Breathing Difficulties When Standing: Is Poor Posture to Blame? - Pulmonology

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Difficulty breathing while standing upright?


Hello, doctor.
Due to my work, I spend long hours using a computer, and I often have a habit of leaning forward and crossing my legs while sitting.
Recently, I've been feeling tightness in my upper abdomen when I stand up straight.
Besides consciously trying to relax, I often find myself in a state of sucking in my stomach.
Sometimes, when I take a shower for more than half an hour, I feel short of breath or even have difficulty breathing when standing straight; bending over helps a bit, or taking a break outside the bathroom resolves the issue.
Normally, I can climb five or six flights of stairs or walk briskly without discomfort.
I would like to ask if this situation could be related to poor posture, and if you have any recommendations for tests or ways to alleviate the symptoms.
Thank you.

Ms. Hsu, 30~39 year old female. Ask Date: 2022/06/02

Dr. Zhou Ziguang reply Pulmonology


Hello: You may first consult a pulmonologist.
If there are no thoracic diseases, you can seek recommendations from a rehabilitation specialist or orthopedic doctor on how to improve your posture.

Reply Date: 2022/06/02

More Info


Breathing difficulties, especially when standing, can indeed be influenced by posture and body mechanics. In your case, it sounds like your prolonged periods of poor posture while using a computer may be contributing to your symptoms. When you sit with a forward-leaning posture and cross your legs, it can lead to tightness in the abdominal and chest muscles, which may restrict your diaphragm's movement and hinder your ability to take deep breaths. This can create a sensation of tightness in the upper abdomen and make it feel like you are not getting enough air, especially when standing upright.

Additionally, the act of standing straight requires the engagement of various muscle groups, including those in your core and back. If these muscles are weak or fatigued from poor posture, it can lead to discomfort and difficulty breathing. The fact that you feel better when bending forward or resting suggests that your body is instinctively trying to find a position that alleviates the tension caused by your posture.

Here are some recommendations to help address your breathing difficulties and improve your posture:
1. Posture Awareness: Make a conscious effort to maintain good posture while sitting and standing. Your back should be straight, shoulders relaxed, and feet flat on the ground. Consider using ergonomic furniture or tools, such as a chair with lumbar support, to promote better posture.

2. Regular Breaks: If you are working long hours at a computer, take regular breaks to stand up, stretch, and move around. This will help relieve muscle tension and improve circulation.

3. Breathing Exercises: Practice deep breathing exercises to help expand your lung capacity and strengthen your diaphragm. Try inhaling deeply through your nose, allowing your abdomen to rise, and then exhaling slowly through your mouth. This can help counteract the shallow breathing that often accompanies poor posture.

4. Strengthening Exercises: Incorporate exercises that strengthen your core and back muscles. Planks, bridges, and back extensions can help improve your overall posture and support your breathing.

5. Stretching: Regularly stretch your chest, shoulders, and abdominal muscles to relieve tightness. Simple stretches, such as reaching your arms overhead or gently twisting your torso, can help improve flexibility and reduce tension.

6. Hydration and Environment: Ensure that you are well-hydrated and that your environment is conducive to good breathing. High humidity or poor ventilation can exacerbate breathing difficulties, so consider using a fan or dehumidifier if necessary.

7. Consult a Professional: If your symptoms persist or worsen, it may be beneficial to consult a healthcare professional, such as a physical therapist or a physician. They can assess your posture, breathing mechanics, and overall health to provide tailored recommendations.

In conclusion, while poor posture can contribute to your breathing difficulties, it is essential to adopt strategies that promote better posture and overall respiratory health. By being mindful of your body mechanics and incorporating exercises to strengthen and stretch your muscles, you can alleviate your symptoms and improve your quality of life. If you continue to experience significant breathing issues, seeking medical advice is crucial to rule out any underlying conditions.

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