OpenHealth Q&A

Get answered by medical professionals

Experiencing Breathlessness

4/4/2025, 4:50:22 AMMale25-34

22-year-old male, currently on 25 mg of Luvox. I apologize for the multitude of posts, but I wanted to ensure everything is alright. I began my Luvox treatment a few days ago, and yesterday I noticed some unusual symptoms. My appetite has significantly diminished, and I've also been noticeably drinking less water. Last night, as I was trying to fall asleep, I felt a sort of breathlessness; it seemed like I was straining to breathe, and my breaths felt shallow. I checked my pulse oximeter, which showed around 95%, with some fluctuations. After some online research, I considered that my symptoms might be linked to low sodium levels, a possible side effect of SSRIs or a result of initiating SSRI treatment. I consumed some salt water and Gatorade, which seemed to improve my oxygen levels slightly and alleviate the breathlessness. I have a few concerns: Could this have been the cause of my symptoms? Should I have sought medical attention, or should I seek it if these symptoms recur? Is there a possibility that my blood oxygen levels dropped to a concerning degree while I slept? Currently, my symptoms have improved, but I still feel a minor discomfort in my chest. I hesitate to visit the emergency department unless it's genuinely necessary.

Sleep WalkingFatigueSleep Medicine

Answers (1)

Cony

4/4/2025, 4:50:41 AM

OpenHealth AI

Thank you for sharing your concerns; it's understandable to feel uneasy when experiencing new symptoms, especially after starting a new medication. Your breathlessness, diminished appetite, and changes in water intake are important to consider in the context of starting Luvox (fluvoxamine), an SSRI.

Main Points:

  1. Your current symptoms could be related to multiple factors, potentially including the initiation of Luvox.
  2. Monitoring your symptoms is essential, and knowing when to seek help is critical.
  3. Staying hydrated and addressing any discomfort are important immediate steps.

Explanation:

Breathlessness and feelings of strained breathing can sometimes occur due to anxiety, side effects from medications like SSRIs, or other physiological changes. Low sodium levels (hyponatremia) can occur but are less common; you're right to consider its role, especially since SSRIs can influence fluid balance.

While your pulse oximeter reading of 95% indicates that your oxygen saturation is within a fair range, it's important to note that fluctuations can happen. Feeling improved after consuming salt water and Gatorade suggests that hydration or sodium levels may play a role in your symptoms. However, minor chest discomfort should still be monitored closely.

Next Steps:

  1. Hydration and Nutrition: Continue to focus on staying adequately hydrated and consider balanced meals to support your overall well-being. If you find salty foods or drinks help, moderate intake is advisable.

  2. Monitor Symptoms: Keep a close watch on your symptoms. If breathlessness worsens, if you have persistent chest discomfort, or if you experience new symptoms like dizziness, high heart rate, or significant changes in your oxygen saturation, seek medical attention promptly.

  3. Relaxation Techniques: If anxiety is contributing to your breathlessness, consider practicing relaxation exercises, such as deep breathing or mindfulness techniques.

  4. Document Your Experience: Note when breathlessness occurs, its severity, and any associated activities or feelings. This can be helpful information for any future discussions you might have with a healthcare provider.

  5. Consult with Your Doctor: While it may not be urgent, consider discussing these new symptoms with your healthcare provider at your next appointment. They can offer more tailored advice based on your health history and the medication.

If symptoms return or worsen, don’t hesitate to seek immediate medical advice. Your health is a priority, and it's better to be cautious. If you have any more questions or need further reassurance, feel free to ask.

Related Questions

Understanding Patchy Discoloration After Sunburns

I’m a 27-year-old female who has been diagnosed with PCOS and struggles with a vitamin D shortfall. In hindsight, I discovered an occurrence while reviewing some older pictures from a few years back. I’ve noticed that after experiencing sunburns, I occasionally develop these unusual white patches on my skin. It’s quite puzzling since this has only surfaced a handful of times. I typically make it a point to avoid sunburn, so I'm not often in this situation, but it’s interesting to observe that not many others seem to have similar reactions to sunlight exposure. On the day I get sunburned, my skin typically presents a standard pink to red hue. However, when I wake up the next day, I find the color has transformed to this patchy appearance. I’m left wondering if this phenomenon is a typical aspect of skin healing or could it be related to the sunscreen products I apply?

