Brief Answer:
I would explain as follows:

Detailed Answer:
Hello!

Welcome to HealthcareMagic!

Regarding your concern, I would explain that your actual clinical symptomatology is nonspecific for a single system disorder and needs further investigation with a careful physical examination and additional lab tests.

First, it is necessary a cardiopulmonary issue or gastroesophageal reflux.

Your clinical symptoms need to be further specified: which is your primary and more prolonged complaint?

What about your previous medical history?

A resting ECG and cardiac enzymes should be checked.

Also, the following test should be part of the diagnostic workup:

- complete blood count,
- fasting blood glucose level,
- thyroid hormone levels,
- liver and renal function tests,
- chest X-ray study,
- cardiac ultrasound

You need to discuss with your attending doctor on the above-mentioned issues.

Hope to have been helpful to you!

Kind regards,
Dr. Iliri

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