[52F] Experiencing sudden shortness of breath, chills, and headache

Patient Description

A 52-year-old female reports sudden onset of shortness of breath, rated 4 out of 10 in severity, accompanied by wheezing, chills, and a headache reminiscent of a head cold, rated 3 out of 10 in intensity. The symptoms have persisted for approximately 25-30 minutes for the shortness of breath and 2 hours for the headache. The patient describes the shortness of breath as similar to past asthma experiences, not related to panic attacks, and it occurred while at rest in bed. There is no associated chest pain or pressure, but there is a slight pain in the upper shoulder/neck area when breathing in. The patient was at a large event a week prior but has not noticed any flu-like symptoms since then. The patient has no known allergies, is not currently on any medications, and has no pre-existing conditions or chronic illnesses. The patient's ability to speak in full sentences is impaired due to the need to catch breath.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Asthma: Asthma is a condition in which your airways narrow and swell and produce extra mucus. This can make breathing difficult and trigger coughing, wheezing and shortness of breath. You mentioned having a history of asthma, and your symptoms of shortness of breath and wheezing could be indicative of an asthma attack.

    • Treatment typically involves the use of inhaled corticosteroids and bronchodilators to reduce inflammation and open up the airways.
  • Anxiety or Panic Disorder: Anxiety can cause physical symptoms such as rapid breathing (hyperventilation), heart palpitations, a feeling of tightness in the chest, and chills. You mentioned having a history of panic attacks, and it's possible that your symptoms could be related to anxiety.

    • Treatment often involves a combination of psychotherapy (cognitive-behavioral therapy) and medications.
  • Influenza (Flu) or Common Cold: Both the flu and the common cold can cause symptoms such as chills, headache, and body aches. You mentioned attending a large event recently, which could have exposed you to viral infections.

    • Treatment typically involves rest, hydration, and over-the-counter medications to manage symptoms.
  • COVID-19: Given the ongoing pandemic, it's also important to consider COVID-19, which can cause symptoms such as shortness of breath, chills, and body aches. You mentioned attending a large event recently, which could have exposed you to the virus.

    • Treatment involves supportive care to help relieve symptoms and, in severe cases, hospital care.

What you can do

  1. If you have an asthma inhaler, use it as directed by your doctor.
  2. Try to stay calm and practice deep breathing exercises to see if this helps with your shortness of breath.
  3. Rest and stay hydrated.
  4. Monitor your symptoms and if they worsen, seek immediate medical attention.

What you should look out for

Reasons to seek immediate medical attention:

  • If your shortness of breath worsens or you start to experience chest pain.
  • If you develop a high fever or your chills persist.
  • If you start to feel confused or have difficulty staying awake.

Please remember that while I strive to provide accurate information, I am an AI and not a doctor. It's important to consult with a healthcare professional who can provide a formal diagnosis and appropriate treatment options.

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10 mo ago

People Also Ask


What are the common symptoms of an asthma attack?

Common symptoms of an asthma attack include shortness of breath, wheezing, coughing, and a feeling of tightness in the chest. These symptoms occur due to the narrowing and swelling of the airways and the production of extra mucus.


How can anxiety or panic disorders cause shortness of breath?

Anxiety or panic disorders can cause shortness of breath due to hyperventilation, which is rapid or deep breathing that can occur during a panic attack. This can lead to a feeling of not getting enough air, chest tightness, and dizziness.


What are the differences between flu symptoms and COVID-19 symptoms?

Flu symptoms typically include fever, chills, body aches, fatigue, and a headache, while COVID-19 symptoms can include these as well as shortness of breath, loss of taste or smell, and more severe respiratory issues. Both can present similarly, but COVID-19 can lead to more severe respiratory complications.


When should someone seek medical attention for shortness of breath?

Medical attention should be sought for shortness of breath if it worsens, is accompanied by chest pain, if there is a high fever, persistent chills, confusion, or difficulty staying awake. These could be signs of a more serious condition requiring immediate care.


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