Shortness of breath (medically known as “dyspnea”) is the sensation of not being able to get enough air. It can be either acute shortness of breath (minutes to hours), chronic (days to months), or intermittent (comes and goes). It is often described as a tightness in the chest, difficulty breathing, a feeling of breathlessness, or a sensation of suffocation. While there are many causes of shortness of breath, the most common causes are lung disease, heart disease, or deconditioning (lack of exercise, especially in people who are overweight or obese). It can also be seen in diseases that cause muscle weakness or disorders where fluid builds up around the lung (known as pleural effusions) or in the abdomen (known as ascites). Unexplained shortness of breath should be discussed with your physician to allow appropriate work-up to determine the cause. Show
Key facts about Shortness of Breath
Causes of Shortness of BreathHeart and lung conditions cause most cases of shortness of breath. You may feel shortness of breath for many reasons. Factors can include your overall health, medical history, and genetics. Talk to a health care provider to find out more about why you feel shortness of breath. Acute Shortness of BreathAcute shortness of breath can come on suddenly and last for a short period of time. Causes include: Heart conditions:
Psychological conditions:
Chronic Shortness of BreathShortness of breath can also be chronic, meaning it lasts for several weeks or longer. Causes include: You may be shocked to learn that while respiratory diseases can cause shortness of breath, so can major non-respiratory diseases such as anemia, cardiovascular disease, heart failure, deconditioning, and psychological disorders. It’s important to understand all of the causes of shortness of breath to ensure that you get a proper diagnosis and undergo the appropriate treatment. Shortness of Breath: An OverviewPhysiology of Shortness of BreathNormally, there’s a balance between the demand to breathe and ability to breathe. When there’s a balance, you have no awareness of breathing. Your body handles it for you. You feel shortness of breath when there’s an imbalance between the brain’s demand to breathe and the body’s ability to breathe. How serious is Shortness of Breath? In a healthy person, shortness of breath can be caused by:
If you have unexplained shortness of breath, especially if it comes on suddenly and is severe, see a doctor as soon as possible. Breathlessness may be more serious if it’s accompanied by:
Major Respiratory Diseases That Cause Shortness of Breath Major Non-Respiratory Diseases That Cause Shortness of Breath Putting It All TogetherYou just learned a lot about shortness of breath, and you may be confused by everything you just read. The following 5-minute video puts it all together so that you have a comprehensive understanding of shortness of breath in order to receive optimal treatment. Understanding Shortness of Breath: A Summary
U.S. National Library of Medicine. Cardiovascular System: MeSH Descriptor Data 2021. National Library of Medicine; 2021. Updated February 28, 2018. https://meshb.nlm.nih.gov/record/ui?name=Cardiovascular%20System Why Am I Short of Breath? – Donald A Mahler, MD. YouTube page. October 2, 2020. https://www.youtube.com/watch?v=Hx–Gf7hrqs&feature=emb_title Ashton R, Raman D. Dyspnea. Cleveland Clinic. 2015. Accessed June 30, 2020. http://www.clevelandclinicmeded.com/medicalpubs/diseasemanagement/pulmonary/dyspnea/ What is the most common cause of shortness of breath?Most cases of shortness of breath are due to heart or lung conditions. Your heart and lungs are involved in transporting oxygen to your tissues and removing carbon dioxide, and problems with either of these processes affect your breathing.
How do you know if shortness of breath is serious?Seek emergency medical care if your shortness of breath is accompanied by chest pain, fainting, nausea, a bluish tinge to lips or nails, or a change in mental alertness — as these may be signs of a heart attack or pulmonary embolism.
What are the three types of shortness of breath?They include:. Orthopnea, when you feel short of breath when you lie down. ... . A similar condition called paroxysmal nocturnal dyspnea can make you feel so short of breath that you wake up in the middle of the night. ... . Trepopnea is a kind of dyspnea that happens when you lie on a certain side.. How do you know if your shortness of breath is heart related?Shortness of breath is the most common symptom of heart failure. It is a distressing feeling that may cause you to feel smothered, Shortness of breath initially occurs with exertion but may get progressively worse and eventually occur at rest in severe cases.
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