Pulmonary edema history and symptoms

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

History and Symptoms

Acute Pulmonary Edema

• Anxiety
• Cough, particularly coughing up blood or bloody froth
• Difficulty breathing
• Excessive sweating or diaphoresis
• Feeling of "air hunger" or "drowning" (if this occurs suddenly, awakening the patient from sleep and causing the patient to sit up and catch their breath, it's called "paroxysmal nocturnal dyspnea")
• Grunting or gurgling sounds with breathing
• Pale or blue skin
• Blue or cyanotic lips
• Restlessness
• Shortness of breath
• Shortness of breath when lying down (orthopnea)
• Wheezing

Chronic Pulmonary Edema

If pulmonary edema develops gradually, there may be symptoms of fluid overload:

• Ankle or pedal edema (swelling of the legs, generally of the "pitting" variety, where the skin is slow to return to normal when pressed upon)
• Nocturia (frequent urination at night)
• Orthopnea (inability to lie down flat due to breathlessness)
• Paroxysmal nocturnal dyspnea (episodes of severe sudden breathlessness at night)