OpenHealth Q&A

Get answered by medical professionals

Respiratory Concerns

3/22/2025, 12:30:36 PMMale25-34

I am a 20-year-old female, 5’3” tall and weighing 103 pounds. In the past, I went through a similar episode that lasted about two weeks, but currently, this discomfort has persisted for a month and seems to affect me at almost all times throughout the day. I’m experiencing difficulties with shortness of breath, often needing to take deep inhales in an attempt to regain a feeling of normal breathing. Previously, taking a deep yawn or sigh would provide some relief, but lately, those actions have only intensified the pain, and I have developed a cough over the last few days. This cough is singular, producing nothing, and it also causes discomfort, accompanied by a sharp, cold sensation in my sternum. This area often feels as though it could collapse, and the cough exacerbates that sensation. I deal with anxiety and am on medication for it. Initially, I thought these symptoms were simply due to feeling "air hungry" triggered by my anxiety. However, this issue has become persistent even in moments when I’m not feeling anxious. I’ve been on my anxiety medication for several years, yet this breathing issue has only recently emerged. I even attempted to switch medications in hopes of alleviating these symptoms, but nothing has changed so far. At this moment, I am also feeling a burning pain in my chest. Today, I underwent a blood test and a chest X-ray, but I remain uncertain about whether they will identify or resolve the underlying issue. Just to clarify, I do not regularly smoke. I have tried it a few times in the past, but I have never purchased any myself and have only gotten high on three occasions throughout my life.

Shortness of BreathSinus CongestionBronchitis

Answers (1)

Cony

3/22/2025, 12:30:52 PM

OpenHealth AI

It sounds like you're experiencing significant and distressing respiratory symptoms, including persistent shortness of breath, a cough, chest discomfort, and the sensation of not being able to breathe normally. Given your history of anxiety and recent changes in symptoms, it’s understandable to feel concerned. It's great that you're seeking medical evaluations like blood tests and a chest X-ray; these are good first steps.

Explanation

Shortness of breath can be caused by several factors, both respiratory and non-respiratory. Your symptoms could relate to an underlying respiratory condition such as asthma, bronchitis, or even anxiety-induced hyperventilation. The discomfort in your chest and the cold sensation could be associated with muscle strain from coughing or increased anxiety responses. It’s essential to differentiate whether these symptoms are related to anxiety or have an underlying physical cause.

Next Steps

  1. Relaxation Techniques: While you await further medical results, employing relaxation techniques can aid in managing your anxiety and potentially ease your breathing difficulties. Techniques such as deep, controlled breathing (using the diaphragm), yoga, or mindfulness exercises can help.

  2. Monitor Symptoms: Keep a daily log of your symptoms, noting any patterns, triggers, or increases in severity. This log can be very helpful for your healthcare provider.

  3. Hydration & Humidification: Drink plenty of water and consider using a humidifier at home to help ease your cough and support your respiratory system.

  4. Gentle Activity: If you feel able, engage in gentle activities like walking, which may help improve your lung function over time.

  5. Avoiding Irritants: Stay away from smoke, strong odors, or allergens that might worsen your symptoms.

  6. Follow-Up on Tests: Continue to follow up with your healthcare provider about the results of your blood test and chest X-ray, discussing any persistent or worsening symptoms.

If your symptoms worsen or you start experiencing severe pain, significant discomfort, or other alarming changes such as high fever, please seek immediate medical attention.

You're doing the right thing by getting help, and it’s important to keep communicating about your symptoms and feelings with your healthcare provider.

