[28M] With shortness of breath, cold extremities, and changes in urine appearance

What might be happening

Based on the symptoms you've described, here are some possible explanations:

Shortness of Breath and Chest Pain

• Gastroesophageal Reflux Disease (GERD): Eating large meals, especially those high in carbohydrates, can trigger GERD, which can cause shortness of breath and chest pain. The dull chest pain that improves with position changes is also consistent with GERD.
• Stimulant Use: Frequent use of stimulants can lead to cardiovascular issues, including palpitations, irregular heartbeats, and shortness of breath.

Cold Hands and Feet

• Poor Circulation: Chronic cold hands and feet could be due to poor circulation, which can be caused by various factors, including lifestyle and underlying health conditions.
• Raynaud's Phenomenon: This condition causes some areas of your body, such as your fingers and toes, to feel numb and cold in response to cold temperatures or stress.

Changes in Urine

• Dehydration: High urine specific gravity often indicates concentrated urine, which can be a sign of dehydration. This could also explain the thicker appearance of your urine.
• Dietary Factors: Certain foods and supplements can change the appearance and concentration of your urine.

Red Dots and Dark Circles Around Eyes

• Allergies or Irritation: Red dots and dark circles around the eyes can be caused by allergies, lack of sleep, or irritation.
• Petechiae: Small red dots could be petechiae, which are tiny blood vessels that have burst. This can be due to various causes, including physical strain or a reaction to medications or substances.

What you can do

Shortness of Breath and Chest Pain

• Consult a Doctor: Given your symptoms and stimulant use, it's important to consult a healthcare provider to rule out any serious cardiovascular issues.
• Dietary Changes: Try to eat smaller, more frequent meals and avoid large meals high in carbohydrates. This can help manage symptoms of GERD.
• Avoid Stimulants: Reducing or eliminating stimulant use can help alleviate cardiovascular symptoms.

Cold Hands and Feet

• Keep Warm: Wear warm gloves and socks to keep your hands and feet warm.
• Exercise: Regular physical activity can improve circulation.
• Consult a Doctor: If the coldness persists or worsens, consult a healthcare provider to rule out underlying conditions like Raynaud's phenomenon.

Changes in Urine

• Stay Hydrated: Drink plenty of water to ensure you are well-hydrated.
• Monitor Diet: Keep track of any foods or supplements that might be affecting your urine.

Red Dots and Dark Circles Around Eyes

• Allergy Management: If you suspect allergies, try over-the-counter antihistamines and avoid known allergens.
• Rest: Ensure you are getting enough sleep and rest.
• Consult a Doctor: If the red dots persist or worsen, consult a healthcare provider to rule out petechiae or other underlying conditions.

What you should look out for

Given the complexity of your symptoms, it's important to seek medical care to get a comprehensive evaluation. Here are some specific signs to watch for that would warrant more urgent medical attention:

• Severe Shortness of Breath: If your shortness of breath becomes severe or is accompanied by chest pain, seek immediate medical attention.
• Swelling or Pain: If you notice swelling in your legs, ankles, or feet, or if you experience pain while urinating, consult a healthcare provider.
• Persistent or Worsening Symptoms: If any of your symptoms persist or worsen, it's important to get evaluated by a healthcare provider.

Remember, while I can provide information and suggestions, I am not a substitute for a real healthcare professional. Please consult a doctor for a formal diagnosis and treatment plan. You can also use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.