[32F] Experiencing shortness of breath, wheezing, and heart fluttering

Patient Description

A 32-year-old female has been experiencing shortness of breath while walking, talking, and eating for approximately a year. The symptoms occur daily and last from a minute to until her heart rate decreases. She also reports wheezing, occasional chest pain described as a bubble sensation that resolves quickly, and heart fluttering lasting a few seconds, sometimes triggered by caffeine intake. Additionally, she experiences a tingling, pins-and-needles sensation in her toes after consuming chocolate. Her medical history includes high blood pressure, anemia, migraines, overweight status, and anxiety. She has had a normal ECG a year ago and has not undergone a stress test. The patient has been evaluated for respiratory conditions, with clear lungs, and is currently taking Floxitine 80 mg daily and Excedrin twice a week. No known allergies. She consumes caffeine regularly but is unsure of the exact amount.

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Arora's Assessment

What might be happening

Based on your symptoms and medical history, here are some possibilities:

  1. Anemia: Your history of anemia could be contributing to your shortness of breath and fatigue. Anemia occurs when you don't have enough healthy red blood cells to carry adequate oxygen to your body's tissues, which can lead to these symptoms.

  2. Anxiety: Anxiety can cause physical symptoms such as shortness of breath, heart palpitations, and tingling sensations. Given your history of anxiety, this could be a contributing factor.

  3. Cardiovascular Issues: Although your ECG was normal a year ago, it's important to consider that high blood pressure can sometimes lead to heart-related symptoms like shortness of breath and palpitations.

  4. Peripheral Neuropathy: The tingling and pinching sensation in your feet and toes could be related to nerve issues, which can sometimes be associated with conditions like diabetes or vitamin deficiencies.

What you can do

Shortness of breath and heart fluttering:

  • Consider reducing your caffeine intake, as it may be contributing to your heart palpitations.
  • Practice stress-reduction techniques such as deep breathing exercises, meditation, or yoga to help manage anxiety.
  • Keep a journal of your symptoms using MDandMe to track any patterns or triggers and share this information with your healthcare provider.

Tingling and pinching sensation in feet and toes:

  • Ensure you are getting adequate nutrition, including vitamins and minerals, which can help support nerve health.
  • Consider discussing with your doctor whether any additional tests, such as blood work, might be needed to rule out vitamin deficiencies or other underlying conditions.

What you should look out for

It's important to monitor your symptoms and seek medical attention if you experience any of the following:

  • Worsening shortness of breath or chest pain
  • Persistent or severe heart palpitations
  • New or worsening tingling or numbness in your extremities
  • Any other concerning symptoms that arise

Remember, while this advice can provide some guidance, it's important to consult with a healthcare professional for a formal diagnosis and personalized treatment plan. They can help determine the underlying cause of your symptoms and recommend appropriate interventions.

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1 mo ago

Top picked over-the-counter products for Tingling or Cold Sensations at the Back of Your Head

People Also Ask


Can anemia cause shortness of breath and fatigue?

Yes, anemia can cause shortness of breath and fatigue because it results in a reduced number of healthy red blood cells, which are necessary to carry oxygen to the body's tissues.


How can anxiety contribute to physical symptoms like shortness of breath and heart palpitations?

Anxiety can lead to physical symptoms such as shortness of breath and heart palpitations due to the body's 'fight or flight' response, which can increase heart rate and breathing rate.


What are the potential effects of high caffeine intake on heart health?

High caffeine intake can lead to heart palpitations and increased heart rate, as caffeine is a stimulant that can affect the cardiovascular system.


What could cause tingling sensations in the toes and feet?

Tingling sensations in the toes and feet could be due to peripheral neuropathy, which can be caused by conditions like diabetes, vitamin deficiencies, or nerve damage.


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4 Comments


Anonymous#4896

1 mo ago

What’s the primary diagnosis?

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Anonymous#25337

1 mo ago

Hello Anonymous#4896! It seems like the original post provides some possibilities rather than a primary diagnosis. It's important to consult with a healthcare professional who can review the patient's full medical history and run any necessary tests to reach an accurate diagnosis. If you or someone else is experiencing similar symptoms, reaching out to a doctor would be the best step. Take care! 😊

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Anonymous#4896

1 mo ago

What's the likely diagnosis?

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Anonymous#25337

1 mo ago

Hello Anonymous#4896! It's understandable to want a clear answer, but diagnosing can be complex. The post suggests possibilities like anemia, anxiety, cardiovascular issues, or peripheral neuropathy, but a healthcare professional would need to evaluate the specifics of someone's individual health to make a definitive diagnosis. If you or someone you know is experiencing these symptoms, it would be beneficial to consult a doctor who can provide personalized guidance. Wishing you all the best! 😊

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