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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Persistent Shortness Of Breath Post Treatment For Hypoglycemia Suggest?

i recently went to the er via ambulance from work because i became severely hypoglycemic with a glucose of 31, severe sweating, then chills, SOB, low potassium, elevated c-peptide, xray showed right elevated hemidiaphragm. Took several hours to get my blood sugars above 40. I am not diabetic, no family hx, never been hypoglycemic before, age 48, 5 7, 165lbs, lost 40 lbs in last 6 months. SPent 3 days in ICU, 2 days in regular room sent home. Told might have insulinoma but is rare. I have a CT of abdomen and pelvis on Monday. I have been having SOB since discharge from hospital 2 weeks ago continously, sometimes more severely than others. What else should I be concerned about?
Fri, 30 Dec 2022
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General & Family Physician 's  Response
Hello,

You have a history of having hypoglycemia recently. You are not diabetic. You have lost weight in the last 6 months. Most cases of shortness of breath are due to heart or lung conditions. Your heart and lungs are involved in transporting oxygen to your tissues and removing carbon dioxide, and problems with either of these processes can affect your breathing.

However, it can also be due to severe anxiety disorders, anemia, cold air, allergies or asthma, etc. Shortness of breath is a symptom of mitral valve disease and cardiomyopathy, among other heart problems like pericarditis, heart failure, etc. Lung problems like asthma, pleurisy, upper airway obstruction (blockage in the breathing passage) can also cause similar symptoms.

You are suggested to get clinically examined by a GP to rule out or detect anxiety disorders, heart or lung problems, allergies, asthma, URTI, lung cancer, etc. Get all required swab tests, sputum tests, blood tests, imaging tests done so that the pathology can be detected and treatment can be started at the earliest.

Take home made balanced food, do not skip meals and make sure your vitals are normal. Avoid stress (both emotional and physical) as it may trigger your symptoms. Take adequate water and fluids. Take at least 8 hours of sleep.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Nupur K., General & Family Physician
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What Does Persistent Shortness Of Breath Post Treatment For Hypoglycemia Suggest?

Hello, You have a history of having hypoglycemia recently. You are not diabetic. You have lost weight in the last 6 months. Most cases of shortness of breath are due to heart or lung conditions. Your heart and lungs are involved in transporting oxygen to your tissues and removing carbon dioxide, and problems with either of these processes can affect your breathing. However, it can also be due to severe anxiety disorders, anemia, cold air, allergies or asthma, etc. Shortness of breath is a symptom of mitral valve disease and cardiomyopathy, among other heart problems like pericarditis, heart failure, etc. Lung problems like asthma, pleurisy, upper airway obstruction (blockage in the breathing passage) can also cause similar symptoms. You are suggested to get clinically examined by a GP to rule out or detect anxiety disorders, heart or lung problems, allergies, asthma, URTI, lung cancer, etc. Get all required swab tests, sputum tests, blood tests, imaging tests done so that the pathology can be detected and treatment can be started at the earliest. Take home made balanced food, do not skip meals and make sure your vitals are normal. Avoid stress (both emotional and physical) as it may trigger your symptoms. Take adequate water and fluids. Take at least 8 hours of sleep. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Nupur K., General & Family Physician