[46M] Experiencing shortness of breath and body aches

Patient Description

A 46-year-old male presents with mild to moderate shortness of breath that has developed gradually over the past 6 years. The episodes occur once or twice a month and last for 3 to 4 days. The shortness of breath worsens with warm air and physical activity, while cold air induces coughing. The patient also reports chronic body aches, including diabetic neuropathy in the feet and hands, a persistent knot in the shoulder blade muscle, and restless legs. The patient experiences general discomfort in various positions, including standing, sitting, sleeping, and moving. The patient uses marijuana daily in various forms, including smoking, edibles, and concentrates. There are no known lung conditions such as asthma or COPD, and no recent changes in diabetes management or blood sugar levels. No known allergies.

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Arora's Assessment

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: Your shortness of breath, especially when exacerbated by warm air and movement, could be related to a chronic lung condition such as COPD or asthma. These conditions can cause breathing difficulties and may be worsened by environmental factors like temperature changes. Smoking, including marijuana, can contribute to or exacerbate these conditions.

  2. Diabetic Neuropathy and Musculoskeletal Pain: The constant diabetic neuropathy in your feet and hands, along with the knot in your shoulder blade muscle, suggests ongoing nerve and musculoskeletal issues. These can cause significant discomfort and may be related to your history of diabetes and past trauma from being run over by a truck.

  3. Fibromyalgia or Chronic Fatigue Syndrome: The combination of body aches, brain fog, and general discomfort in various positions might suggest a condition like fibromyalgia or chronic fatigue syndrome. These conditions are characterized by widespread pain, cognitive difficulties, and fatigue.

What you can do

Shortness of Breath:

  • It's important to consult with a healthcare provider to evaluate your lung function and rule out conditions like COPD or asthma. They may recommend pulmonary function tests or imaging studies.
  • Consider reducing or modifying your marijuana use, as smoking can irritate the lungs and worsen breathing issues.

Body Aches and Neuropathy:

  • Managing your diabetes effectively is crucial to prevent further nerve damage. Regular check-ups with your healthcare provider can help optimize your diabetes management.
  • Physical therapy or exercises designed to improve posture and muscle strength may help alleviate some of the musculoskeletal pain.

General Discomfort and Brain Fog:

  • Keeping a symptom journal using MDandMe can help track your symptoms and identify potential triggers or patterns. This information can be valuable for your healthcare provider.
  • Ensure you are getting adequate rest, hydration, and nutrition, as these can impact your overall well-being.

What you should look out for

Given the complexity of your symptoms, it's important to seek medical care to address these issues comprehensively. Be vigilant for the following:

  • Worsening shortness of breath or new respiratory symptoms, such as persistent coughing or wheezing.
  • Significant changes in your ability to perform daily activities due to pain or discomfort.
  • Any new or unusual symptoms that could indicate a change in your health status.

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

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29 d ago

People Also Ask


Can smoking marijuana contribute to shortness of breath or lung issues?

Yes, smoking marijuana can irritate the lungs and contribute to respiratory issues, including shortness of breath. It can exacerbate existing lung conditions such as asthma or COPD.


What are the common symptoms of diabetic neuropathy?

Diabetic neuropathy commonly causes symptoms such as tingling, numbness, burning, or pain in the hands and feet. It can also lead to muscle weakness and coordination problems.


How can environmental factors like temperature affect breathing in conditions like asthma or COPD?

Environmental factors like warm air can exacerbate breathing difficulties in conditions like asthma or COPD by causing airway inflammation or constriction. Cold air can also trigger coughing and respiratory discomfort.


What lifestyle changes can help manage fibromyalgia or chronic fatigue syndrome?

Lifestyle changes that can help manage fibromyalgia or chronic fatigue syndrome include regular physical activity, stress management techniques, maintaining a healthy diet, and ensuring adequate sleep. It's also beneficial to track symptoms to identify triggers.


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