What causes nighttime breathing difficulty with dust triggers?

Question

Hi doctor,

I am a 42-year-old female, and I have been experiencing some breathing difficulties, especially at night. I have noticed that my symptoms tend to get worse when I am stressed or alone, and certain triggers like dust, changes in weather, cold temperatures, and poor air quality seem to make it harder for me to breathe.

I saw my doctor about my issues, and they prescribed me an inhaler, antibiotics, and some allergy medication. Since starting these treatments, I have seen a slight improvement in my condition. However, I have also developed mild swelling in my hands, which I think could be an allergic reaction.

Right now, I am stable, but I know I need ongoing medical evaluation and follow-up to manage my symptoms effectively.

I really appreciate any help you can provide.

Please guide.

Answer 1

Hi,

Welcome to icliniq.com.

I understand your concerns.

I have read your query and understand your concerns.

Based on the history you have provided, it appears to be suggestive of bronchial asthma combined with anxiety. Since the patient has experienced a slight improvement after using the inhaler, it is important to ensure an accurate diagnosis. I recommend consulting a chest physician and arranging for a chest X-ray and spirometry tests.

Additionally, please make sure that the inhaler technique is correct, as this can make a significant difference. Also, check if the patient has any other health issues, such as gastritis, that need to be addressed.

Regarding the swelling in the hand, it could be an allergic reaction, especially if it occurred after taking a specific medication.

For now, since you are stable, I advise continuing the prescribed medications as directed and scheduling an appointment with a chest physician for further assessment.

Until a clearer diagnosis is established, try to avoid known triggers such as dust, smoke, strong odors, and cold air as much as possible.

I hope I have addressed all of your concerns. Please feel free to follow up when needed.