Short Exhalation: Breathing Issues Post-Pandemic - Pulmonology

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Shortness of breath?


Recently, I don't know if it's due to the pandemic, but I've been very conscious about controlling my breathing, and I've noticed that my exhalation is shorter than my inhalation.
I've almost forgotten how to breathe normally.
I had an X-ray done, and it was normal, but sometimes I still experience chest tightness.
I would like to ask the doctor what I should do.

Chen Ru, 20~29 year old female. Ask Date: 2020/04/27

Dr. Yang Wenda reply Pulmonology


Hello: The X-ray is normal, and there is no past history of asthma, so there should be no issues with ventilation! It is recommended to breathe naturally, relax, and there is no need to control the timing of inhalation or exhalation!

Reply Date: 2020/04/27

More Info


Breathing issues, especially those that arise post-pandemic, can be quite concerning and often stem from a combination of physical and psychological factors. Your experience of consciously controlling your breath and noticing that your exhalation is shorter than your inhalation is not uncommon, particularly in the context of increased anxiety and stress related to the pandemic. This phenomenon can lead to a cycle of hyperawareness and discomfort, which can exacerbate feelings of anxiety and lead to further breathing difficulties.

Firstly, it’s important to understand that the pandemic has significantly impacted mental health for many individuals. The stress of uncertainty regarding health, finances, and social interactions can lead to heightened anxiety levels. This anxiety can manifest physically, resulting in symptoms such as chest tightness, shortness of breath, and altered breathing patterns. When you become overly focused on your breathing, it can create a sense of panic, making it feel even more difficult to breathe normally.

Given that you have already undergone an X-ray and received normal results, it is reassuring that there are no immediate physical issues affecting your lungs. However, the sensation of chest tightness and the feeling of not being able to breathe properly can still be distressing. Here are some strategies that may help you regain a sense of control over your breathing:
1. Practice Relaxation Techniques: Engaging in relaxation exercises can help reduce anxiety and improve your breathing patterns. Techniques such as deep breathing, progressive muscle relaxation, and mindfulness meditation can be beneficial. For example, 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 lengthen your exhalation and promote a sense of calm.

2. Breathing Exercises: Specific breathing exercises can help retrain your body to breathe more naturally. One effective method is diaphragmatic breathing, where you focus on using your diaphragm rather than your chest to breathe. Lie down comfortably, place one hand on your chest and the other on your abdomen, and breathe in deeply through your nose, ensuring that your abdomen rises more than your chest. Exhale slowly through your mouth, feeling your abdomen fall. This technique can help you develop a more balanced breathing pattern.

3. Physical Activity: Regular physical activity can improve lung function and reduce anxiety. Activities such as walking, yoga, or swimming can be particularly helpful. Yoga, in particular, combines physical movement with breath control and can be an excellent way to reconnect with your body and improve your breathing.

4. Limit Stimulants: Reducing the intake of caffeine and other stimulants can help decrease anxiety levels, which may, in turn, alleviate some of your breathing difficulties.
5. Seek Professional Help: If your symptoms persist or worsen, it may be beneficial to consult with a healthcare professional, such as a pulmonologist or a mental health specialist. They can provide further evaluation and may recommend therapies such as cognitive-behavioral therapy (CBT), which can help address anxiety-related breathing issues.

6. Stay Connected: Engaging with friends, family, or support groups can provide emotional support and reduce feelings of isolation, which can be particularly important during these times.

In conclusion, while your breathing issues may be exacerbated by anxiety and stress related to the pandemic, there are several strategies you can employ to help manage your symptoms. Remember that it is essential to be patient with yourself as you work through these challenges. If you find that your symptoms do not improve or if they significantly interfere with your daily life, seeking professional guidance is a prudent step. Your health and well-being are paramount, and there are resources available to help you navigate this difficult time.

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