instruction: hello doctor I am a 24 year old female I am 185 labs and feet inches in height I have never had allergies or asthma about six months ago I started having shortness of breath wheezing and the feeling that my air was not catching I have sudden sharp pains that feel like something wanting to burst when I breathe in that double me over I immediately quit smoking cold turkey and drinking energy drinks I used to be a pack and a half a day smoker and drink about three energy drinks a day since 15 the er diagnosed me with a panic attack which I knew was wrong as I was no breathless from panic I was panicked from breathlessness I then made an appointment and the doctor heard the wheezing and diagnosed me with walking pneumonia she gave me antibiotics and albuterol which did nothing my sputum test came back normal even though it is black and brown gelatinous and sticky and so I did my two chest rays we have no pulmonologists or respiratory therapists in my town I made another appointment and asked my doctor about chlamydia pneumonia not the sad turns out he was a physician assistant had to google what it was and then gave me hydroxicycline mono and more albuterol which I am currently on still no relief at all I am worried I have of or cold and have had a miscarriage from coughing and so depressed for the last six months because I cannot think or focus on anything I constantly feel like I am just catching my breath like the edges of my lungs are not getting any oxygen it is noticeable when I try to have a conversation eat or drink or do anything it is ruining my life but what it is and I do not know what tests to ask for I am terrified of having chronic adult onset asthma or other cold or something irreversible I am worried that even if it was reversible to begin with after six months of being put on my clinics merry go round with no diagnosis it is probably irreversible now which I try not to think what does this sound like what are the chances it is a curable issue what tests should I ask for could the energy drinks have caused heart damage please help
output: hi welcome to the icliniq com before labeling dyspnea from a panic attack psychological cause all organic causes need to be ruled out your chest ray and sputum examination are normal hence invective etiology is less likely to rule out any organic cause your work up needed as follows auscultation for rhonchi if heard abc complete blood count pulmonary function test if you have asthma or cold then put will rule out it ekg for cardiac evaluation and finally your calf should be examined if calf swollen with inflammation is present then dime done from these investigations your diagnosis will be clear if no organic cause found then panic attack can be considered as etiology for your condition for doing put pulmonologist is needed so try to make a visit to nearby pulmonologist in another city for examination and doing put if panic attack is the diagnosis after rule out other causes by the above investigations then yoga meditation are beneficial and suitable medication will be started by the psychiatrist