[50F] Experiencing shortness of breath and clammy hands

What might be happening

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

• Anxiety or Panic Disorder: Anxiety can cause physical symptoms such as shortness of breath, palpitations, and clammy hands. These symptoms often occur during periods of heightened anxiety or panic attacks, which can happen more frequently at night when you are less distracted.

  • Treatment: Managing anxiety often involves a combination of therapy (such as cognitive-behavioral therapy), medications (like SSRIs or benzodiazepines), and lifestyle changes. Breathing exercises and relaxation techniques can also be helpful.

• Sleep Apnea: This condition causes breathing to repeatedly stop and start during sleep, which can lead to feelings of shortness of breath, especially in the morning. It is often associated with high blood pressure.

  • Treatment: Sleep apnea is typically treated with lifestyle changes, CPAP (continuous positive airway pressure) therapy, or other breathing devices. A sleep study is often required for diagnosis.

• Asthma or Other Respiratory Conditions: Although you do not have wheezing, some forms of asthma or other respiratory conditions can present with shortness of breath and palpitations, especially if triggered by anxiety or environmental factors.

  • Treatment: Inhalers and other medications can help manage asthma. Identifying and avoiding triggers is also important.

• Cardiovascular Issues: While less likely given the absence of chest pain and swelling, conditions like arrhythmias or other heart conditions can cause palpitations and shortness of breath.

  • Treatment: Cardiovascular issues require a thorough evaluation by a healthcare provider, which may include an ECG, stress test, or other cardiac assessments.

What you can do

1. Consult a Healthcare Provider: It's important to see a doctor to get a formal diagnosis and appropriate treatment. They may recommend tests such as a sleep study, pulmonary function tests, or an ECG.
2. Continue Breathing Exercises: These can help manage anxiety and improve your breathing.
3. Monitor Your Symptoms: Keep a journal of your symptoms, including when they occur, their severity, and any potential triggers. You can use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.
4. Manage Anxiety: Consider therapy or counseling to help manage your anxiety. Techniques such as mindfulness, meditation, and regular exercise can also be beneficial.
5. Healthy Lifestyle: Maintain a healthy diet, get regular exercise, and ensure you have good sleep hygiene to help manage both anxiety and high blood pressure.

What you should look out for

Seek medical attention more urgently if you experience:

• Severe Shortness of Breath: If your shortness of breath becomes severe or is accompanied by chest pain, dizziness, or fainting.
• Persistent Palpitations: If your palpitations become more frequent or severe.
• New or Worsening Symptoms: If you develop new symptoms such as swelling in your legs, persistent cough, or any other concerning changes.

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