Related Questions

16-Year-Old Dealing with Scoliosis and Breathing Issues: Seeking Advice

As a 16-year-old male, I’m currently coping with gastroesophageal reflux disease (GERD) and irritable bowel syndrome (IBS), while also having been diagnosed with an S-shaped type of scoliosis. During my latest spinal evaluation in 2023, the findings revealed: - Thoracic curve: 25°, bending towards the right - Lumbar curve: 45°, bending towards the left For many years—long before my scoliosis diagnosis—I have been experiencing sporadic shortness of breath, approximately once a month or even less frequently. In June, I visited a clinic because I was suffering from a persistent cough following a viral infection. The attending physician conducted an X-ray and subsequently referred me to the emergency room after she suspected I might have a pleural effusion. Upon arriving at the ER, a CT scan was performed, revealing that the curvature of my spine was exerting pressure on my left lung. Initially, my oxygen saturation level was recorded at 88%. However, due to my shaky hands, the physician questioned the accuracy of this reading. Upon retaking the measurement, my oxygen saturation stabilized between 94% and 99%, and arterial blood gases indicated normal levels. Later on, I consulted a senior pulmonologist who recommended that I prioritize appointments with spine specialists rather than pulmonary care providers, and proceeded to order a spirometry assessment. I chose to delay this test due to frequent panic attacks, fearing these might negatively impact the results. However, I am now set to undergo the spirometry test in three weeks and would like to know if anyone else has experienced a comparable situation. I’m also feeling anxious about the potential for pulmonary hypertension. To provide further context, in April, I underwent two echocardiograms: - The first one, carried out by a junior doctor, indicated an estimated pulmonary artery pressure (EPASP) of 48 mmHg. - The second one, just two days later, was performed by a more experienced cardiologist and showed an EPASP of 30 mmHg alongside a tricuspid regurgitant velocity (TRV) of 2.64 m/s. Additionally, I have concerns about possibly having a pectus deformity, or conditions like Swyer-James-MacLeod syndrome, even though these have not been formally diagnosed. Given all of this, how concerning do my lung conditions appear? Can scoliosis by itself account for these symptoms? Moreover, does this situation escalate potential concerns regarding pectus deformity or Swyer-James-MacLeod syndrome?

Shortness of BreathBronchitisPulmonology
Male25-34
3 hours ago

Mother's Breathing Difficulties After Tree Dust Encounter on Cruise

My mother, a 53-year-old woman living in Australia without known health issues but with a 25-year history of heavy smoking, recently embarked on a cruise through the Pacific islands. During a guided tour on one of the islands, the tour guide struck a tree to convey traditional knowledge, which caused dust to billow into the air, and my mother inadvertently inhaled it. She described the sensation of the dust entering her throat and lungs, and shortly after, she developed severe cold-like symptoms and a cough that became so intense it made breathing difficult. Now, less than a week back from the trip, she's still battling a persistent and harsh cough. This evening, while attempting to vacuum, she mentioned having trouble breathing. Despite my concerns, her stubborn nature means she plans to wait a week before consulting a doctor—but I believe immediate action is necessary. Smoking approximately 15 cigarettes daily, she has struggled with a chronic smoker's cough for several years; however, the intensity of her current cough is unprecedented. During our phone conversation, she could not speak for more than 10 seconds without breaking into coughs. I worry that she might have contracted a respiratory infection or pneumonia. Her partner caught a milder version of her cold and has since recovered, leaving her condition looking increasingly severe. Regrettably, I cannot recall the name of the island or the specific tree involved in this incident. Given the alarming symptoms, does this seem indicative of a respiratory infection or pneumonia? For years, I have fretted over the possibilities of emphysema and lung cancer, but she is resistant to seeking medical help, fearing that it would lead to advice about quitting smoking—something she reacts to like a rebellious teenager. We are also trying to persuade her partner to urge her to visit a doctor as soon as possible.

CoughBronchitisPneumonia
Male25-34
8 hours ago

Seeking Relief: Ongoing Ear and Facial Discomfort After Two Weeks of Respiratory Illness

I am currently experiencing day 14 of a lingering respiratory illness, the origins of which remain unclear. It initially presented with relentless sneezing and a persistent runny nose, accompanied by a low-grade fever ranging from 99 to 100 degrees. Additionally, I have suffered from facial and sinus pain, conjunctivitis, intense headaches, fatigue, and general body aches. After visiting urgent care, I underwent tests for COVID-19, influenza types A and B, and RSV, all returning negative results. The doctor provided me with azelastine; however, he indicated that no further interventions were necessary at that time. While the sneezing and excessive nasal discharge subsided within a few days, I continue to endure headaches, congestion, generalized aches, and overwhelming fatigue at this two-week mark. Moreover, I've recently started experiencing pain in my left ear, with persistent sinus discomfort on that same side. Occasionally, I find myself running a fever of around 99 degrees. Unfortunately, I am unable to make an appointment with my primary care physician for another couple of weeks. I am contemplating whether another visit to urgent care would be worthwhile. Is there any potential relief available for my ear pain? Due to my allergy to aspirin and NSAIDs, I can only use Tylenol, which hasn't alleviated the discomfort. I suspect that I may simply need to ride out this troublesome illness, but could the symptoms indicate a bacterial infection that warrants an antibiotic treatment? Additional Information: - Age: 60 - Gender: Female - Height: 5'2" - Weight: 120 lbs - Ethnicity: White/Asian - Duration of symptoms: 14 days - Pain location: Left ear and left side of the face - Relevant medical history: MCAS, POTS, hEDS, one adrenal gland - Current medications: loratadine, famotidine, fluticasone, prescription potassium, metoprolol, montelukast, azelastine

