[33F] Experiencing morning shortness of breath and heartburn

Patient Description

A 33-year-old female has been experiencing shortness of breath in the mornings and occasionally when walking upstairs for the past two months, with a severity rating of 6 out of 10. Drinking water seems to provide some relief. The patient also suffers from heartburn or acid regurgitation, particularly at night or when lying down. There is no history of asthma or cardiac issues in the patient herself, but her mother has a history of Ventricular tachycardia. The patient is not on any medications and has no known drug allergies.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible explanations for your symptoms include:

  • Asthma: This is a condition that causes your airways to become inflamed and narrow, and produce extra mucus, which can make it hard to breathe. Asthma can cause shortness of breath, coughing, and wheezing. It can be triggered by various factors, including exercise, allergens, and cold air.

    • Treatment typically involves the use of inhalers to relax the muscles around your airways (bronchodilators) and reduce inflammation in your lungs.
  • Gastroesophageal Reflux Disease (GERD): This is a chronic condition where stomach acid frequently flows back into the tube connecting your mouth and stomach (esophagus). This backwash (acid reflux) can irritate the lining of your esophagus and cause symptoms like heartburn and acid regurgitation. In some cases, GERD can cause a chronic dry cough and difficulty breathing.

    • Treatment typically involves lifestyle changes, such as avoiding foods that trigger symptoms, and medications to reduce stomach acid.
  • Cardiac conditions: Given your family history of Ventricular Tachycardia, it's important to consider heart conditions that could cause shortness of breath, such as heart failure or coronary artery disease. However, these conditions usually cause additional symptoms like chest pain, which you have not reported.

    • Treatment would depend on the specific condition and could range from lifestyle changes and medications to surgery or other procedures.

What you can do

  1. Consult a healthcare provider: They can provide a formal assessment and order relevant tests if necessary. This could include pulmonary function tests for asthma or an endoscopy for GERD.

  2. Lifestyle changes: If your symptoms are due to GERD, lifestyle changes like avoiding foods that trigger your symptoms, eating smaller meals, not lying down soon after eating, and raising the head of your bed could help.

  3. Stay active: Regular exercise can help improve lung function. However, make sure to start slow and gradually increase your activity level.

What you should look out for

Seek immediate medical attention if:

  • Your shortness of breath becomes severe or is accompanied by chest pain, fainting, or severe weakness
  • You have difficulty breathing even when at rest
  • Your lips or face turn a blue color

Please remember that this advice is intended to be general in nature, and specific causes may not apply to your personal circumstances. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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1 yr ago

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People Also Ask


What are the common symptoms of GERD and how can it affect breathing?

Common symptoms of GERD include heartburn, acid regurgitation, and sometimes a chronic cough or difficulty breathing. GERD can affect breathing by causing acid to irritate the airways, leading to symptoms like shortness of breath.


How can asthma be diagnosed if there is no prior history?

Asthma can be diagnosed through a combination of medical history, physical examination, and tests such as spirometry, which measures lung function. Even without a prior history, new-onset asthma can occur and should be evaluated by a healthcare provider.


What lifestyle changes can help manage GERD symptoms?

Lifestyle changes to manage GERD include avoiding foods and drinks that trigger symptoms, eating smaller meals, not lying down immediately after eating, and elevating the head of the bed. These changes can help reduce acid reflux and alleviate symptoms.


When should someone with shortness of breath seek immediate medical attention?

Immediate medical attention should be sought if shortness of breath becomes severe, is accompanied by chest pain, fainting, or severe weakness, or if there is difficulty breathing even at rest. Additionally, if the lips or face turn blue, it is a sign of insufficient oxygen and requires urgent care.


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