Breathing Difficulties After Using Essential Oils: What You Need to Know - Pulmonology

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Choked on eucalyptus oil?


Hello doctor, I have gained 20 kilograms due to foot pain from early March to early April.
At the end of April, I started experiencing breathing obstruction.
I have been examined by an otolaryngologist, who also performed a nasal endoscopy, and both chest X-rays and pulmonary function tests came back normal.
Later, I bought some medicated oil to apply in my nostrils, but my nose has been exhibiting extreme symptoms: I have a runny nose yet feel congested.
After applying the medicated oil for the past two days, it seems to have flowed back into my lungs along with the nasal discharge, as I felt a cool and irritating sensation in my chest, which was very uncomfortable.

Could you please tell me what this might mean? Additionally, I have two strange symptoms related to my breathing:
1.
I have a runny nose but feel congested; when I blow my nose, it feels blocked, similar to the sensation of descending from a high altitude where my ears feel muffled.
Both inhalation and exhalation feel incomplete and blocked.
2.
I feel like I can't get enough air into my lungs, and both inhalation and exhalation are weaker than before.
Even when I take a deep breath, it feels like I'm getting very little air, and sometimes I feel dizzy.
When I exhale, if I try to do it as I normally would, it results in a sound similar to snoring, with a rhythmic noise.
What could be causing these symptoms? What further tests can I undergo? I have already consulted with specialists in otolaryngology, hepatobiliary and gastroenterology, and pulmonary medicine, and I am unsure which department to visit next.
Thank you, doctor.

Axiang, 30~39 year old female. Ask Date: 2020/05/23

Dr. Yang Wenda reply Pulmonology


Hello: Your symptoms are primarily related to nasal or upper respiratory tract narrowing (throat).
It is recommended that you regularly follow up with an otolaryngologist and find ways to lose weight!

Reply Date: 2020/05/23

More Info


Breathing difficulties after using essential oils can be concerning, especially when accompanied by symptoms like nasal congestion, runny nose, and a sensation of tightness in the chest. Based on your description, it seems you have experienced a combination of nasal and respiratory symptoms that may be linked to the use of the essential oil, particularly if it has been inhaled or if it has entered the lungs.

Firstly, essential oils are concentrated plant extracts that can have various effects on the body. While many people use them for their therapeutic properties, they can also cause adverse reactions in some individuals, particularly if they are sensitive or allergic to certain components. In your case, the use of "green oil" (often a mentholated oil) may have contributed to your symptoms. The cooling sensation you felt in your chest could be due to the menthol or other active ingredients irritating the respiratory tract.

The symptoms you describe—nasal congestion despite having a runny nose, difficulty breathing, and a sensation of pressure in your ears—could indicate several issues:
1. Nasal Congestion and Sinus Pressure: The combination of nasal congestion and runny nose suggests that your nasal passages may be inflamed. This can occur due to allergic reactions, irritants, or infections. The sensation of pressure in your ears could be related to Eustachian tube dysfunction, which often accompanies sinus issues.

2. Respiratory Irritation: If the essential oil has entered your lungs, it may cause irritation, leading to symptoms like coughing, wheezing, or a feeling of tightness in the chest. This can be exacerbated by the menthol, which can cause a cooling sensation but may also lead to bronchial irritation in some individuals.

3. Anxiety or Hyperventilation: Sometimes, the sensation of not being able to breathe deeply can lead to anxiety, which can further exacerbate breathing difficulties. If you are feeling anxious about your symptoms, it may create a cycle of discomfort.

Given your history of weight gain and the recent onset of these symptoms, it is essential to approach this situation carefully. Here are some recommendations:
- Avoid Further Use of Essential Oils: Until you can determine the cause of your symptoms, it would be wise to avoid using any essential oils or mentholated products.

- Consult a Specialist: Since you have already seen multiple specialists (ENT, pulmonologist, and gastroenterologist), consider returning to a pulmonologist or an allergist. They can perform specific tests to determine if you have an allergy or sensitivity to certain substances, including essential oils.

- Consider Allergy Testing: If you suspect that your symptoms may be related to an allergic reaction, allergy testing could help identify specific triggers.

- Monitor Your Symptoms: Keep a diary of your symptoms, noting when they occur and any potential triggers. This information can be valuable for your healthcare provider.

- Breathing Exercises: If you feel comfortable, practicing deep breathing exercises may help alleviate some of the tightness in your chest and improve your overall breathing pattern.

- Stay Hydrated: Ensure you are drinking plenty of fluids, as this can help thin mucus and promote drainage from your sinuses.

- Seek Immediate Care if Necessary: If you experience worsening symptoms, such as severe shortness of breath, chest pain, or dizziness, seek immediate medical attention.

In conclusion, your symptoms may be multifactorial, involving nasal congestion, potential respiratory irritation from the essential oil, and possibly anxiety. A thorough evaluation by a specialist, along with careful monitoring of your symptoms, will be crucial in determining the best course of action for your health.

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