Sinus CongestionBronchitisENT
Male25-34
21 hours ago

Struggling with Frequent Respiratory Infections

Hello! Since 2020, I have been falling ill with one of four conditions: COVID-19, pneumonia, bronchitis, or tonsillitis, experiencing two bouts of pneumonia in just the last half year. Throughout my life, I have managed asthma while playing sports at a collegiate level, seldom relying on my inhaler. Generally, I consider myself to be in good health. At the age of 28, as a woman, I am quite active and not prone to frequent illness. However, since the wildfires in Los Angeles, I feel like I'm becoming ill more frequently. I consulted with a pulmonologist last December who suggested a CAT scan, which ultimately revealed no significant abnormalities. I also have routine lab work done every six months, and those results do not indicate any issues either. At this point, I find myself feeling increasingly frustrated and uncertain about what steps to take next. If anyone has thoughts, guidance, or recommendations, I would greatly appreciate your input!

BronchitisPneumoniaSore Throat
Male25-34
21 hours ago

Seeking Help for Severe Duodenal Reflux Gastritis

Hello, f30. I'm reaching out for guidance on how to effectively communicate my condition to a gastroenterologist. I’m experiencing significant duodenal reflux, resulting in bile and fluid accumulating in my stomach. After only a few bites of food, my stomach fills with liquid rather than emptying properly, leading to prolonged retention that causes irritation. Over time, my digestive function has steadily declined. I’ve lost 13 kilograms and now find it challenging to consume even a single glass of water or two meals a day. While I don't experience nausea, I'm plagued by continuous liquid retention and a persistent dull burning sensation that is worsening, accompanied by a swallowing reflex that feels like water pooling in my throat. Previous symptoms, such as sporadic but intense feelings of hunger that were alleviated by eating, as well as brief periods of gnawing discomfort, were ignored during earlier consultations. I later realized these could indicate a mild form of erosive gastritis. Regrettably, the delay in proper diagnosis and the misleading advice from alternative healthcare providers have exacerbated my situation, something that is quite difficult to accept given that I may have been treatable at that time. In contrast, I’ve observed online communities where people suffering from gastritis report more severe experiences than I initially had, leading me to unknowingly consume foods that exacerbated my condition. Many healthcare professionals attribute my issues to anxiety or stress. Although I acknowledge that worrying about my health has not contributed positively to my situation, I have not seen a direct correlation between stress and physical symptoms. Moreover, I have no history of mental health disorders. I would have been open to a diagnosis of gastritis along with a stress-related component, but the biological factors have never been thoroughly explored. I felt as though I was on a path to recovery but, lacking essential knowledge, I inadvertently consumed inappropriate foods and drinks. My primary challenge lies in articulating the severity and progressive nature of my condition without coming off as self-diagnosing or exaggerating my symptoms. I wish to convey the abnormal and uncontrollable accumulation of liquid and its damaging effects, yet I am continually dismissed because I still consume food and my digestion appears normal. I seek an assessment of whether the fluids I'm retaining are from my stomach or the pancreas. A year ago, an endoscopy indicated a healthy stomach (only a month following an injury), yet my health has deteriorated since, a point that was previously dismissed. I now recognize this decline to be linked to more severe bile reflux, triggered by my injury, which has led to a gradual loss of stomach function. I am exploring the possibility of the DeMeester duodenal switch surgery, but it’s not feasible in my country. I hope to attain the necessary diagnosis to discuss this possibility. How can I express to a doctor that my issues are no longer merely psychological? I am unable to eat or drink the necessary amount for survival, and relying solely on a once-daily meal is not sustainable. How should I approach asking for further investigation or an open dialogue regarding future treatments, including the potential for surgery, when prior referrals have been declined without a full understanding of my situation? I appreciate any advice you might have regarding my language or strategy when addressing this. A candid discussion concerning the risks and benefits of surgery in my circumstance is crucial. Additionally, has my stomach lost neural function? Are the fluids I’m experiencing pancreatic, or are they unusual protective secretions from the stomach? It is vital for me to gain a realistic perspective on my future. I realize that whenever I suspect bile, the subsequent day becomes noticeably more challenging. Can surgery potentially reverse this damage, or is that a futile hope? Those are the types of questions I want to explore with a medical professional.

Sinus CongestionENTAllergy & Immunology
Male25-34
21 hours ago