Short Walks Leave Me Breathless: Symptoms and Solutions

Q: Short Walks Leave Me Breathless: Symptoms and Solutions

Hello： Generally speaking, the autonomic nervous system is regulated by the sympathetic and parasympathetic nervous systems, with one acting as the accelerator and the other as the brake. <br>The sympathetic nervous system is responsible for accelerating the heart rate, mobilizin

Experiencing shortness of breath after walking a short distance?

Hello doctor, recently whenever I walk a bit further (slowly for about 30 minutes or more), I experience an increased heart rate, a feeling of shortness of breath, and my legs feel weak and fatigued.
I also feel heavy-headed and tingly, and I have little energy to speak.
I have a history of autonomic nervous system dysfunction and panic disorder, and I am currently receiving treatment in a psychosomatic clinic.
I wonder if this is related to my autonomic nervous system, or if I need to strengthen my cardiovascular function through exercise?

Emily, 30~39 year old female. Ask Date: 2018/03/13

Dr. Jiang Junyi reply Neurology

Hello: Generally speaking, the autonomic nervous system is regulated by the sympathetic and parasympathetic nervous systems, with one acting as the accelerator and the other as the brake.
The sympathetic nervous system is responsible for accelerating the heart rate, mobilizing energy, while the parasympathetic nervous system is responsible for decelerating the heart rate and allowing the body to rest.
For example, during exercise, the sympathetic nervous system is activated, leading to an increased heart rate, faster breathing, and increased sweating.
Once the exercise stops, the parasympathetic nervous system takes over, slowing the heart rate, reducing breathing rate, and decreasing sweating.
Therefore, the increased heart rate you mentioned is related to the sympathetic nervous system.
Generally, if you strengthen your muscle training, the regulation of cardiovascular and respiratory functions will improve more rapidly, and discomfort will decrease.
As for autonomic nervous system dysfunction, it is a broad term, and it is important to determine whether the issue lies with the sympathetic or parasympathetic system.
Currently, hospitals have devices to assist in diagnosing autonomic nervous system disorders, and I recommend discussing examination and treatment options with a neurologist.
Wishing you good health, peace, and happiness.
Dr.
Tao, Neurology, cares about you.

Reply Date: 2018/03/13

More Info

Hello! It sounds like you are experiencing some concerning symptoms during your walks, including rapid heartbeat, shortness of breath, and feelings of weakness and heaviness in your legs. Given your history of autonomic nervous system dysregulation and panic disorder, it’s important to consider how these factors might be contributing to your current experiences.

Firstly, the autonomic nervous system (ANS) plays a crucial role in regulating involuntary bodily functions, including heart rate, blood pressure, and respiratory rate. Dysregulation of the ANS can lead to symptoms such as increased heart rate and shortness of breath, especially during physical exertion or stress. This could explain why you feel breathless and experience a racing heart after walking for a while. Panic disorder can also exacerbate these symptoms, as panic attacks often involve heightened physiological responses, including rapid heartbeat and hyperventilation.

Your symptoms may also indicate a need for a thorough evaluation of your cardiovascular and respiratory systems. While anxiety and autonomic dysregulation can certainly contribute to your symptoms, it’s essential to rule out any underlying conditions related to heart or lung function. A healthcare provider may recommend tests such as an electrocardiogram (ECG), echocardiogram, or pulmonary function tests to assess your heart and lung health.

In terms of physical conditioning, it’s possible that your cardiovascular fitness could be improved. Regular, moderate exercise can enhance your heart and lung capacity, making it easier for you to engage in activities like walking without experiencing significant breathlessness. However, it’s crucial to approach this gradually, especially considering your current symptoms. Start with shorter walks and gradually increase the duration as you feel more comfortable. Incorporating breathing exercises and relaxation techniques can also help manage anxiety and improve your overall sense of well-being.

Additionally, since you are already receiving treatment for your mental health concerns, it’s important to communicate these new symptoms with your healthcare provider. They can help determine whether your current treatment plan is adequate or if adjustments are needed. Cognitive-behavioral therapy (CBT) is often effective for managing panic disorder and can provide you with tools to cope with anxiety and its physical manifestations.

In summary, your symptoms of breathlessness and fatigue during walks could be related to a combination of autonomic nervous system dysregulation, panic disorder, and possibly a need for improved cardiovascular fitness. It’s essential to work closely with your healthcare provider to evaluate your symptoms comprehensively and develop a tailored plan that addresses both your physical and mental health needs. Remember, it’s okay to take things slow and prioritize your well-being as you navigate these challenges.

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