and arthritis, with no known drug allergies. There is no recent travel history or exposure to sick individuals.

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Arora's Assessment

What might be happening

Based on the symptoms you've described and your medical history, there are several possibilities to consider:

  1. Preeclampsia/Eclampsia: Given your history of preeclampsia/eclampsia, it's important to consider this condition, especially in the third trimester. Symptoms like headache, visual disturbances (seeing spots, double vision), nausea, and trouble breathing can be associated with preeclampsia. This condition can lead to serious complications for both you and your baby if not treated promptly.

  2. Pulmonary Embolism: Your difficulty breathing, especially when lying down or standing, along with your history of pulmonary embolism, raises concern for a possible recurrence. Pulmonary embolism is a serious condition where a blood clot travels to the lungs, and it requires immediate medical attention.

  3. Severe Viral Infection or Flu: Some of your symptoms, such as a stuffy nose, chills, and headache, could be related to a viral infection or flu. However, given your pregnancy and history, it's crucial to rule out more serious conditions first.

What you can do

  1. Seek Immediate Medical Attention: Given the potential seriousness of your symptoms and your medical history, it's crucial to seek immediate medical care. Please contact your healthcare provider or go to the nearest emergency room as soon as possible. If you feel your symptoms are worsening or you are unable to get to the hospital safely, call 911 for emergency assistance.

  2. Monitor Symptoms: While waiting for medical care, monitor your symptoms closely. If you experience increased difficulty breathing, severe headache, or any new symptoms, inform medical personnel immediately.

  3. Avoid Lying Flat: Since your breathing worsens when lying on your back, try to stay in a position that is comfortable and allows you to breathe more easily, such as sitting up or lying on your side.

  4. Stay Hydrated: If possible, try to stay hydrated, but avoid drinking large amounts of fluid at once, especially if you're experiencing nausea or vomiting.

Remember, it's essential to get a formal diagnosis and appropriate treatment from healthcare professionals. Your health and the health of your baby are the top priority.

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2 mo ago

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People Also Ask


What are the symptoms of preeclampsia during pregnancy?

Preeclampsia symptoms during pregnancy can include high blood pressure, severe headaches, changes in vision (such as seeing spots or double vision), upper abdominal pain, nausea or vomiting, decreased urine output, and sudden weight gain or swelling, particularly in the face and hands.


How can pulmonary embolism affect breathing?

Pulmonary embolism can cause breathing difficulties because it involves a blockage in one of the pulmonary arteries in the lungs, usually due to blood clots. This can lead to reduced blood flow to the lungs, causing shortness of breath, chest pain, and a rapid heart rate, especially when lying down or standing.


What are the common symptoms of a severe viral infection or flu during pregnancy?

Common symptoms of a severe viral infection or flu during pregnancy include fever, chills, body aches, headache, fatigue, cough, sore throat, and nasal congestion. Pregnant women should be cautious as their immune system is altered, making them more susceptible to complications.


Why is it important to avoid lying flat if experiencing breathing difficulties?

Avoiding lying flat is important if experiencing breathing difficulties because it can exacerbate the problem by putting pressure on the diaphragm and lungs, especially during pregnancy. Sitting up or lying on the side can help improve airflow and make breathing easier.


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