🩺 Record Detail
Patient Info
Name: Unknown
Age: Unknown
Date: 2025-10-23 04:42:31
Transcript
Hello doctor, I'm breathing really heavy again. Every time I exercise, I can't breathe ever. I think I need to get back on my inhaler. Is it every time that you exercise or is it only cardio or is it every time that you exercise? Yeah, I would say I definitely can't run. I'm trying to weight lift, but even that is hard for me. Stretching is fine. Okay, that's fine. We'll give you an inhaler so you can do some weight training.
Clinical Notes
Allergies
No significant allergy history.
Chief Complaints / HOPI / Examination
- Breathing difficulty during exercise
- Inability to run
- Difficulty with weight lifting
- Stretching is manageable
Provisional Diagnosis/Diagnosis:
- Exercise-induced bronchoconstriction
Investigations / Medication Advised
Laboratory:
- NA
Radiology:
- NA
Medication
| Sr. | Drug Name | Route | Dose | Frequency | Duration | Remarks |
|---|---|---|---|---|---|---|
| 1 | Inhaler | Inhalation | - | As needed | - | For exercise-induced symptoms |
Advice / Follow-Up
- Use inhaler before exercise
- Gradually increase exercise intensity
- Monitor symptoms and follow up if no improvement