[29F] Experiencing respiratory symptoms with history of reactive airway disease

Patient Description

A 29-year-old female presents with lung-related symptoms persisting for three weeks, including low oxygen levels, fatigue, and moderate shortness of breath, exacerbated by walking. The patient reports a persistent cough producing green and pink sputum and has experienced a fever of 102.3°F. She also notes chest pain, particularly when breathing deeply or coughing. The patient has a history of smoking and has been diagnosed with reactive airway disease, for which she uses Singulair and albuterol. Additionally, she has a diagnosis of arthrogryposis multiplex congenita from birth. Current medications include fluoxetine 80 mg daily and Singulair 10 mg daily. There are no known drug allergies.

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Arora's Assessment

What might be happening

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

  • Chronic Obstructive Pulmonary Disease (COPD) or Chronic Bronchitis: Given your history of smoking and reactive airway disease, it's possible that your symptoms are related to COPD or chronic bronchitis. These conditions can cause persistent cough, production of sputum, shortness of breath, and fatigue. The green and pink sputum may indicate an infection or inflammation in the airways.

    • Typical treatments include bronchodilators (like albuterol), inhaled steroids, and sometimes antibiotics if an infection is suspected. Pulmonary rehabilitation and smoking cessation are also important.
  • Pneumonia: The presence of fever, chest pain, and green sputum could suggest a lung infection such as pneumonia. This condition can cause difficulty breathing and fatigue.

    • Treatment often involves antibiotics, rest, and fluids. In some cases, hospitalization may be necessary.
  • Exacerbation of Reactive Airway Disease: Your reactive airway disease could be flaring up, possibly due to an infection or environmental irritants, leading to increased symptoms.

    • Management typically involves using prescribed inhalers more frequently and possibly adding oral steroids or antibiotics if an infection is present.

What you can do

  1. Consult a Healthcare Provider: It's important to see a doctor as soon as possible to get a proper diagnosis and treatment plan. They may perform tests like a chest X-ray or sputum culture to determine the cause of your symptoms.

  2. Use Your Inhalers: Continue using your albuterol inhaler as prescribed to help open your airways. If you notice it's not providing relief, inform your healthcare provider.

  3. Stay Hydrated and Rest: Drink plenty of fluids to help thin mucus and get plenty of rest to support your recovery.

  4. Avoid Smoking: If possible, reduce or quit smoking to prevent further lung damage. Your healthcare provider can offer resources to help with smoking cessation.

  5. Track Your Symptoms: Use MDandMe to journal your symptoms, track your progress, and share this information with your healthcare provider. This can help in managing your condition effectively.

What you should look out for

Seek medical attention promptly if you experience:

  • Worsening shortness of breath or difficulty breathing
  • Increased chest pain
  • High fever that doesn't improve with medication
  • Confusion or difficulty staying awake

Remember, while I can provide information, it's crucial to consult with a healthcare professional for a formal diagnosis and treatment plan.

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2 mo ago

People Also Ask


What are the common symptoms of pneumonia and how is it treated?

Common symptoms of pneumonia include cough with phlegm, fever, chills, and difficulty breathing. Treatment typically involves antibiotics, rest, and fluids. In severe cases, hospitalization may be required.


How does smoking affect lung health and what are the benefits of quitting?

Smoking damages the lungs and airways, leading to conditions like COPD and chronic bronchitis. Quitting smoking can improve lung function, reduce the risk of lung infections, and enhance overall health.


What is reactive airway disease and how is it managed?

Reactive airway disease is a condition where the airways overreact to certain stimuli, causing symptoms like wheezing and shortness of breath. Management includes avoiding triggers, using inhalers, and sometimes taking medications like steroids.


What should I do if my inhaler is not providing relief for my breathing difficulties?

If your inhaler is not providing relief, it's important to consult your healthcare provider. They may adjust your medication or explore other treatments to better manage your symptoms.


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