The sudden onset of our patient’s symptoms made us concerned about a, a type of anxiety disorder. A panic attack occurs when someone has sudden, intense physical symptoms with a feeling of unexplained and paralyzing fear. The symptoms can include shortness of breath, a racing heart rate, and chest pain . Panic attacks may last 10 to 20 minutes. Our patient said she felt happy, had many close friends, and was doing very well at school. Score? Mood, 10; stress, 0.
VCD is treated by an ear, nose, and throat doctor , a lung doctor , a speech therapist, and sometimes a psychologist. It’s teamwork — together they identify triggers and help the patient learn to relax the vocal cords while breathing. Difficulty breathing is one of those symptoms that needs to be taken seriously the first time and every time. Respiratory distress can be life-threatening, so don’t hesitate to call 911. Often, if your child has concerns of exercise-induced symptoms, a PCP will prescribe an inhaler as a first move to treat presumed asthma. If the inhaler is not effective, it’s critical to let your child’s PCP know.
Melissa Olsakowski is a pediatric resident and Rima Himelstein is an adolescent medicine specialist at the Nemours’ Children’s Hospital in Delaware.
Source: Healthcare Press (healthcarepress.net)
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