Impact of Narrow Nasal Passages on Breathing and Lung Health - Pulmonology

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Shortness of breath


Hello Dr.
Wang: I previously underwent alar reduction surgery, and now my nostrils are too small (they can fit a woman's pinky finger), which requires me to take deeper breaths (using chest effort) to inhale the same volume as before.
Will this have serious long-term effects on my cardiopulmonary health? Additionally, if I engage in more aerobic exercise to increase my lung capacity, could this improve my current situation or help mitigate potential health issues due to the narrowed nostrils in the future?

Nìmíng, 10~19 year old female. Ask Date: 2022/08/24

Dr. Wang Lanfeng reply Pulmonology


Hello: Based on your description, your condition seems to be caused by a narrowing of the nasal airway.
It is advisable for you to consult an otolaryngologist.
Thank you.

Reply Date: 2022/08/24

More Info


Narrow nasal passages can significantly impact breathing and overall lung health. When the nasal passages are constricted, it can lead to a variety of respiratory issues, including increased effort in breathing, which may strain the lungs and heart over time. This is particularly concerning for individuals who have undergone surgical procedures, such as a rhinoplasty, which may alter the size and shape of the nasal passages.

When you mention that your nostrils are now too small, requiring you to take deeper breaths to compensate for the reduced airflow, this can lead to several physiological changes. The body is designed to breathe through the nose, which serves multiple functions: it filters, humidifies, and warms the air before it reaches the lungs. When nasal breathing is compromised, individuals often resort to mouth breathing, which can lead to dry air entering the lungs, potentially causing irritation and increasing the risk of respiratory infections.

Long-term reliance on deeper chest breathing due to narrow nasal passages can lead to several health issues. For one, it can increase the workload on the diaphragm and intercostal muscles, potentially leading to muscle fatigue and discomfort. Additionally, chronic shallow breathing can result in reduced oxygen exchange efficiency, which may affect overall oxygen saturation levels in the blood. This can lead to symptoms such as fatigue, decreased exercise tolerance, and even anxiety, as the body struggles to meet its oxygen demands.

In terms of cardiovascular health, chronic respiratory issues can lead to increased heart rate and blood pressure as the heart works harder to pump oxygenated blood throughout the body. Over time, this can contribute to the development of cardiovascular diseases, particularly if combined with other risk factors such as smoking or a sedentary lifestyle.

Engaging in aerobic exercise can indeed help improve lung capacity and overall respiratory function. Activities such as running, cycling, or swimming can strengthen the respiratory muscles and improve the efficiency of oxygen exchange in the lungs. Additionally, regular aerobic exercise can enhance cardiovascular health, helping to mitigate some of the risks associated with narrow nasal passages.

However, it is crucial to address the underlying issue of your narrowed nasal passages. If the size of your nostrils is significantly impacting your ability to breathe comfortably, it may be beneficial to consult with an ear, nose, and throat (ENT) specialist. They can assess your nasal anatomy and determine if further surgical intervention or other treatments, such as nasal dilators or continuous positive airway pressure (CPAP) therapy, might be appropriate.

In conclusion, while aerobic exercise can improve lung capacity and overall health, it is essential to address the root cause of your breathing difficulties. Long-term narrow nasal passages can lead to significant respiratory and cardiovascular issues, so seeking professional medical advice is crucial for your long-term health and well-being.

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