[50F] Experiencing chest tightness, shortness of breath, and shoulder pain

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

• Asthma Exacerbation: Given your history of severe asthma, the chest tightness, shortness of breath, wheezing, and shoulder blade pain when breathing deeply could be signs of an asthma exacerbation. This is when symptoms of asthma, a disease of the airways, become worse.

  • Treatment typically involves the use of inhalers, like the Symbicort you're already using, to relax the muscles around the airways and reduce inflammation.

• Upper Respiratory Infection: The swollen glands in your neck, congestion, scratchy throat, and fatigue could be signs of an upper respiratory infection, such as a common cold or flu. These infections are usually caused by viruses.

  • Treatment usually involves rest, hydration, and over-the-counter medications to manage symptoms.

• Anxiety or Stress: Sometimes, physical symptoms like chest tightness and shortness of breath can be caused by psychological factors like stress or anxiety. This doesn't mean the symptoms are "all in your head" - they're very real and can be very distressing.

  • Treatment can involve a variety of approaches, including therapy, medication, and lifestyle changes.

Please note that these are just possibilities and not a definitive diagnosis. It's important to consult with a healthcare provider for an accurate diagnosis and treatment.

What you can do

Here are some steps you can take to manage your symptoms:

1. Continue using your Symbicort inhaler as prescribed. If your asthma symptoms are not improving, contact your healthcare provider. They may need to adjust your medication or add a new one.
2. Rest and stay hydrated. This can help your body fight off an upper respiratory infection if that's what's causing your symptoms.
3. Try to identify any sources of stress or anxiety in your life and consider ways to manage them. This could involve relaxation techniques, regular exercise, or talking to a mental health professional.
4. Over-the-counter pain relievers can help with muscle soreness and throat discomfort.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

• Severe chest pain or pressure
• Difficulty breathing or shortness of breath that's getting worse
• High fever or severe headache
• Any other symptoms that are severe or concerning to you

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for accurate information.