Addressing Breathing Difficulties: When to Seek Medical Help

Issues related to sleep apnea?

Hello, doctor! I would like to ask you three questions:
1.
I have recently noticed that I sometimes forget to breathe during the day and at night, and I have to force myself to take deep breaths.
Which specialty should I consult for treatment? Neurology, Family Medicine, or Psychiatry?
2.
Since we are currently in a pandemic and large hospitals are under government regulations, I am unable to seek immediate medical attention.
Are there any methods I can use at home to temporarily alleviate my symptoms until I can go to a hospital?

Qiu zhu zhe A Shun, 30~39 year old female. Ask Date: 2021/06/11

Dr. Jiang Junyi reply Neurology

Hello Mr.
A-Shun,
1.
I have recently noticed that I experience episodes of forgetting to breathe both during the day and at night, and I need to force myself to take deep breaths.
Which specialty should I consult for treatment? Neurology? Family Medicine? Psychiatry?
A: The act of breathing is primarily automatic, controlled by the respiratory centers in the brainstem through central and peripheral chemoreceptors, as well as stretch receptors in the lungs.
However, most breathing can still be consciously controlled.
Normal breathing occurs in a rhythmic pattern with minimal variation between breaths, but if the breathing is shallow and slow, there may be spontaneous deep breaths to adjust.
For breathing-related issues, you may seek assistance from a pulmonologist.
2.
Since we are currently in a pandemic, large hospitals are under government restrictions, and I cannot seek immediate medical attention.
Are there any methods I can use at home to temporarily alleviate my symptoms until I can go to a hospital?
It is recommended to purchase a smartwatch or fitness tracker with blood oxygen monitoring capabilities.
If you have sleep apnea, it is advisable to sleep on your side and avoid alcohol before bedtime, among other lifestyle adjustments.
You should consider visiting a pulmonologist or neurologist for further evaluation and follow-up.
However, due to the current COVID-19 pandemic, it is advisable to wait until the situation stabilizes before going to the hospital for an examination.
Please ensure to practice self-protection, maintain cleanliness and disinfection, and adhere to new preventive measures before and after your medical visit.
Thank you for your inquiry.
If you have further questions, feel free to discuss them! Wishing you good health and safety.
Dr.
Jiang Jun-Yi, Taoyuan Medical Center

Reply Date: 2021/06/11

More Info

When addressing breathing difficulties, especially in the context of memory issues or cognitive decline, it is essential to approach the situation holistically. Your symptoms of forgetting to breathe and needing to force yourself to take deep breaths could be indicative of several underlying issues, and it is crucial to identify the right medical specialty to consult.

1. Which Specialist to See: Given your symptoms, it would be advisable to start with a primary care physician (family medicine) or a neurologist. A primary care physician can conduct a comprehensive evaluation, including a physical examination and a review of your medical history, to rule out any immediate health concerns. If cognitive issues are suspected, a neurologist can assess for any neurological conditions that might be affecting your breathing patterns or memory. Additionally, if anxiety or stress is contributing to your symptoms, a referral to a psychiatrist or psychologist may be beneficial. They can provide strategies to manage anxiety, which can often manifest as physical symptoms, including difficulty with breathing.

2. Home Remedies to Alleviate Symptoms: While waiting for an appointment, there are several strategies you can employ at home to help manage your symptoms:
- Breathing Exercises: Practice diaphragmatic breathing or pursed-lip breathing. These techniques can help improve your lung capacity and make breathing feel more natural. For diaphragmatic breathing, sit or lie down comfortably, place one hand on your chest and the other on your abdomen, and breathe in deeply through your nose, allowing your abdomen to rise. Exhale slowly through pursed lips.

- Stay Calm: Anxiety can exacerbate breathing difficulties. Engage in relaxation techniques such as mindfulness meditation, yoga, or gentle stretching. These practices can help reduce stress and improve your overall sense of well-being.

- Hydration: Ensure you are well-hydrated, as dehydration can lead to thicker mucus in the airways, making breathing more difficult.

- Environment: Ensure your living space is well-ventilated and free from allergens or irritants, such as smoke or strong odors, which can aggravate breathing issues.

- Monitor Symptoms: Keep a journal of your symptoms, noting when they occur, their severity, and any potential triggers. This information can be invaluable when you do see a healthcare provider.

3. When to Seek Immediate Medical Help: If you experience any of the following symptoms, it is crucial to seek immediate medical attention:
- Severe shortness of breath or difficulty breathing
- Chest pain or tightness
- Confusion or inability to stay awake
- Cyanosis (bluish color of the lips or face)
In summary, while your symptoms may seem concerning, there are steps you can take to manage them until you can see a healthcare provider. It is essential to consult with a medical professional who can provide a thorough evaluation and appropriate treatment plan tailored to your needs. Remember, your health is paramount, and addressing these symptoms early can lead to better outcomes.

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