[55F] Experiencing shortness of breath and shoulder discomfort

Patient Description

A 55-year-old female reports shortness of breath that worsens with walking or talking, rating the severity at 5 out of 10. This symptom has been occurring on and off for approximately a month. Additionally, she experiences upper back and shoulder discomfort, described as sore or stiff, rated at a 6 out of 10 in severity, also presenting intermittently over an unspecified duration. The patient has been taking medication for high blood pressure (an off-white, oblong pill) and Lorazepam as needed. She has no known allergies to medications and no past medical history of chronic illnesses or recent injuries that could explain her current symptoms.

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Arora's Assessment

What might be happening

Based on the information provided, possible explanations for your symptoms include:

  • Anxiety or Panic Disorder: These conditions can cause physical symptoms such as shortness of breath, chest discomfort, and a feeling of being anxious. They can be triggered by stress or can occur spontaneously.

    • Treatment typically involves a combination of cognitive-behavioral therapy (CBT) and medication.
  • Cardiovascular Disease: Given your age, gender, and history of high blood pressure, conditions such as coronary artery disease or heart failure could potentially explain your symptoms. These conditions can cause shortness of breath, especially on exertion, and discomfort in the chest and upper body.

    • Treatment typically involves lifestyle changes, medication, and sometimes procedures or surgery.
  • Musculoskeletal Conditions: Conditions such as a pinched nerve in the neck or shoulder could potentially explain your shoulder discomfort and stiff neck. However, these conditions would not typically cause shortness of breath.

    • Treatment typically involves physical therapy, pain management, and sometimes surgery.

What you can do

It would be best to consult a doctor about your symptoms so that they can provide a formal assessment and order relevant tests if necessary. In the meantime, you can try the following to relieve your symptoms or figure out what's going on:

  1. If you feel anxious, try deep breathing exercises or other relaxation techniques.
  2. Try to stay active, but don't push yourself too hard if you're feeling short of breath.
  3. Make sure you're taking your blood pressure medication as prescribed.

What you should look out for

Reasons to see a doctor more urgently:

  • If your shortness of breath or chest discomfort worsens, especially if it happens suddenly
  • If you develop other symptoms such as dizziness, fainting, or a rapid heartbeat
  • If your anxiety becomes overwhelming or difficult to manage

Please remember that while I strive to provide accurate and helpful information, I am not a doctor and this advice is not a substitute for professional medical advice. Always seek the advice of a healthcare provider with any questions you may have regarding a medical condition.

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1 yr ago

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People Also Ask


What are the common symptoms of anxiety or panic disorder?

Common symptoms of anxiety or panic disorder include shortness of breath, chest discomfort, rapid heartbeat, sweating, trembling, and a feeling of impending doom. These symptoms can be triggered by stress or occur spontaneously.


How can cardiovascular disease cause shortness of breath and upper body discomfort?

Cardiovascular disease, such as coronary artery disease or heart failure, can reduce blood flow to the heart, leading to symptoms like shortness of breath, especially during physical activity, and discomfort in the chest and upper body due to reduced oxygen supply.


What are some effective treatments for musculoskeletal conditions like a pinched nerve?

Effective treatments for musculoskeletal conditions like a pinched nerve include physical therapy to improve mobility and strength, pain management with medications or injections, and in some cases, surgery to relieve pressure on the nerve.


When should I seek urgent medical attention for shortness of breath?

You should seek urgent medical attention if your shortness of breath or chest discomfort worsens suddenly, if you experience dizziness, fainting, or a rapid heartbeat, or if your anxiety becomes overwhelming and difficult to manage.


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