Should You Get Checked for Shortness of Breath After COVID? - Family Medicine

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Is it necessary to undergo further examination for easy shortness of breath?


Symptoms: Since my diagnosis last May, I have noticed that I easily become short of breath, such as when climbing stairs or talking, and sometimes I feel the need to take a deep breath even when I am not doing anything.
I find this concerning because I have never experienced such symptoms before.
Inquiry: I would like to ask the doctor if my condition requires further examination.
I have researched and found that COVID-19 symptoms typically do not last this long.
Thank you.

Hao, 10~19 year old female. Ask Date: 2022/12/31

Dr. Xiao Yongxun reply Family Medicine


Dear Mr.
Hao: There are many causes of dyspnea; common causes include heart, lung, kidney diseases, or various metabolic disorders; of course, there are also many rare causes.
If you have been experiencing these symptoms for six months, regardless of whether you have had COVID-19, you should consult your regular physician to investigate the cause.
Alternatively, you can directly visit a cardiologist or pulmonologist at a regional hospital or higher-level facility.

Reply Date: 2022/12/31

More Info


After experiencing COVID-19, many individuals report lingering symptoms, commonly referred to as "long COVID" or post-acute sequelae of SARS-CoV-2 infection (PASC). One of the concerning symptoms that can arise is shortness of breath, which can manifest in various ways, such as difficulty breathing during physical activity, a feeling of breathlessness while at rest, or the sensation of needing to take deep breaths frequently.
Given your description of experiencing shortness of breath, especially when engaging in activities like climbing stairs or even while at rest, it is essential to consider a few factors. First, it is not uncommon for individuals recovering from COVID-19 to experience respiratory issues. The virus can cause inflammation in the lungs and airways, leading to conditions such as bronchitis or even exacerbating pre-existing conditions like asthma.
1. Assessment of Symptoms: The symptoms you describe—shortness of breath during exertion and the need to take deep breaths—are significant. While some individuals may recover fully from COVID-19, others may experience prolonged respiratory symptoms. The fact that you did not have these symptoms before your COVID-19 diagnosis raises the possibility that they are related to your infection.

2. Need for Medical Evaluation: It is advisable to seek a medical evaluation, particularly from a pulmonologist or a healthcare provider specializing in respiratory conditions. They may recommend diagnostic tests such as a chest X-ray or pulmonary function tests to assess your lung capacity and function. These tests can help determine if there is any underlying lung damage or if conditions such as asthma or chronic obstructive pulmonary disease (COPD) have developed or worsened.

3. Monitoring Symptoms: If you notice that your symptoms are worsening or if you experience additional symptoms such as chest pain, persistent cough, or fever, it is crucial to seek medical attention promptly. Additionally, if you find that your shortness of breath is affecting your daily activities or quality of life, this is another indicator that further evaluation is warranted.

4. Potential Treatments: Depending on the findings from your evaluation, treatment options may vary. If inflammation in the airways is present, corticosteroids or bronchodilators may be prescribed to help alleviate symptoms. Pulmonary rehabilitation programs can also be beneficial for individuals recovering from COVID-19, as they provide structured exercise and education to improve lung function and overall physical health.

5. Long COVID Considerations: It is important to note that the medical community is still learning about long COVID and its various manifestations. Research indicates that some individuals may experience prolonged symptoms for weeks or even months after the initial infection. Engaging in self-care practices, such as pacing yourself during activities, practicing deep breathing exercises, and maintaining a healthy lifestyle, can also support your recovery.

In conclusion, given your experience of shortness of breath following COVID-19, it is advisable to consult with a healthcare provider for a thorough evaluation. Early intervention can help address any potential complications and guide you toward appropriate management strategies to improve your respiratory health. Remember, your health and well-being should always be a priority, and seeking help is a proactive step in your recovery journey.

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