Shortness of Breath and Heart Concerns in Teens - Cardiology

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Difficulty in taking a full breath?


Hello, doctor.
I am currently a sophomore in high school.
Since the beginning of my freshman year, I have been experiencing a sensation of not being able to breathe fully.
My heart also feels strange at times.
Sometimes, if I breathe too deeply, I experience pain in my ribs and back.
What could this be?

Cai Tongxue, 10~19 year old female. Ask Date: 2017/12/20

Dr. He Dongjin reply Cardiology


Hello, rib pain and back pain may be related to muscular or neurological issues, possibly caused by stress leading to autonomic nervous system dysregulation.
It is advisable to monitor for any mitral valve problems and seek further outpatient examination.
Changhua Hospital cares about your well-being.

Reply Date: 2017/12/20

More Info


It's understandable to feel concerned about symptoms like shortness of breath and unusual heart sensations, especially as a teenager. Your experiences of feeling like you can't get enough air, along with rib and back pain, can be distressing. Let's break down these symptoms and explore what they might mean.

Firstly, it's important to note that shortness of breath (dyspnea) can arise from various causes, and not all of them are related to heart or lung diseases. In adolescents, anxiety and panic attacks are common culprits. When you're anxious, your body can react by hyperventilating, which might lead to feelings of breathlessness and discomfort in your chest or ribs. This is often accompanied by muscle tension, which can cause pain in the ribcage and back.

From a medical perspective, your symptoms could also be related to musculoskeletal issues, especially if you've been engaging in physical activities or sports. Straining your muscles during exercise can lead to soreness in the ribs and back, which might feel worse when you take deep breaths.
However, it's crucial to consider the possibility of underlying respiratory or cardiovascular conditions. Given that you've been experiencing these symptoms for an extended period, it would be wise to consult a healthcare professional for a thorough evaluation. Tests such as a chest X-ray, pulmonary function tests, or an echocardiogram can help rule out any serious conditions.

Your heart sensations, such as palpitations or an irregular heartbeat, can also be linked to anxiety. It's not uncommon for teenagers to experience increased heart rates during stressful situations or even during periods of rest if they are feeling anxious. If you've had previous tests, like an electrocardiogram (ECG) or echocardiogram, that showed normal results, this is reassuring. However, if you notice any new or worsening symptoms, such as chest pain, fainting, or severe shortness of breath, you should seek immediate medical attention.

In managing your symptoms, consider incorporating relaxation techniques into your daily routine. Practices such as deep breathing exercises, yoga, or mindfulness can help reduce anxiety and improve your overall sense of well-being. Regular physical activity is also beneficial, but it's essential to listen to your body and avoid overexertion.

Lastly, if you have any concerns about your symptoms or if they persist, don't hesitate to reach out to a healthcare provider. They can provide personalized advice and support, ensuring that you receive the care you need. Remember, your health is a priority, and addressing these symptoms early can lead to better outcomes.

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