[36F] With chronic productive cough, indigestion, and recent diarrhea

What might be happening

Based on the symptoms you've described, there are a few potential diagnoses and unifying conditions that could explain your symptoms:

Chronic Productive Cough and Shortness of Breath

• Chronic Bronchitis or Chronic Obstructive Pulmonary Disease (COPD): Given your long-term smoking history and chronic productive cough, COPD is a strong possibility. COPD often presents with a chronic cough, mucus production, and shortness of breath.
• Gastroesophageal Reflux Disease (GERD): GERD can cause chronic cough and indigestion. The acid reflux can irritate your throat and lungs, leading to a persistent cough.

Indigestion, Excess Gas, and Diarrhea

• Irritable Bowel Syndrome (IBS): IBS can cause symptoms like diarrhea, gas, and indigestion. Stress and diet can exacerbate these symptoms.
• GERD: As mentioned, GERD can also cause indigestion and gas.

Fatigue, Loss of Appetite, and Weight Loss

• Chronic Illness: Chronic conditions like COPD or GERD can lead to fatigue and weight loss due to the body's increased energy expenditure and decreased appetite.
• Depression or Anxiety: Feeling on edge, loss of appetite, and fatigue can also be symptoms of mental health conditions like depression or anxiety.

Sharp Chest Pain

• GERD: Acid reflux can cause sharp chest pain, often mistaken for heart pain.
• Musculoskeletal Pain: Sharp chest pain can also be due to muscle strain or inflammation.

What you can do

Chronic Productive Cough and Shortness of Breath

• See a Doctor: It's important to get a formal diagnosis. Your doctor may recommend lung function tests, chest X-rays, or a referral to a pulmonologist.
• Quit Smoking: Smoking cessation is crucial. There are many resources available to help you quit, including medications, counseling, and support groups.
• Manage GERD: Elevate the head of your bed, avoid eating late at night, and avoid foods that trigger reflux. Over-the-counter antacids may help.

Indigestion, Excess Gas, and Diarrhea

• Dietary Changes: Keep a food diary to identify and avoid foods that trigger your symptoms. Eating smaller, more frequent meals can also help.
• Hydration: Ensure you stay hydrated, especially with diarrhea.
• See a Doctor: A healthcare provider can help determine if you have IBS or another gastrointestinal condition and recommend appropriate treatments.

Fatigue, Loss of Appetite, and Weight Loss

• Balanced Diet: Try to eat small, nutritious meals even if you don't feel hungry. Nutritional supplements may be helpful.
• Mental Health: Consider speaking to a mental health professional if you feel on edge or suspect you might be dealing with anxiety or depression.
• See a Doctor: Your doctor can run tests to rule out other causes of weight loss and fatigue.

Sharp Chest Pain

• GERD Management: As mentioned, managing GERD can help reduce chest pain.
• Pain Relief: Over-the-counter pain relievers like ibuprofen can help with musculoskeletal pain, but consult your doctor first.

What you should look out for

Given the severity and duration of your symptoms, you should seek medical care as soon as possible. Reasons to seek care even more urgently include:

• Worsening Shortness of Breath: If you find it increasingly difficult to breathe, seek immediate medical attention.
• Severe Chest Pain: If your chest pain becomes severe or is accompanied by other symptoms like sweating, nausea, or dizziness, seek emergency care.
• Significant Weight Loss: Rapid or unexplained weight loss should be evaluated by a healthcare provider.
• Persistent Diarrhea: If your diarrhea continues for more than a few days or is accompanied by severe pain or blood, see a doctor.

Remember, while I can provide information and suggestions, it's important to consult with a healthcare professional for a formal diagnosis and treatment plan. You can use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.