[30F] Experiencing shortness of breath, neck stiffness, and swollen lymph nodes

Patient Description

A 30-year-old female presents with a 2-month history of progressive shortness of breath, described as a constant sensation similar to having just run, even while at rest. The patient rates the severity as 6 out of 10. Additionally, she reports a stiff neck with pain on the left side near the nape, which has been persistent since October and is described as tight, pulling, and constant throughout the day, rated as 7 out of 10 in severity. Today, she noticed swollen lymph nodes on both sides of her neck, with the left side being more swollen. The patient also experiences fatigue, has had recent episodes of night sweats and chest pain, and has a known allergy to penicillin. She has a history of endometriosis diagnosed in 2014 and is not currently on any medications.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible causes for your symptoms:

  • Infection: Swollen lymph nodes often indicate an infection in the body. This could be a viral or bacterial infection, such as mononucleosis or strep throat. These infections could also cause fatigue and shortness of breath.

    • Treatment typically involves rest, hydration, and possibly antibiotics if the infection is bacterial.
  • Anemia: This is a condition where your body lacks enough healthy red blood cells to carry adequate oxygen to your body's tissues. Symptoms can include fatigue and shortness of breath.

    • Treatment typically involves dietary changes or supplements to increase your iron intake, and in more severe cases, medication or blood transfusions may be needed.
  • Heart conditions: Given your history of Supraventricular Tachycardia (SVT), it's also possible that your symptoms could be related to a heart condition. Conditions such as heart failure or heart valve disease can cause shortness of breath and fatigue.

    • Treatment typically involves medication, lifestyle changes, and in some cases, surgery.
  • Lung conditions: Conditions such as asthma, chronic obstructive pulmonary disease (COPD), or pneumonia can cause shortness of breath and fatigue.

    • Treatment typically involves medication, including inhalers for asthma or antibiotics for pneumonia.

Please note that this is not an exhaustive list and other conditions could also explain your symptoms.

What you can do

Given the severity and duration of your symptoms, it's important to seek medical attention. Here are some steps you can take:

  1. Schedule an appointment with your primary care doctor as soon as possible. They can perform a physical examination and order tests to help determine the cause of your symptoms.
  2. Keep a symptom diary. Note when your symptoms occur, their severity, and any potential triggers. This information can be helpful for your doctor.
  3. Stay hydrated and rest as much as possible. This can help your body fight off potential infections and recover.

What you should look out for

Seek immediate medical attention if you experience any of the following:

  • Severe difficulty breathing or shortness of breath that's getting worse
  • Chest pain
  • Fainting or feeling like you're going to faint
  • High fever (over 101°F)

Remember, while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare professional.

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11 mo ago

People Also Ask


What could be causing my swollen lymph nodes and fatigue?

Swollen lymph nodes and fatigue can be caused by infections such as viral or bacterial infections, including mononucleosis or strep throat. These conditions often require rest, hydration, and possibly antibiotics if bacterial.


How can anemia lead to shortness of breath and what are the treatment options?

Anemia can cause shortness of breath because it results in a lack of healthy red blood cells to carry oxygen to tissues. Treatment may involve dietary changes, iron supplements, or in severe cases, medication or blood transfusions.


Could my history of Supraventricular Tachycardia (SVT) be related to my current symptoms?

Yes, your history of SVT could be related to your symptoms. Heart conditions like heart failure or valve disease can cause shortness of breath and fatigue. It's important to consult a doctor for a thorough evaluation.


What are the signs that my shortness of breath might be due to a lung condition?

Signs that shortness of breath might be due to a lung condition include wheezing, persistent cough, and chest tightness. Conditions like asthma, COPD, or pneumonia may require medications such as inhalers or antibiotics.


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