Concerns Over Shortness of Breath in a Young Adult
Hello everyone, I’m reaching out to discuss some health concerns regarding my partner. He is a 20-year-old male with no notable medical complications, possessing an average physique but carrying a bit of extra weight. His recent lab results show normal findings, except for a slightly elevated red blood cell count at 6.29. Lately, I've observed a noticeable increase in his shortness of breath during minor physical exertion, such as climbing stairs, walking the dog, using the treadmill, or even taking a shower, which seems to leave him winded. There is a complicated family history of congestive heart failure on his father's side. Additionally, I've noticed that he appears a bit swollen and bloated, particularly in his arms below the elbows and around his lower body. When I brought these observations to his attention, he acknowledged the swelling but does not believe he experiences shortness of breath or feelings of being winded. Unsure if I acted correctly, we decided to purchase a pulse oximeter to monitor his oxygen saturation levels. At rest, he maintains an oxygen level of 97, but after walking for just a minute inside the house, it drops to around 90 before gradually rising back up. Should we be concerned enough to seek immediate medical evaluation, or is this something that can be addressed through outpatient care?
Answers (1)
4/1/2025, 6:50:55 PM
OpenHealth AI
It's understandable to be concerned about your partner's symptoms, especially given his family history and the recent changes you've observed. The combination of increased shortness of breath during physical activities, swelling, and the lab result of elevated red blood cell count are important factors to consider.
Primary Concerns:
- Increased shortness of breath during minor exertion
- Swelling in the limbs
- Family history of heart-related issues
- Pulse oximeter readings dropping to 90% after activity
Explanation: The symptoms you described could indicate several potential issues. Shortness of breath could be related to cardiovascular problems, respiratory conditions, or even issues related to weight. Elevated red blood cell counts, also known as polycythemia, may suggest that his body is compensating for insufficient oxygenation, which could contribute to his symptoms. Swelling in the limbs could indicate fluid retention, which can sometimes be associated with heart conditions.
Given the context of his father's family history with congestive heart failure, it's wise to proceed cautiously. While the oxygen saturation level of 97% at rest is good, the drop to 90% during exertion is notable and could signal a concern.
Next Steps:
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Seek Medical Evaluation: Since your partner is experiencing significant symptoms (shortness of breath and swelling) and has a concerning family history, it is advisable to arrange for a medical evaluation promptly. An in-person visit with a healthcare provider can help you better understand the underlying causes and appropriate treatments.
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Monitor Symptoms: Continue using the pulse oximeter to monitor his oxygen levels. Write down any additional symptoms, how he feels during various activities, and any other changes. This information can assist healthcare providers in making an accurate assessment.
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Encourage Gentle Activity: While it’s important not to overexert him, gentle activities like walking at a comfortable pace can be beneficial. This should only be continued if he feels comfortable, and he should stop any activity if he experiences an increase in shortness of breath.
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Follow Up on Swelling: Keep an eye on the swelling in his arms and lower body. Document when the swelling increases and if it improves overnight or with rest.
Your proactive concern shows a deep care for your partner's health, and addressing these symptoms with a healthcare professional will be the best approach. Please prioritize making an appointment to discuss these observations and any further testing that may be needed.
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