Summer Breathing Issues: When to Seek Medical Help - Family Medicine

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Respiratory issues


Hello, doctor! During the summer, I often experience a sensation of not being able to breathe, and I need to take deep breaths to relieve it.
However, this only happens in the summer, and I don't have any particular discomfort at night while sleeping.
This issue has only arisen in the past few years, and I'm unsure which specialist to consult for an examination.
A regular X-ray showed no problems! After summer, this condition improves...

josefu, 40~49 year old female. Ask Date: 2020/08/10

Dr. Chen Bozhang reply Family Medicine


Hello! If you have any concerns, it is recommended to consult with a family medicine clinic.
Thank you!

Reply Date: 2020/08/10

More Info


It sounds like you are experiencing a seasonal breathing issue that tends to occur during the summer months, particularly in hot and humid conditions. This phenomenon is not uncommon and can be attributed to several factors, including environmental triggers, underlying respiratory conditions, or even psychological factors.

One of the most common causes of breathing difficulties in hot weather is asthma, which can be exacerbated by heat and humidity. Asthma is a chronic condition characterized by inflammation and narrowing of the airways, leading to symptoms such as wheezing, coughing, chest tightness, and shortness of breath. In your case, the fact that your symptoms improve significantly when you are in air-conditioned environments suggests that heat and humidity may be triggering your symptoms.
Another possibility is that you may be experiencing exercise-induced bronchoconstriction, which can occur during physical activity in hot weather. This condition can lead to a feeling of breathlessness and the need for deep breaths, especially if you are engaging in outdoor activities during the summer.
Allergic reactions can also play a role in your symptoms. Pollen, mold, and other allergens are often more prevalent in the summer months, and exposure to these can trigger respiratory issues in sensitive individuals. If you have a history of allergies, it may be worth considering whether your symptoms correlate with increased exposure to allergens during the summer.

Given that you mentioned your symptoms have been occurring for the past few years and are specifically tied to the summer season, it would be prudent to consult with a pulmonologist or an allergist. They can perform a thorough evaluation, which may include pulmonary function tests, allergy testing, and possibly a methacholine challenge test to assess for asthma.
It's also important to consider other factors that may contribute to your symptoms. For example, anxiety and stress can manifest as physical symptoms, including difficulty breathing. If you find that your breathing issues are accompanied by feelings of anxiety or panic, it may be beneficial to address these psychological aspects as well.

In summary, while your symptoms may seem benign, they warrant further investigation, especially since they have persisted over several years. Seeking medical advice from a specialist will help determine the underlying cause of your breathing difficulties and guide you toward appropriate management strategies. In the meantime, staying in cool environments, using fans, and avoiding strenuous activities during peak heat can help alleviate your symptoms.

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