Respiratory Distress: When to Seek Medical Help - Pulmonology

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Respiratory distress syndrome


Hello doctor, I've been feeling a tightness in my chest lately, and my breathing feels constricted.
It feels like I'm unable to take a full breath, and I have to burp frequently to feel somewhat relieved.
Sometimes, I find myself needing to take deep breaths just to get enough air.
I've also been experiencing some dizziness during this time.
Which specialist should I see?

Peipei, 10~19 year old female. Ask Date: 2016/09/22

Dr. Zhang Ziyan reply Pulmonology


Hello, if the symptoms persist or if you experience wheezing, you may consider consulting a pulmonologist.
Please follow the advice of your treating physician.
Changhua Hospital cares about you.

Reply Date: 2016/09/22

More Info


Experiencing respiratory distress can be a concerning and uncomfortable situation. Based on your description of symptoms such as chest tightness, difficulty breathing, the sensation of air being trapped, frequent burping for relief, and occasional dizziness, it is crucial to understand the potential underlying causes and when to seek medical help.

Firstly, it is important to recognize that respiratory distress can stem from various factors, including anxiety, physical health conditions, or even environmental triggers. Given your symptoms, it would be wise to consider both psychological and physiological aspects. Anxiety can lead to hyperventilation, which may cause feelings of breathlessness and chest discomfort. This is often exacerbated by stress or significant life changes, such as those experienced during the pandemic, as you mentioned in previous discussions.

However, it is equally important to rule out any serious medical conditions. Conditions such as asthma, chronic obstructive pulmonary disease (COPD), pneumonia, or even cardiac issues can present with similar symptoms. The sensation of needing to take deep breaths or feeling like you cannot get enough air could indicate bronchospasm or airway constriction, which is commonly seen in asthma or allergic reactions. Additionally, dizziness can be a sign of insufficient oxygenation or other systemic issues that require attention.

Given these considerations, it is advisable to seek medical help. You should start by visiting a primary care physician or a pulmonologist, who specializes in respiratory issues. They will likely perform a thorough evaluation, which may include a physical examination, lung function tests, and possibly imaging studies like a chest X-ray or CT scan to assess your lung health. Blood tests may also be conducted to check for any underlying infections or inflammatory markers.

In the meantime, there are some self-care strategies you can employ to help manage your symptoms. Practicing controlled breathing techniques can be beneficial. For instance, try inhaling deeply through your nose for a count of four, holding your breath for a count of four, and then exhaling slowly through your mouth for a count of six. This can help regulate your breathing and reduce feelings of panic or anxiety. Additionally, maintaining a calm environment and engaging in relaxation techniques such as meditation or gentle yoga may also alleviate some of your distress.

If you experience any worsening of symptoms, such as severe shortness of breath, chest pain, confusion, or fainting, it is crucial to seek emergency medical attention immediately. These could be signs of a more serious condition that requires urgent care.

In summary, while your symptoms may be related to anxiety or stress, it is essential to consult with a healthcare professional to rule out any serious underlying conditions. Early intervention can lead to better management of your symptoms and improve your overall quality of life. Remember, taking care of your mental and physical health is paramount, especially during challenging times.

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