What causes shortness of breath and fatigue?
Patient: i have shortness of breathe, fatigue sensation of something in my throat, arm and hands tingle and prickling feeling acid reflus slight burning feeling at top of stomach, had ekg good xray clear,pft for copd clear bloodwork for copd crest clear 100% oxygen level, anybody with a clue so desperate.. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.  By your history and description, possibility of uncontrolled GERD (gastroesophageal reflux disease) is more likely. GERD is due to laxity of gastroesophageal sphincter. Because of this, the acid of the stomach tends to come up in the esophagus and cause chest pain, burning epigastric pain, nausea, breathlessness, throat irritation, etc. So follow these steps for better symptomatic relief in GERD.  1. Take pantoprazole and levosulpiride combination on empty stomach twice daily. 2. Avoid heavy meals, instead take frequent small meals. Avoid oily and spicy food. Avoid junk food.  3. Keep 2-3 pillows under head in bed to prevent reflux. Go for walking after meals. 4. Quit smoking and alcohol if you have these habits. Don't worry, you will be alright with all these.   Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Kaushal Bhavsar