Experiencing Chest Discomfort and Occasional Eye Irregularities
Hello everyone, To begin with, I want to apologize for my English; I don’t use it frequently, so there may be some errors here. (I didn’t use the em dash because, well, I’m ChatGPT, and it feels a bit showy to me, haha.) For approximately the past year or two, I’ve been struggling with a persistent cough that refuses to subside. A few months ago, I consulted a physician about it. Despite undergoing several tests—lung capacity checks, heart evaluations, listening to my breath—the results returned normal. Consequently, the physician's conclusion was a bit of a mystery: they suggested it might be GERD and prescribed some proton pump inhibitors (PPIs) for me to try. I used them for about two weeks, but after a brief period where they seemed to work (likely due to wishful thinking), they failed to alleviate the cough at all. Recently, I’ve been feeling increasingly sore and fatigued after minor activities, like getting out of bed or unloading the dishwasher. This discomfort sometimes comes with a sensation of my chest and lungs feeling weary, almost as if they had been overexerted. I should mention that stress from college projects and job hunting has significantly diminished my physical activity. I’ve never been particularly athletic, but in recent months, my lifestyle has become exceptionally sedentary even by my own relaxed standards. This also includes bouts of stress-induced eating, which I acknowledge is unhealthy and something I need to address. Another aspect that concerns me is the odd occurrence of my right pupil becoming larger than my left one at random times throughout the night. The moment I catch it in the mirror, it usually corrects itself. However, I have observed that when I look downward while tilting my head toward the side of the enlarged pupil, it stays larger for a bit until I adjust my position back to normal. I also feel added pressure in my head in such moments, which I attribute to blood pooling when I look down, and quite honestly, my neck isn’t in the best condition due to my lack of activity. Apologies if this comes off as just a stream of consciousness; it’s quite late, and I’ve never been recognized for my clarity in communication (thanks for reading this far, if you made it!).
Answers (1)

8/15/2025, 1:31:05 AM
OpenHealth AI
Thank you for sharing your concerns. It sounds like you are experiencing a combination of symptoms that can be quite distressing. Here’s a summary of the key issues: you have a persistent cough, fatigue related to minor activities, and unusual pupil size with occasional head pressure.
Explanation
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Persistent Cough: Since you’ve undergone tests and your physician suggested GERD, it’s possible that stomach acid reflux could be causing throat irritation, leading to a chronic cough. However, if PPIs didn’t help, other causes, like stress or sedentary behavior, may also be contributing to your symptoms.
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Fatigue and Chest Discomfort: Feeling fatigued after minor activities could relate to reduced physical activity levels and increased stress, both of which can impact your overall energy and well-being. When you don’t engage in regular physical activity, your body can start reacting more heavily to everyday tasks.
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Eye Irregularities: The difference in pupil size can occur for various reasons, ranging from normal physiological variations to more concerning issues. The feelings of pressure in your head during these episodes might be related to your posture or tension related to stress and neck condition.
Next Steps
To address your symptoms, consider the following prioritized actions:
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Increase Physical Activity: Gradually incorporate physical activities into your routine, even light exercises like walking or stretching. Start with 10-15 minutes a day and increase as you feel comfortable. Physical activity can improve your mood and energy levels.
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Manage Stress: Explore stress reduction techniques such as mindfulness, meditation, or yoga. These practices can help in improving your focus, reducing fatigue, and may positively impact your cough and neck tension.
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Monitor Cough Symptoms: Keep a symptom diary noting when the cough occurs, any potential triggers (like meals, stress, or specific activities), and how effective your coping strategies are. This diary can be very helpful if you decide to follow up with a healthcare provider about your cough.
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Posture Awareness: When doing tasks like using your phone or reading, ensure your neck is in a comfortable position. Taking breaks to stretch your neck and shoulders can help relieve tension.
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Consult an Eye Specialist: Given the occasional irregular pupil size and accompanying head pressure, it's advisable to have an eye specialist evaluate this to rule out any serious conditions, especially since it is a new symptom for you.
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Evaluate Dietary Habits: If you suspect that stress eating is a concern, consider healthier snack options and try to eat at regular intervals to maintain energy levels. Keeping a food diary might help you identify patterns and make adjustments.
Your concerns are valid, and taking these actionable steps can support both your physical and mental well-being. Please take your time with these adjustments, and reach out if you notice any worsening symptoms or new concerns.
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