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Suggest treatment for intermittent breathlessness and shivers

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Posted on Mon, 14 Dec 2015
Question: Hello, My friend who is about 26 years of age is feeling in shortness of breath for short durations from past 2 weeks. Earlier it used to be only shivering but now she also shivers a lot for 15-20 min when she feels this shortness of breath. Once or twice she has had the problem of breathing for almost full day.
We consulted a physician and did chest X-ray which was clear and showed nothing. We currently don't know what is happening and feel helpless when this attack comes.
Any help or idea why this is happening?
Thanks in advance.
doctor
Answered by Dr. Sandip Kabra (2 hours later)
Brief Answer:
Need more information for further comments.

Detailed Answer:
Hello,
Welcome to HCM.

Shortness of breath could be due to asthmatic bronchitis or early asthma or related to stress but it will need complete clinical assessment for pulmonary first and then extra-pulmonary causes.

Since your friend's chest X-ray is clear which will probably rule out pathology in lungs.

But I will like to know some more information from your friend,

1) Is he having any other symptoms (like chest pain or wheezing) apart from shortness of breath?

2) Is he taking any medications (like inhaler or puff) to relieve from it since 2 weeks?

3) Did this shortness of breath appeared suddenly or after some throat (URTI) infection before 2 weeks?

4) Has he suffered similar kind of problem in the past?

Here,he will require this complete medical history and clinical examination with some relevant investigation like routine blood works,Pulmonary Function Tests,EKG etc which will enable us to arrive at a certain conclusion.

For which he will have to see pulmonologst for further evaluation.

However,I would like to discuss it further once you can provide me this more information from your friend.I will try my best to help him as far as I can.

Regards,

Dr.Sandip Kabra
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Sandip Kabra (1 hour later)
Thank you docter. No she is not facing other problem like chest pain or wheezing. Also she did not had any throat infection earlier. And currently she is not taking any medication like inhaler as during one of the attack docter checked the orxygen in the lungs and it was between 95-100.
Shivering and shortness of breath is for the first time that she is experiencing.
doctor
Answered by Dr. Sandip Kabra (37 minutes later)
Brief Answer:
Go for further testing and PFT.

Detailed Answer:
Hello,
Thanks for the quick reply.

Oxygen saturation between 95 to 100 is completely normal but shortness of breath must be evaluated further to rule out any pulmonary cause.

It could also be related to stress and anxiety.

She may need to consult pulomonologist and get evaluated further by clinical examination for respiratory system with routine blood works,ESR,PFT,EKG and also check thyroid profile which may give us some clue to plan our treatment further.

Meanwhile,she may use salbutamol inhaler or puff whenever there is episode of breathing difficulty.

hope this will help you.

Regards,

Dr.Sandip kabra

Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Sandip Kabra

General & Family Physician

Practicing since :2009

Answered : 3078 Questions

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Suggest treatment for intermittent breathlessness and shivers

Brief Answer: Need more information for further comments. Detailed Answer: Hello, Welcome to HCM. Shortness of breath could be due to asthmatic bronchitis or early asthma or related to stress but it will need complete clinical assessment for pulmonary first and then extra-pulmonary causes. Since your friend's chest X-ray is clear which will probably rule out pathology in lungs. But I will like to know some more information from your friend, 1) Is he having any other symptoms (like chest pain or wheezing) apart from shortness of breath? 2) Is he taking any medications (like inhaler or puff) to relieve from it since 2 weeks? 3) Did this shortness of breath appeared suddenly or after some throat (URTI) infection before 2 weeks? 4) Has he suffered similar kind of problem in the past? Here,he will require this complete medical history and clinical examination with some relevant investigation like routine blood works,Pulmonary Function Tests,EKG etc which will enable us to arrive at a certain conclusion. For which he will have to see pulmonologst for further evaluation. However,I would like to discuss it further once you can provide me this more information from your friend.I will try my best to help him as far as I can. Regards, Dr.Sandip Kabra