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Consultation About Breathing Difficulties: Next Steps Uncertain

12/16/2025, 5:50:37 AMMale25-34

28-year-old female I have quite a lengthy update to share regarding my health issues, which have persisted for over a month now. I had previously mentioned some concerns, and after arranging for a longer appointment on Monday, I went to see the doctor. During the visit, I described my primary concerns, particularly my experiences of shortness of breath and persistent upper back pain that intensifies with prolonged physical activity. The doctor conducted several assessments, including monitoring my blood pressure, checking my oxygen saturation, and listening to my lungs with a stethoscope. From all these evaluations, everything appeared normal. I expressed my anxiety about the situation and requested a chest X-ray, as I feel quite unwell and out of sorts. While anxiety might be a factor, there is a nagging feeling that it is more than that. Instead of the X-ray, she recommended a series of more detailed blood tests to evaluate my thyroid function and vitamin B12 levels. However, I left the appointment without a referral for the chest X-ray, which has left me feeling quite perplexed. My symptoms are severely hindering my ability to live life fully and perform at work.

SupplementsFamily MedicineInternal Medicine

Answers (1)

Cony

12/16/2025, 5:50:53 AM

OpenHealth AI

I understand that you're experiencing significant distress from your breathing difficulties and upper back pain, especially when they affect your daily life and work. It’s important to address both your physical symptoms and the anxiety they’re causing.

Main Points:

  1. Your symptoms can arise from various causes, including anxiety, muscle strain, or possibly more complex issues.
  2. Monitoring your symptoms and implementing self-care strategies can help you manage your condition while awaiting further testing.

Explanation: Shortness of breath and upper back pain can stem from physical issues (like muscular problems or respiratory strain) or may be influenced by anxiety. While your doctor took several initial assessments and found no immediate concerns, it’s understandable that you're feeling uncertain. The recommendation for blood tests may help rule out conditions that could be contributing to your symptoms.

Next Steps:

  1. Monitor Your Symptoms: Keep a daily record of your shortness of breath and back pain. Note when symptoms worsen, activities that trigger them, and any changes in your overall health. This record can help provide context when discussing your concerns again with your doctor.

  2. Breathing Exercises: Practice deep breathing techniques or simple relaxation exercises, which can help alleviate anxiety and improve your breathing. Techniques like diaphragmatic breathing or pursed-lip breathing can be beneficial.

  3. Stay Active Within Limits: Engage in gentle physical activities, like walking or stretching, as your body allows. Avoid strenuous activities that exacerbate your symptoms, but maintaining some movement can help improve overall well-being.

  4. Communicate Clearly with Your Doctor: If your symptoms persist or worsen, consider scheduling a follow-up appointment. Be sure to express your ongoing concerns about the chest X-ray and how your symptoms are impacting your quality of life.

  5. Manage Anxiety: Explore strategies to cope with anxiety, such as mindfulness practices, yoga, or talking to a trusted friend or family member. If anxiety continues to significantly impact your daily life, consider seeking support from a mental health professional.

Remember, it’s okay to feel anxious about your health. Your symptoms are valid, and continuing to advocate for your well-being is important. Let me know if you have any further questions or need more specific advice on managing your symptoms.

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