Breathing Issues in Adolescents: A Guide for Parents - Pulmonology

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Respiratory issues


Hello, doctor.
I am currently 13 years old and will turn 14 this year.
My height is 158 cm and my weight is 54 kg.
I started experiencing difficulty breathing after running 800 meters in the fourth grade.
I frequently feel the need to take deep breaths, and during the inhalation process, my head shakes slightly.
I also need to pause for 1 to 2 seconds before exhaling, and after I exhale, I feel a bit dizzy.
I have visited an ENT specialist, but no issues were found.
Could you please advise me on what to do?

Nini, 10~19 year old female. Ask Date: 2021/02/13

Dr. Yang Wenda reply Pulmonology


Hello: Unless you have a long-term habit of running, suddenly running 800 meters can lead to reactions such as shortness of breath.
Hyperventilation may cause dizziness, so it is recommended that you develop a regular exercise routine!

Reply Date: 2021/02/13

More Info


Understanding breathing issues in adolescents can be a complex task, especially when the symptoms are not easily diagnosed through standard medical examinations. As a parent, it’s crucial to approach this situation with care and a comprehensive understanding of potential underlying issues.

Firstly, it’s important to recognize that adolescents undergo significant physical, emotional, and psychological changes. These changes can sometimes manifest as physical symptoms, including breathing difficulties. In your case, the symptoms began after running a distance, which could indicate a few possibilities.

One potential cause of your breathing issues could be exercise-induced bronchoconstriction (EIB), which is a narrowing of the airways that occurs during or after exercise. Symptoms of EIB include shortness of breath, wheezing, coughing, and chest tightness, particularly during physical activity. This condition is more common in adolescents who are active in sports, and it can often be managed with the use of bronchodilators or other medications prescribed by a healthcare provider.

Another possibility is anxiety or panic attacks, which can also lead to feelings of breathlessness. Adolescents may experience anxiety related to performance, social situations, or other stressors, which can trigger hyperventilation or a feeling of not being able to catch their breath. If this is the case, addressing the underlying anxiety through counseling or therapy could be beneficial.

Given that you have already consulted an ENT specialist without finding any physical abnormalities, it may be worthwhile to seek a second opinion from a pulmonologist, who specializes in respiratory issues. They can conduct specific tests, such as pulmonary function tests, to assess your lung capacity and function more thoroughly. Additionally, they may evaluate for conditions such as asthma, which can sometimes be overlooked in initial assessments.

In the meantime, there are several strategies you can employ to help manage your symptoms. Practicing controlled breathing techniques can be beneficial. Techniques such as diaphragmatic breathing or pursed-lip breathing can help regulate your breathing pattern and reduce feelings of breathlessness. Engaging in relaxation exercises, such as yoga or mindfulness meditation, may also help alleviate anxiety and improve your overall sense of well-being.

It’s also essential to maintain an open line of communication with your parents about your symptoms and feelings. Keeping them informed can help them support you better and advocate for your health needs. If you feel comfortable, consider discussing your experiences with a school counselor or a trusted teacher, as they can provide additional support and resources.

Lastly, ensure that you are maintaining a healthy lifestyle, including regular physical activity, a balanced diet, and adequate hydration. Avoiding known triggers, such as allergens or irritants, can also help manage your symptoms.

In summary, while your breathing issues may be concerning, there are various avenues to explore for diagnosis and management. Collaborating with healthcare professionals, practicing breathing techniques, and maintaining open communication with your support system can significantly aid in addressing your concerns. Remember, it’s essential to prioritize your health and well-being as you navigate these challenges.

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