Back Pain and Shortness of Breath After Argument: Is It Lung Issues? - Pulmonology

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I have back pain after arguing with my mom today?


After arguing loudly with my mom today, I started experiencing back pain and tenderness, and I have difficulty breathing and speaking.
It feels like an elephant is sitting on my back, and I feel weak all over.
Could this be related to pulmonary obstruction? I previously had my lung capacity tested, and the doctor mentioned that I have lung atrophy.

nv vivian, 40~49 year old female. Ask Date: 2023/09/15

Dr. Guo Hongyi reply Pulmonology


Hello: It is difficult to provide a diagnosis based on this online description.
If you are feeling unwell, I recommend that you seek medical attention directly.
Thank you.

Reply Date: 2023/09/15

More Info


Experiencing back pain and shortness of breath after a stressful event, such as an argument, can be concerning and may indicate a variety of underlying issues. While it is essential to consult a healthcare professional for a thorough evaluation, I can provide some insights into potential causes based on your symptoms and medical history.

First, let's consider the relationship between emotional stress and physical symptoms. Stress can lead to muscle tension, particularly in the back and chest areas. When you argue or experience heightened emotions, your body may respond by tensing up, which can cause discomfort or pain in the back. This muscle tension can also restrict your breathing, leading to feelings of shortness of breath. The sensation of having "an elephant on your chest" may be a result of this tension, making it feel difficult to take deep breaths.

Additionally, you mentioned having a history of lung issues, including lung atrophy. This condition can lead to reduced lung capacity and may make you more susceptible to feelings of breathlessness, especially during stressful situations. If your lungs are already compromised, the added stress of an argument could exacerbate your symptoms, leading to increased difficulty in breathing and a sensation of pressure in your chest or back.

Another possibility to consider is the impact of anxiety. Anxiety can manifest physically, causing symptoms such as rapid breathing, chest tightness, and back pain. If you find yourself feeling anxious or panicked after the argument, this could contribute to your symptoms. In some cases, anxiety can lead to hyperventilation, which may cause a feeling of lightheadedness or weakness.

It is also crucial to rule out any serious medical conditions. While your symptoms may be related to stress or anxiety, they could also indicate a more significant issue, such as a respiratory problem or even a cardiovascular concern. Given your history of lung atrophy, it is essential to monitor your symptoms closely. If you experience persistent shortness of breath, chest pain, or any other concerning symptoms, you should seek medical attention promptly.

In summary, your back pain and shortness of breath following an argument could be attributed to muscle tension, anxiety, or exacerbation of pre-existing lung conditions. It is vital to manage stress and practice relaxation techniques, such as deep breathing exercises, to help alleviate symptoms. However, given your medical history, I strongly recommend consulting with a healthcare professional for a comprehensive evaluation. They may suggest pulmonary function tests, imaging studies, or other assessments to determine the underlying cause of your symptoms and develop an appropriate treatment plan. Remember, your health and well-being are paramount, and addressing these symptoms early can lead to better outcomes.

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