Sleep MedicineNeurologyPsychiatry
Male25-34
8 minutes ago

Is a Burning Sensation from Mouthwash Common?

I've recently been using a mint-flavored mouthwash, specifically Crest's teeth whitening formula. However, it caused significant discomfort, stinging my lips and tongue to the point where I felt compelled to switch to Therabreath. Additionally, I had come across information suggesting that teeth whitening mouthwashes might harm your enamel. Therabreath also contains fluoride and mint, and while it still causes some burning, it's noticeably more tolerable than the previous brand. For a long time, I assumed this burning sensation was simply a normal part of using mouthwash, as I have experienced similar discomfort during dental visits throughout my life. To manage the sting from Therabreath, I've found that spitting it out before the pain becomes too intense has been a helpful strategy since it's not quite as severe. At this point, I am uncertain if my reaction is specific to mint or another ingredient present in the mouthwash. I have always disliked using mouthwash due to the discomfort it brings, but Therabreath is just tolerable enough that I keep using it. I'm turning to Reddit for advice first, as I would prefer not to visit my doctor only to be told that this sensation is typical and thus wasting her time. Being autistic, I sometimes find certain sensory experiences overwhelming, and it’s possible that I could just be particularly sensitive in this case.

Sleep WalkingFatigueSleep Medicine
Male25-34
8 hours ago

Addressing My Sleep Concerns: Seeking Guidance

I am a 20-year-old female, standing at 5 feet tall and weighing 179 pounds, residing in the United States. Throughout my life, I have encountered more challenges with sleep than many of my peers. In my younger years, I was known to sleepwalk and talk in my sleep quite often. Additionally, I experience particularly intense nightmares. Lately, I've noticed alarming symptoms such as waking up with a racing heart. On occasions when I don't awaken, I've had instances of bedwetting. In an attempt to alleviate this, I've begun to refrain from drinking anything for four hours prior to sleep. Despite these efforts, I find this situation concerning, especially considering my history of sleepwalking and talking during the night. Could this be a reaction to stress, or do you think I should seek professional medical advice?

NightmaresSleep WalkingNight Sweats
Male25-34
12 hours ago

Experiencing Unexpected Breathlessness One Month After Gallbladder Surgery – Should I Worry?

A 26-year-old woman, weighing 44 kilograms and standing at 5 feet 4 inches, does not smoke or drink. A month has passed since I underwent laparoscopic gallbladder removal, and while my recovery has generally been smooth, I've faced some bouts of fatigue. However, today I encountered something alarming: I felt a sudden shortness of breath after ascending a flight of stairs, which struck me as unusual. Later, while trying on outfits for an upcoming event, the same thing happened again—I became breathless. After some online research, I stumbled upon information regarding pulmonary embolism, which left me feeling quite frightened. Could this be a serious issue? Should I consider consulting my surgeon for further advice?

NarcolepsySleep WalkingFatigue
Male25-34
17 hours ago

Experiencing Intense Night Sweats?

I’m a 22-year-old female, weighing 120 pounds and standing at 5’4”. I've had a history of post-viral illness, polycystic ovary syndrome (PCOS), and major depressive disorder (MDD). Throughout my life, I've dealt with intermittent night sweats, but it has escalated recently—in the last month or two, I've been experiencing them nightly. I've tried switching out my bedding, adjusting the temperature in my bedroom, and a few other strategies, yet I still wake up drenched, as if I’ve been sprayed with water. My clothes are soaked, my hair feels greasy and wet, and it leaves me feeling quite uncomfortable. To avoid ruining yet another pair of pajamas, I often opt to sleep without any clothes for the remainder of the night. Because of my other health issues, I undergo blood tests fairly frequently—about three to four times a year—and my physician hasn’t indicated any alarming results besides addressing those tests specifically. What could be causing this? It’s incredibly frustrating to wake up at 3 a.m. every night feeling like this.

Restless LegsNight SweatsFatigue
Male25-34
23 hours ago