[34F] Experiencing respiratory and gastrointestinal symptoms

Patient Description

A 34-year-old female presents with a sudden onset of shortness of breath described as having a weight on her chest, worsening with quick movements and more severe at night. She also reports a scratchy throat and a mild, tickly cough, both persisting for about 24 hours. She experiences constipation, with no bowel movement in 24 hours, and a history of irritable bowel syndrome, typically presenting with less constipation. Additionally, she experienced nausea without vomiting, rated at a severity of 3 out of 10, and severe joint aches that have since subsided. She reports intense fatigue that has improved but still feels low energy. She has a history of alopecia areata diagnosed at age 22 and irritable bowel syndrome diagnosed at age 20. She is allergic to latex, codeine, and Tylenol. No medications are currently being taken.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Viral Upper Respiratory Infection (Common Cold): This is a common viral infection that affects the nose, throat, and airways. It can cause a scratchy throat, cough, fatigue, and sometimes shortness of breath. However, it usually improves on its own within a week or two.

    • Treatment typically involves rest, hydration, and over-the-counter remedies to manage symptoms.
  • COVID-19: Given the current pandemic, it's important to consider COVID-19, which can cause a range of symptoms including cough, shortness of breath, fatigue, and body aches. Some people may also experience gastrointestinal symptoms like nausea and constipation.

    • Testing is recommended to confirm the diagnosis. If positive, treatment depends on the severity of symptoms and may range from self-isolation and symptom management at home to hospitalization in severe cases.
  • Anxiety: Stress and anxiety can sometimes cause physical symptoms like shortness of breath, fatigue, and gastrointestinal issues. However, this would typically only be considered once other causes have been ruled out.

    • Treatment can involve a combination of therapy, medication, and lifestyle changes.

Please note that these are only possibilities and not a definitive diagnosis. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

  1. Rest and stay hydrated: This can help your body recover from any potential infection.
  2. Monitor your symptoms: Keep track of any changes in your symptoms or if they worsen.
  3. Seek medical attention: Given your shortness of breath, it's important to seek medical attention as soon as possible. This symptom can sometimes indicate a serious condition.

What you should look out for

Seek immediate medical attention if you experience:

  • Difficulty breathing or shortness of breath that's getting worse
  • Persistent pain or pressure in your chest
  • New confusion or inability to arouse
  • Bluish lips or face

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for accurate information.

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11 mo ago

People Also Ask


What are the common symptoms of a viral upper respiratory infection?

Common symptoms of a viral upper respiratory infection include a scratchy or sore throat, cough, runny or stuffy nose, mild fever, fatigue, and sometimes shortness of breath. These symptoms usually resolve on their own within a week or two.


How can COVID-19 symptoms differ from those of a common cold?

COVID-19 symptoms can overlap with those of a common cold, such as cough and fatigue, but may also include more severe symptoms like persistent shortness of breath, loss of taste or smell, and gastrointestinal issues like nausea and diarrhea. COVID-19 can also lead to more serious complications, so testing is important for an accurate diagnosis.


Can anxiety cause physical symptoms like shortness of breath and fatigue?

Yes, anxiety can manifest as physical symptoms, including shortness of breath, fatigue, and gastrointestinal issues. These symptoms occur due to the body's stress response, which can affect various systems in the body.


What are some effective ways to manage constipation, especially with a history of irritable bowel syndrome?

To manage constipation, especially with a history of irritable bowel syndrome, it's important to maintain a high-fiber diet, stay hydrated, and engage in regular physical activity. Over-the-counter laxatives may be used occasionally, but it's best to consult with a healthcare provider for personalized advice.


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