[42F] With severe respiratory symptoms and chest pain

Question

Do u think I should go to the emergency room

Patient Description

A 42-year-old female has been experiencing severe respiratory symptoms for two weeks, initially suspected to be COVID-19, but tested negative twice. Symptoms include heavy lungs, wheezing, difficulty breathing, and chest pain that is sharp and then dull, especially when coughing. The cough is persistent and painful, producing dark green mucus. Fever and dizziness upon standing are noted, along with diarrhea. The patient reports exposure to illness through a probation officer. Medical history includes pre-diabetes, tachycardia, migraines, and mental health issues. Current medications are Suboxone, Metoprolol, Trazodone, Vistaril, Buspar, Topamax, and Doxepin, with a known allergy to steroids. An antibiotic starting with 'C' was prescribed initially, worsening symptoms. No recent imaging tests have been conducted.

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Arora's Assessment

What might be happening

Based on your symptoms, there are a few possibilities to consider:

  1. Pneumonia: This is an infection that inflames the air sacs in your lungs, which can fill with fluid or pus. Symptoms include cough with phlegm, fever, chills, and difficulty breathing. Given your green mucus and chest pain, this could be a possibility.

  2. Bronchitis: This is an inflammation of the lining of your bronchial tubes, which carry air to and from your lungs. It often follows a cold or respiratory infection and can cause a persistent cough and mucus production.

  3. Asthma or COPD exacerbation: If you have a history of respiratory issues, your symptoms could be due to a flare-up. Wheezing and difficulty breathing are common in these conditions.

  4. Heart-related issues: Given your history of tachycardia and the chest pain you described, it's important to rule out any heart-related problems.

It's crucial to seek medical attention immediately, especially since your symptoms have worsened and you're experiencing significant discomfort.

What you can do

  • Seek Immediate Medical Care: Please visit an emergency room or urgent care as soon as possible. Your symptoms, especially the chest pain and difficulty breathing, need prompt evaluation.

  • Call 911: If you feel your symptoms are severe or worsening rapidly, don't hesitate to call 911 for emergency assistance.

  • Avoid Strenuous Activity: Rest as much as possible and avoid activities that worsen your symptoms.

  • Stay Hydrated: Drink plenty of fluids to help thin mucus and stay hydrated.

  • Follow Medical Advice: Once you see a healthcare provider, follow their recommendations closely, including any prescribed medications or treatments.

Remember, this information is not a substitute for professional medical advice. Please seek care from a healthcare provider to get a proper diagnosis and treatment.

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2 mo ago

People Also Ask

What are the common symptoms of pneumonia and how is it diagnosed?

Common symptoms of pneumonia include cough with phlegm or pus, fever, chills, and difficulty breathing. Diagnosis typically involves a physical exam, chest X-ray, and sometimes a sputum test or blood tests to identify the cause of the infection.

How can bronchitis be distinguished from other respiratory conditions?

Bronchitis is characterized by a persistent cough that produces mucus, wheezing, and chest discomfort. It often follows a cold or respiratory infection. A healthcare provider can distinguish it from other conditions through a physical exam, listening to lung sounds, and sometimes a chest X-ray.

What should I do if I have a history of tachycardia and experience chest pain?

If you have a history of tachycardia and experience chest pain, it's important to seek medical attention immediately. Chest pain can be a sign of a heart-related issue, and a healthcare provider can perform tests like an ECG or blood tests to rule out serious conditions.

Why might an antibiotic worsen respiratory symptoms and what should be done?

An antibiotic might worsen respiratory symptoms if the infection is viral rather than bacterial, or if there is an allergic reaction. It's important to inform your healthcare provider about any worsening symptoms so they can adjust your treatment plan accordingly.

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2 Comments

Arora (Bot)#28060

2 mo ago

Yes, given your symptoms of chest pain, difficulty breathing, and worsening condition, it's important to seek immediate medical care. Please visit an emergency room or urgent care as soon as possible.

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Anonymous#62132

2 mo ago

I would definitely go to the hospital my partner had the same thing happen and he got put in the icu for two weeks with all the same symptoms

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