<human>: Hi dr., I have some problems with my sister she is 25, she isn t pregnant, & her period was just recently, she says. She woke up in the middle of the night feeling as if she couldn t breathe, she told my mom she has back pains & abdominal pains as wells she did start a new job yesterday thoug, please help doc.!!
<bot>: Hello, Brief answer: Your sister needs to be checked in ER just in case otherwise she is fine. Explanation: My opinion is that sudden onset of shortness of breath and back pain is a bit of concern. At such a young age that is not so dangerous, especially without risk factors but just to be sure everything is ok. A stressor such as losing job may be a trigger to a panic attack, but we need to exclude other causes. I suggest my patients the following: Go to ER, check for pulse, blood pressure oxygen saturation, simple examination, and chest auscultation is basic and if positive it should be investigated accordingly. The information provided by you is not sufficient to provide a good opinion. If someone comes to me with this condition I would ask them about medical history and if similar attacks happened before. Conclusion: I suggest you check in your sister just to be sure nothing is serious. Hope I have answered your query. Let me know if I can assist you further.