Afternoon Breathlessness: Causes and Solutions for Students - Pulmonology

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Shortness of breath?


For the past month, since the beginning of my freshman year in a new environment, I have been experiencing difficulty breathing in the classroom during the afternoons.
This occurs sometimes for the entire afternoon and sometimes just for over an hour.
I find myself needing to take deep breaths, and when my throat becomes very dry, I feel a bit nauseous.
Additionally, I experience a feeling of pressure in my head.
However, this does not happen at home or in other areas of the school, such as the library.
I wonder if our classroom is too stuffy, but it only happens in the afternoons.
I have a mild nasal allergy, but my main symptoms are sneezing, a runny nose, and itchy nose; I have never experienced difficulty breathing due to my allergies.
I usually feel warm in the head when I am nervous or in a stuffy environment, but I have never had breathing difficulties.
I don’t feel particularly anxious about starting school; although there is some pressure, I believe it is manageable.

Zi, 20~29 year old female. Ask Date: 2021/11/02

Dr. Zhang Ziyan reply Pulmonology


Hello, based on the description, if your mood is generally fine, it could primarily be an allergy issue, with a slight possibility of asthma.
If the situation does not improve, you may consider visiting a pulmonology department to check for allergens and lung function issues.
Changhua Hospital's Pulmonology Department is concerned about you.

Reply Date: 2021/11/02

More Info


Afternoon breathlessness, especially in a new environment like a classroom, can be concerning and disruptive to your studies. Based on your description, it seems that your symptoms are primarily occurring in the afternoons while you are in class, which raises several potential causes and solutions.


Possible Causes
1. Environmental Factors:
- Air Quality: Classrooms can sometimes have poor ventilation, leading to a buildup of carbon dioxide and other pollutants. This can cause feelings of breathlessness and discomfort. If the classroom is crowded or lacks fresh air circulation, it may contribute to your symptoms.

- Allergens: Since you mentioned having mild nasal allergies, it’s possible that allergens present in the classroom (like dust, mold, or pollen) could be exacerbating your symptoms. Allergic reactions can sometimes lead to inflammation in the airways, making breathing feel more labored.

2. Anxiety and Stress:
- Even if you don’t feel particularly anxious, the transition to a new environment can create underlying stress. This can manifest physically, leading to symptoms like breathlessness, especially in a setting where you might feel pressure to perform or focus.

3. Posture and Physical Factors:
- Sitting for extended periods in a classroom can lead to poor posture, which may restrict your diaphragm and lungs, making it harder to breathe deeply. If you’re slouching or not sitting in a way that allows for full lung expansion, this could contribute to your feelings of breathlessness.

4. Dehydration:
- If you’re not drinking enough water throughout the day, dehydration can lead to dry throat and feelings of nausea, which might be contributing to your symptoms.


Solutions
1. Improve Classroom Environment:
- If possible, advocate for better ventilation in your classroom. Opening windows or using air purifiers can help improve air quality. If you notice that the classroom feels stuffy, try to take breaks outside or in a more open area when possible.

2. Manage Allergies:
- Consider consulting with a healthcare provider about your allergies. They may recommend antihistamines or other treatments to help manage your symptoms. Keeping your environment clean and free from dust can also help reduce allergic reactions.

3. Practice Breathing Techniques:
- Learning and practicing deep breathing exercises can help manage feelings of breathlessness. Techniques such as diaphragmatic breathing (where you focus on breathing deeply into your abdomen rather than your chest) can be beneficial. This can help calm your nervous system and improve oxygen intake.

4. Stay Hydrated:
- Make sure you are drinking enough water throughout the day. Dehydration can exacerbate feelings of nausea and discomfort. Aim for at least 8 glasses of water daily, adjusting based on your activity level.

5. Posture Awareness:
- Pay attention to your posture while sitting in class. Try to sit up straight with your feet flat on the floor and your back supported. This can help ensure that your lungs have enough room to expand fully.

6. Seek Professional Help:
- If your symptoms persist or worsen, it may be beneficial to consult a healthcare professional. They can perform a thorough evaluation to rule out any underlying conditions, such as asthma or anxiety disorders, and provide tailored advice or treatment options.


Conclusion
Understanding the causes of your afternoon breathlessness is crucial for finding effective solutions. By addressing environmental factors, managing allergies, practicing relaxation techniques, and ensuring proper hydration and posture, you can significantly improve your comfort and focus during class. If these strategies do not alleviate your symptoms, seeking professional medical advice is essential for further evaluation and management. Remember, your health and well-being are paramount, and taking proactive steps can lead to a more enjoyable and productive academic experience.

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