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Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes breathlessness, cough and extreme fatigue?

Joey is a 53-year-old man from North Carolina. Joey is a smoker and had recently returned from a relaxing weekend at a spa in the mountains. The hot tub and sauna were very relaxing. He came to the emergency department because he had shortness of breath, fatigue, a cough, diarrhea, and arthralgias. He described the fatigue as overwhelming. The cough was nonproductive. One day before admission, he had had fever and chills, with a maximum body temperature of 38.6°C (101.4°F). Watery, brown diarrhea occurred without other gastrointestinal distress and was intermittent, approximately 7 to 8 times a day. Chest sounds revealed a crackling sound, and a chest x-ray suggested possible pneumonia.
Tue, 18 Jul 2017
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General Surgeon 's  Response
Respected user , Hi
Thanks for using
I have evaluated your query thoroughly .

* Possible pneumonia is due to combined effects of smoking with thin air at
mountains involving higher attitudes .
* Other dietary factors with alcohol may be an issue not narrated here
responsible for the diarrhea .

Hope this clears your query .
Welcome for further doubts .

Regards .
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