Breathlessness and Dizziness During a Cold: A Heart Health Perspective - Cardiology

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A cold can cause wheezing?


Hello, doctor.
I haven't seen a physician yet for my recent cold, but I feel that my symptoms are different from previous colds.
I don't have a fever, but I am experiencing shortness of breath and dizziness.
The shortness of breath isn't severe, but it feels like I'm not getting enough air.
After researching online, I found that it could possibly be myocarditis, although the likelihood is low, it can be fatal.
However, I don't have accompanying diarrhea.
P.S.
I have a history of anxiety disorder, which also causes palpitations, but the frequency has increased somewhat since I caught this cold.
Thank you.

Niming, 10~19 year old female. Ask Date: 2018/11/14

Dr. He Dongjin reply Cardiology


Hello, experiencing palpitations, shortness of breath, and dizziness may be related to anxiety disorder.
The likelihood of myocarditis is low, especially since there is no diarrhea.
If you continue to feel unwell, it is advisable to visit a cardiology clinic for further evaluation.
Changhua Hospital cares about your well-being.

Reply Date: 2018/11/14

More Info


When experiencing breathlessness and dizziness during a cold, it is essential to consider various factors that could contribute to these symptoms, especially in the context of existing health conditions such as anxiety and potential heart issues.
Firstly, it is important to recognize that respiratory infections, including the common cold, can lead to inflammation in the airways and lungs, which may cause symptoms like shortness of breath. This is particularly true if you have a history of respiratory issues or if the cold has progressed to bronchitis or another respiratory condition. While you mentioned that you do not have a fever, which is often associated with more severe infections, the presence of breathlessness and dizziness can still indicate that your body is responding to the infection.

In your case, the combination of anxiety and respiratory symptoms can create a feedback loop that exacerbates your feelings of breathlessness. Anxiety can lead to hyperventilation, which may cause dizziness and a sensation of not getting enough air. This is particularly relevant given your history of anxiety disorder, which can manifest physically in ways that mimic or amplify other health issues.

Regarding your concern about myocarditis, while it is a serious condition, it is relatively rare and usually presents with more pronounced symptoms such as chest pain, significant shortness of breath, and fatigue. The absence of gastrointestinal symptoms like diarrhea does not rule out myocarditis, but it is more likely that your symptoms are related to the cold and anxiety rather than a severe cardiac condition.

To address your symptoms, consider the following steps:
1. Monitor Symptoms: Keep track of your symptoms, noting any changes or worsening. If you experience chest pain, significant shortness of breath, or other alarming symptoms, seek medical attention promptly.

2. Manage Anxiety: Since anxiety can exacerbate physical symptoms, employing relaxation techniques such as deep breathing exercises, mindfulness, or gentle yoga may help alleviate some of your discomfort. Cognitive-behavioral strategies can also be beneficial in managing anxiety-related symptoms.

3. Stay Hydrated and Rest: Ensure you are drinking plenty of fluids and getting adequate rest, as both are crucial for recovery from a cold. Dehydration can worsen dizziness and fatigue.

4. Consult a Healthcare Provider: If your symptoms persist or worsen, it is advisable to consult a healthcare provider. They may recommend further evaluation, including a physical examination, blood tests, or imaging studies, to rule out any underlying conditions.

5. Consider Your Heart Health: Given your history of anxiety and the recent increase in heart palpitations, it may be worthwhile to discuss your heart health with a cardiologist. They can provide a thorough assessment and determine if any further testing is necessary.

In summary, while your symptoms of breathlessness and dizziness during a cold can be concerning, they are likely influenced by both the respiratory infection and your anxiety. By managing your anxiety, monitoring your symptoms, and consulting with healthcare professionals, you can better understand and address your health concerns. Remember, it is always better to err on the side of caution and seek medical advice when in doubt about your symptoms.

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