Shortness of Breath During Meals: Possible Causes and Solutions - Internal Medicine

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Hello Doctor, I have noticed that I feel a bit short of breath while eating, which lasted for about 3 hours.
During this time, I constantly felt the need to take deep breaths, but I still felt breathless, and eventually, I experienced some tightness and mild pain in my chest after deep breathing.
However, I found that if I don't pay attention to my breathing, I can return to normal, and I have no issues while sleeping.
What could be the possible cause of this? Thank you, Doctor.

Chen Yan, 10~19 year old female. Ask Date: 2020/02/04

Dr. Hong Yuanbin reply Internal Medicine


Based on your description, it is quite difficult to determine which disease is most likely.
The possibilities include: 1.
Gastroesophageal reflux disease (GERD), which is characterized by the occurrence of symptoms, especially after meals, often accompanied by a burning sensation in the chest.
2.
Respiratory infections, which may be associated with cough, fever, or runny nose, and could also indicate other conditions.
It is recommended to visit a family medicine clinic for further evaluation.
Thank you for your inquiry.

Reply Date: 2020/02/04

More Info


Shortness of breath during meals can be a concerning symptom, and it’s important to understand the potential causes and solutions. Based on your description, it seems that your breathing difficulties are primarily linked to the act of eating, which can be influenced by various factors.

One of the most common causes of shortness of breath while eating is related to gastroesophageal reflux disease (GERD). When you eat, especially if you consume large meals or certain trigger foods, stomach acid can flow back into the esophagus, leading to discomfort and a sensation of tightness in the chest. This can cause you to feel like you are not getting enough air, prompting you to take deep breaths, which may lead to further discomfort or even pain in the chest area. It’s advisable to avoid heavy meals, spicy foods, and caffeine, as these can exacerbate GERD symptoms.

Another possible cause could be related to anxiety or panic attacks. If you find that you are preoccupied with your breathing while eating, it may lead to a cycle of anxiety that exacerbates your symptoms. This is particularly relevant if you notice that your breathing normalizes when you distract yourself from it. Stress and anxiety can lead to hyperventilation, which can cause feelings of breathlessness and chest tightness. Practicing relaxation techniques, such as deep breathing exercises or mindfulness, may help alleviate these symptoms during meals.

Additionally, if you have a history of allergies or respiratory issues, such as asthma, these conditions could also contribute to your symptoms. Allergens present in food or the environment can trigger respiratory reactions, leading to shortness of breath. If you suspect that your symptoms may be related to allergies, it might be beneficial to consult with an allergist for testing and management strategies.

Another consideration is the physical act of eating itself. If you are eating too quickly or not chewing your food properly, it can lead to swallowing air, which may cause bloating and pressure on the diaphragm, making it feel harder to breathe. Slowing down during meals and ensuring thorough chewing can help mitigate this issue.

In some cases, structural issues, such as a hiatal hernia, can also cause shortness of breath during meals. A hiatal hernia occurs when part of the stomach pushes through the diaphragm into the chest cavity, which can lead to discomfort and breathing difficulties, especially when eating. If you suspect this might be the case, a consultation with a gastroenterologist would be advisable.

Lastly, if you experience persistent or severe symptoms, it is crucial to seek medical attention. A healthcare provider can perform a thorough evaluation, including a physical examination and possibly imaging studies or pulmonary function tests, to determine the underlying cause of your shortness of breath.

In summary, shortness of breath during meals can arise from various factors, including GERD, anxiety, allergies, eating habits, or structural issues. It is essential to monitor your symptoms and consider lifestyle modifications, such as dietary changes and stress management techniques. If symptoms persist or worsen, do not hesitate to seek professional medical advice for a comprehensive evaluation and tailored treatment plan.

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