Hello, thank you for your enquiry.

For your information, your symptoms, breathing problem and lethargy may have several causes, such as:

• Anemia
• Asthma
• Gastroesophageal reflux disease (GERD)
• Hormonal imbalance such as thyroid disease
• Cardiac problem such as valvular heart disease
• Interstitial lung disease
• Psychological problem such as anxiety

These examples are common cause for your symptoms and it is quite difficult to differentiate due to the similarity of their signs and symptoms.

To find out the final diagnosis for your case, a more detailed history is needed, as well as a proper clinical examinations and relevant investigations. Therefore, you need to refer this problem to your doctor as soon as possible for further examinations and information. You may contact us for an online consultation for further assistance as well.

Thank you, we hope our answer has been helpful.

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