[36M] Experiencing persistent shortness of breath post-bariatric surgery

Patient Description

A 36-year-old male has been experiencing persistent shortness of breath for several months, which seems to be worsening over time. The shortness of breath is present throughout the day, from waking up until going to sleep, and can be triggered by almost any activity, including showering, vacuuming, and even sitting or standing. Relief is found when lying on the back or stomach, but not on the side. The patient reports a non-productive cough but denies wheezing, chest tightness, or discomfort. There is a significant weight loss of 140 lbs following bariatric surgery in mid-2023, and the patient is taking vitamin and mineral supplements as recommended. The patient is consistent with follow-up appointments and blood tests. The patient vapes nicotine daily and has a history of acute lymphoblastic leukemia diagnosed in 2007 and avascular necrosis diagnosed in 2010, with five joint replacements. Current medications include Lexapro, Ambien, Lamotrigine, Buspar, Folclin, Auvelity, and Flexeril, along with several over-the-counter supplements like Bariatric ADEK, vitamin E, vitamin C, calcium, vitamin D3, biotin, iron, melatonin, turmeric, and GABA. No known drug allergies.

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Arora's Assessment

What might be happening

Based on the information you've provided, your symptoms could be related to several factors:

  1. Respiratory Issues: Your persistent shortness of breath, especially when triggered by various activities, could be related to respiratory issues. This might include conditions like asthma or chronic obstructive pulmonary disease (COPD), although you haven't mentioned wheezing, which is common in these conditions. Given your history of vaping, it's important to consider its impact on your lung health.

  2. Cardiac Concerns: Shortness of breath can also be a symptom of heart-related issues. While you haven't mentioned chest pain or tightness, it's important to consider this possibility, especially given the persistent nature of your symptoms.

  3. Post-Surgical Changes: After significant weight loss from bariatric surgery, your body is adjusting to many changes, including nutritional and metabolic shifts. These changes can sometimes affect your energy levels and breathing.

  4. Anemia or Nutritional Deficiencies: Given your history of bariatric surgery and the supplements you're taking, it's possible that nutritional deficiencies, such as iron deficiency anemia, could contribute to your symptoms. Anemia can cause fatigue and shortness of breath.

  5. Leukemia History: Although your acute lymphoblastic leukemia was diagnosed in 2007, it's important to monitor for any recurrence or related complications, as they can sometimes present with respiratory symptoms.

What you can do

Shortness of Breath:

  • Seek Medical Evaluation: It's important to consult with a healthcare professional to evaluate your symptoms further. They may recommend tests such as pulmonary function tests, chest X-rays, or blood tests to assess your lung and heart health, as well as your nutritional status.
  • Monitor Symptoms: Keep track of when your shortness of breath occurs, its severity, and any potential triggers. This information can be helpful for your healthcare provider.
  • Lifestyle Adjustments: Consider reducing or quitting vaping, as it can impact your lung health. Your healthcare provider can offer resources to help with this.

Post-Surgical Care:

  • Nutritional Monitoring: Continue with your follow-up appointments and ensure you're getting the necessary nutrients. Your healthcare provider may adjust your supplements based on your blood test results.

General Health:

  • Use MDandMe: Consider using MDandMe to journal your symptoms, track your progress, and share your medical notes with your healthcare provider. This can help in managing your condition effectively.

What you should look out for

  • Worsening Symptoms: If your shortness of breath becomes more severe or is accompanied by chest pain, fainting, or swelling in your legs, seek medical attention immediately.
  • New Symptoms: Be vigilant for any new symptoms such as persistent cough with phlegm, wheezing, or unexplained weight loss, and report them to your healthcare provider.

Remember, while I can provide information and suggestions, it's crucial to seek care from real health professionals to receive a formal diagnosis and appropriate treatment.

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2 mo ago

People Also Ask


Can vaping nicotine cause shortness of breath?

Yes, vaping nicotine can cause shortness of breath as it may lead to inflammation and damage to the lungs, potentially contributing to respiratory issues.


What are the potential respiratory issues that could cause persistent shortness of breath?

Potential respiratory issues that could cause persistent shortness of breath include asthma, chronic obstructive pulmonary disease (COPD), and other lung conditions. It's important to consult a healthcare provider for a proper diagnosis.


How can significant weight loss after bariatric surgery affect breathing?

Significant weight loss after bariatric surgery can lead to changes in the body's metabolism and nutritional status, which might affect energy levels and breathing. It's important to monitor nutritional intake and follow up with healthcare providers.


What are the signs of anemia that might contribute to shortness of breath?

Signs of anemia that might contribute to shortness of breath include fatigue, weakness, pale skin, and dizziness. Anemia can reduce the oxygen-carrying capacity of the blood, leading to these symptoms.


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