[32F] Experiencing burst coughing fits with shortness of breath

Patient Description

A 32-year-old female presents with burst coughing fits persisting for over a week, described as mild to moderate in severity. The cough is exacerbated by vaping and is most severe in the morning and late at night. The patient reports associated symptoms of shortness of breath, an irritable throat, fatigue, and headaches. She experiences occasional dull chest pain at rest. The patient has tested negative for COVID-19. She has significantly reduced vaping over the past week due to these symptoms. Additionally, she has been in close contact with her 4-month-old nephew, who has had a persistent cough for two weeks. The patient has a history of hepatitis C, which has been treated, and generally maintains good health. She has no known allergies and is currently taking daytime cold and flu medication.

Arora's Assessment

What might be happening

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

Upper Respiratory Tract Infection (URTI): This is a common condition, especially during cold and flu season, and can be caused by viruses. Symptoms often include cough, sore throat, fatigue, and headaches. Since your nephew has been sick, it's possible you may have caught a similar infection.
- Treatment typically involves rest, hydration, and over-the-counter medications to manage symptoms.
Bronchitis: This condition involves inflammation of the bronchial tubes and can cause a persistent cough, shortness of breath, and chest discomfort. It often follows a cold or other respiratory infection.
- Treatment may include rest, fluids, and medications to relieve symptoms. In some cases, a doctor may prescribe inhalers or other medications.
Irritation from Vaping: Vaping can irritate the respiratory tract, leading to coughing and throat discomfort. Reducing or stopping vaping can help alleviate these symptoms.
- Consider continuing to reduce vaping and monitor if your symptoms improve.

What you can do

Rest and Hydration: Ensure you get plenty of rest and stay hydrated to help your body recover.
Symptom Management: Continue using over-the-counter medications like the daytime cold and flu medicine you're taking to manage symptoms.
Avoid Irritants: Try to avoid vaping and other respiratory irritants, such as smoke or strong odors, to see if your symptoms improve.
Monitor Symptoms: Keep track of your symptoms using the MDandMe journal. This can help you identify any patterns or triggers and provide useful information to your healthcare provider.
Follow-Up: Since you have a follow-up appointment scheduled, be sure to discuss your symptoms and any changes with your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

Worsening shortness of breath or difficulty breathing
High fever or persistent fever
Coughing up blood or unusual sputum
Severe chest pain

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

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4 mo ago

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