[38F] With chronic severe shortness of breath and nasal congestion

What might be happening

Based on the symptoms you've described, there are a few potential explanations for what you might be experiencing:

1. Chronic Obstructive Pulmonary Disease (COPD) or Asthma Exacerbation: Given your history of asthma and the persistent shortness of breath, especially when lying down, it's possible that your asthma is not well-controlled or that you might be experiencing a chronic obstructive pulmonary condition. The thick, sticky mucus and nasal congestion could also be related to this.

2. Chronic Sinusitis or Allergic Rhinitis: The persistent nasal congestion and mucus production, despite antibiotic treatment, suggest that you might be dealing with chronic sinusitis or allergic rhinitis. Your known allergies to dust mites and cats could be contributing to this, especially with your new job in a dusty environment.

3. Heart-Related Issues: Given your family history of heart disease and recent significant weight gain, it's important to consider potential heart-related issues, such as heart failure, which can cause shortness of breath, especially when lying down.

4. Obstructive Sleep Apnea: This condition can cause severe shortness of breath at night and is often associated with weight gain. It might be worth discussing with your healthcare provider.

Typical treatments or testing for these conditions might include pulmonary function tests, allergy testing, imaging studies like a chest X-ray or CT scan, and possibly a sleep study to evaluate for sleep apnea.

What you can do

Shortness of Breath and Asthma:

• It's crucial to see a healthcare provider to reassess your asthma management plan. You may need adjustments to your inhaler regimen or additional medications.
• Consider using a humidifier in your bedroom to help with mucus production and breathing at night.
• Keep a journal of your symptoms using MDandMe to track any patterns or triggers and share this information with your healthcare provider.

Nasal Congestion and Mucus:

• Try using a saline nasal spray or rinse to help clear your nasal passages.
• Consider allergy-proofing your home and work environment as much as possible, such as using air purifiers and dust mite covers.
• Discuss with your healthcare provider the possibility of allergy testing or seeing an allergist for further evaluation.

Weight Gain and Heart Health:

• Schedule an appointment with your healthcare provider to discuss your weight gain and potential heart-related concerns.
• Focus on a heart-healthy diet rich in fruits, vegetables, whole grains, and lean proteins.
• Engage in regular physical activity, as tolerated, to help manage your weight and improve cardiovascular health.

What you should look out for

Given the severity of your symptoms, it's important to seek medical care promptly. Be vigilant for the following signs that may require more urgent attention:

• Worsening shortness of breath or difficulty breathing
• Chest pain or pressure
• Swelling in your legs or feet
• Sudden weight gain or loss
• Persistent or worsening cough

Remember, while I can provide information and suggestions, it's essential to consult with a healthcare professional for a formal diagnosis and appropriate treatment.