[27F] Experiencing difficulty breathing and unusual sensations

Patient Description

A 27-year-old female reports difficulty breathing, rated as a 6.5/7 in severity, which worsens when lying down and during sleep onset. Additionally, she experiences a sensation of blood rushing to the left side of the base of her skull, rated as a 6 in severity, and a dry throat with a suctioning feeling that makes breathing difficult. These symptoms have been present for a few hours and have been worsening over time. The patient also describes light pins and needles sensations in her extremities and slight chills without fever. She has a history of high cholesterol and recently lost about 5 pounds. She has a known allergy to ibuprofen and has recently quit smoking marijuana, using a dab pen, and tried a marijuana edible for the first time. She is currently on birth control and has no known chronic illnesses or pre-existing conditions. Her grandmother died of heart issues at the age of 40, and the patient had pneumonia twice at the age of 16. She may have had COVID at the start of January.

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Arora's Assessment

What might be happening

Based on your symptoms, possible conditions include:

  • Anxiety or Panic Disorder: These conditions can cause symptoms like rapid heart rate, difficulty breathing, tingling in the extremities, and a sensation of choking or difficulty swallowing. The onset of symptoms can be sudden and may worsen during periods of rest or sleep.

    • Treatment typically involves cognitive behavioral therapy and/or medication.
  • Side effects of marijuana: The use of marijuana, especially in edible form, can sometimes cause side effects like increased heart rate, difficulty breathing, dry mouth, and feelings of anxiety or panic. These effects can be more pronounced in people who are not regular users.

    • Treatment involves discontinuing use of marijuana and managing symptoms.
  • Hyperventilation syndrome: This condition can cause symptoms like difficulty breathing, rapid heart rate, and tingling in the extremities. It can be triggered by stress or anxiety.

    • Treatment typically involves breathing exercises and addressing the underlying cause.

Please note that these are just possibilities and not a definitive diagnosis.

What you can do

Here are some steps you can take:

  1. If you feel that your symptoms are due to anxiety or panic, try to engage in calming activities like deep breathing exercises, meditation, or listening to calming music.
  2. If you suspect that your symptoms are due to the use of marijuana, avoid using it in the future. If your symptoms persist or worsen, seek medical attention.
  3. If you suspect that you are hyperventilating, try to slow your breathing. Breathe in for a count of 4, hold for a count of 7, and exhale for a count of 8. Repeat this cycle until your breathing returns to normal.
  4. Stay hydrated and try to get some rest. If your symptoms persist or worsen, seek medical attention.

What you should look out for

Seek immediate medical attention if:

  • Your difficulty breathing worsens or you feel like you can't catch your breath
  • You experience chest pain or pressure
  • You feel faint, dizzy, or lose consciousness
  • Your symptoms persist or worsen despite trying the above steps

Remember, I'm an AI and not a doctor. Always consult a healthcare professional for a formal diagnosis and treatment.

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1 yr ago

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People Also Ask


Can anxiety or panic attacks cause difficulty breathing and tingling sensations?

Yes, anxiety or panic attacks can cause symptoms such as difficulty breathing, rapid heart rate, tingling in the extremities, and a sensation of choking or difficulty swallowing. These symptoms can be sudden and may worsen during periods of rest or sleep.


What are the potential side effects of using marijuana, especially for someone who is not a regular user?

Marijuana, especially in edible form, can cause side effects like increased heart rate, difficulty breathing, dry mouth, and feelings of anxiety or panic. These effects can be more pronounced in people who are not regular users.


How can hyperventilation syndrome be managed at home?

Hyperventilation syndrome can often be managed at home by practicing breathing exercises. A common technique is to breathe in for a count of 4, hold for a count of 7, and exhale for a count of 8. Repeating this cycle can help return breathing to normal.


When should someone seek medical attention for breathing difficulties?

Immediate medical attention should be sought if difficulty breathing worsens, if there is chest pain or pressure, if there is a feeling of faintness or dizziness, or if symptoms persist or worsen despite trying home management techniques.


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