[35F] With respiratory symptoms and history of asthma, hypothyroidism, and protein C deficiency

Patient Description

A 35-year-old female presents with a deep, painful cough that has persisted for a few days. She reports trouble breathing with a rattling sound when exhaling, exacerbated by lying down and heat. The patient also has a sore throat and is coughing up mucus. She denies experiencing fever or chills. Her medical history includes asthma, hypothyroidism diagnosed in 2023, and protein C deficiency. She is currently taking levothyroxine, an inhaler for asthma, and warfarin. There are no known allergies or adverse reactions to medications. The symptoms have not been relieved by her current medication regimen.

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Arora's Assessment

What might be happening

Based on your symptoms, the following conditions could be possible:

  • Common Cold: This is a viral infection that primarily affects your nose and throat. It's usually harmless and symptoms improve within a week or two.

    • Treatment typically involves rest, hydration, and over-the-counter remedies to relieve symptoms.
  • Influenza (Flu): This is a more severe viral infection that can cause fever, cough, sore throat, nasal congestion, and body aches.

    • Antiviral medications can be prescribed by a doctor if the flu is diagnosed within the first 48 hours of symptom onset.
  • Asthma Exacerbation: Given your history of asthma, your symptoms could indicate a flare-up. Asthma can cause coughing, wheezing, shortness of breath, and chest tightness.

    • Treatment involves using prescribed inhalers and avoiding triggers.
  • Bronchitis: This is an inflammation of the lining of your bronchial tubes, which carry air to and from your lungs. Symptoms include coughing up thickened mucus and shortness of breath.

    • Treatment typically involves rest, hydration, and possibly antibiotics if the bronchitis is caused by a bacterial infection.

What you can do

  1. Rest and hydrate: These are key to recovery from most respiratory illnesses.
  2. Over-the-counter remedies: These can help with symptoms such as a sore throat and stuffy nose.
  3. Use your asthma inhaler: If you have one prescribed, it may help with your cough and the rattling sensation.
  4. Seek medical attention: If your symptoms persist or worsen, it's important to consult a healthcare professional. They can provide a formal diagnosis and appropriate treatment.

What you should look out for

You should seek immediate medical attention if you experience any of the following:

  • Difficulty breathing or shortness of breath
  • Chest pain or pressure
  • Confusion or difficulty waking up
  • 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 appropriate examination, testing, and care.

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1 yr ago

People Also Ask


What are the common symptoms of an asthma exacerbation?

Common symptoms of an asthma exacerbation include increased coughing, wheezing, shortness of breath, and chest tightness. These symptoms may worsen at night or with exposure to triggers such as allergens, cold air, or exercise.


How can I differentiate between a common cold and bronchitis?

A common cold typically involves symptoms like a runny or stuffy nose, sore throat, and mild cough, whereas bronchitis involves a persistent cough that produces mucus, shortness of breath, and sometimes chest discomfort. Bronchitis may follow a cold or respiratory infection.


What should I do if my asthma inhaler is not relieving my symptoms?

If your asthma inhaler is not relieving your symptoms, you should seek medical attention. Your doctor may need to adjust your medication or investigate other causes of your symptoms. It's important to follow your asthma action plan and avoid known triggers.


Can hypothyroidism affect my respiratory symptoms or asthma?

Hypothyroidism can sometimes contribute to respiratory symptoms by causing muscle weakness, including the muscles involved in breathing. It may also affect asthma control, so it's important to manage your thyroid condition effectively with medication and regular monitoring by your healthcare provider.


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