19 years old: All the symptoms you list can be caused by asthma/bronchospastic disease, which, in your age group, would be my first diagnosis. Infection or allergy can be a trigger and should be considered. Unless you have known congenital heart disease, the echo is unlikely to be revealing. Pulmonary function testing is higher yield. A chest x-ray may also help.
Answered 7/18/2015
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