[62F] Experiencing severe breathing difficulty and dry cough

Patient Description

A 62-year-old female presents with severe breathing difficulty and a persistent dry cough that have been ongoing for a couple of months. The breathing issues are rated 9 out of 10 in severity, occur during physical activity, and have been worsening. The patient has a long-standing history of asthma and was diagnosed with psoriasis 4 years ago. She has been using her Albuterol inhaler more frequently over the last few months. The patient also receives Skyrisi injections for psoriasis and is allergic to Ceftin. There is no chest pain, blood in the cough, wheezing, chest tightness, or swelling in the extremities reported. Fatigue is also noted as a symptom.

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Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions could be causing your symptoms:

  • Asthma Exacerbation: Given your history of asthma, the symptoms you're experiencing could be due to a worsening or "flare-up" of your asthma. This can be triggered by various factors such as allergens, respiratory infections, or even stress.

    • Treatment typically involves the use of medications like bronchodilators (like your Albuterol inhaler) and corticosteroids.
  • Chronic Obstructive Pulmonary Disease (COPD): This is a chronic inflammatory lung disease that causes obstructed airflow from the lungs. It's most commonly caused by long-term exposure to irritating gases or particulate matter, most often from cigarette smoke.

    • Treatment typically involves medications, oxygen therapy, pulmonary rehabilitation, or surgery in severe cases.
  • Heart Failure: This is a condition in which the heart can't pump enough blood to meet the body's needs. Symptoms can include shortness of breath, fatigue, and coughing.

    • Treatment typically involves medications, lifestyle changes, and sometimes devices or surgical procedures.

Please note that these are potential conditions that could be causing your symptoms. It's important to consult with a healthcare professional for an accurate diagnosis and treatment.

What you can do

  1. Continue to use your Albuterol inhaler as prescribed by your doctor. If you find that you're needing to use it more frequently than usual, this could be a sign that your asthma is not well-controlled and you should consult with your healthcare provider.

  2. Try to identify any potential triggers for your symptoms and avoid them if possible. This could include allergens, irritants like smoke or dust, or even certain activities or exercises.

  3. Practice good respiratory hygiene. This includes washing your hands regularly, avoiding close contact with people who are sick, and wearing a mask in public places if required.

  4. Maintain a healthy lifestyle. This includes eating a balanced diet, getting regular exercise, and getting enough sleep.

What you should look out for

  • If your symptoms worsen or you experience new symptoms such as chest pain, fainting, or swelling in your legs or feet, seek medical attention immediately.
  • If you find that you're needing to use your Albuterol inhaler more frequently than usual, consult with your healthcare provider as this could be a sign that your asthma is not well-controlled.
  • If you experience any adverse reactions to your medications, seek medical attention immediately.

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.

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10 mo ago

People Also Ask


What are common triggers for asthma exacerbations?

Common triggers for asthma exacerbations include allergens (such as pollen, dust mites, and pet dander), respiratory infections, smoke, pollution, stress, and exercise. Identifying and avoiding these triggers can help manage symptoms.


How can psoriasis treatments like Skyrisi affect breathing issues?

Psoriasis treatments like Skyrisi are not typically known to directly affect breathing issues. However, any new or worsening symptoms should be discussed with a healthcare provider to rule out potential side effects or interactions.


What are the differences between asthma and COPD symptoms?

Asthma symptoms often include wheezing, shortness of breath, and coughing, typically triggered by allergens or exercise. COPD symptoms are similar but usually include a chronic cough with mucus and are often related to long-term exposure to irritants like cigarette smoke. COPD is generally progressive and persistent.


How can I manage fatigue associated with breathing difficulties?

Managing fatigue associated with breathing difficulties involves ensuring adequate rest, maintaining a balanced diet, staying hydrated, and pacing activities to avoid overexertion. Consulting with a healthcare provider for personalized advice is also recommended.


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