Breathing Difficulties and Numbness: Neurological Symptoms

Q: Breathing Difficulties and Numbness: Neurological Symptoms

Hello Mr. <br>You： You mentioned experiencing numbness in your hands, feet, and face, as well as chest numbness, and that deep breathing does not help... <br>Your symptoms may need to be considered in the context of autonomic nervous system dysfunction. <br>Hyperventilation can l

Feeling short of breath, with numbness and dizziness?

Hello, Dr.
Jiang.
Recently, when I go to work, I feel like I can't get enough air, my breathing speeds up (over 20 breaths per minute), and I experience numbness in my hands, feet, and face, as well as chest numbness.
Deep breathing doesn't help, but I have no issues when exercising on my bike during my days off.
If I talk continuously, I also experience this condition, which makes it increasingly difficult to speak clearly, along with numbness in my limbs.
How should I address this? I've read online that it could be due to hyperventilation or autonomic nervous system dysfunction.
I have had autonomic nervous system issues for over ten years; previously, I experienced sweating on the left side during exercise, and a neurology exam checking for cardiac conduction did not reveal any problems.
It feels like the situation is getting worse.
Thank you.

Mr. You, 50~59 year old female. Ask Date: 2023/11/13

Dr. Jiang Junyi reply Neurology

Hello Mr.
You: You mentioned experiencing numbness in your hands, feet, and face, as well as chest numbness, and that deep breathing does not help...
Your symptoms may need to be considered in the context of autonomic nervous system dysfunction.
Hyperventilation can lead to decreased carbon dioxide levels in the blood, resulting in an increased pH, a condition known as "respiratory alkalosis," which can cause systemic reactions and symptoms.
Common manifestations include vasoconstriction and hypocalcemia.
Reduced blood flow to the brain due to vasoconstriction can result in dizziness, numbness (particularly around the lips and upper limbs), and weakness; in more severe cases, it may lead to agitation, hallucinations, seizures, or fainting.
Hypocalcemia can cause muscle spasms and cramps in the hands and feet.
Generally, the autonomic nervous system is regulated by the sympathetic and parasympathetic nervous systems, where one acts as the accelerator and the other as the brake.
The sympathetic nervous system is responsible for increasing heart rate, accelerating breathing, and increasing sweat production during physical activity.
Once the activity ceases, the parasympathetic nervous system takes over, slowing down the heart rate, reducing breathing rate, and decreasing sweat production.
I recommend that you consult a neurologist to discuss the evaluation of your autonomic nervous system and potential treatment options.
Thank you for your inquiry.
If you have further questions, feel free to discuss them.
Wishing you good health, peace, and happiness.
Dr.
Jiang Junyi, Department of Neurology, Taoyuan Hospital, cares about you.

Reply Date: 2023/11/13

More Info

Breathing difficulties and associated symptoms such as numbness can be quite distressing and may indicate underlying neurological or psychological issues. Based on your description, it seems you are experiencing a combination of symptoms that could be related to anxiety, autonomic nervous system dysfunction, or even hyperventilation syndrome.

Understanding Your Symptoms
1. Breathing Difficulties: The sensation of not being able to breathe adequately, especially when combined with rapid breathing (tachypnea), can often be linked to anxiety or panic attacks. When a person feels anxious, the body enters a fight-or-flight response, which can lead to hyperventilation. This rapid breathing can cause a decrease in carbon dioxide levels in the blood, leading to symptoms such as lightheadedness, tingling in the extremities, and a feeling of numbness.

2. Numbness and Tingling: The numbness in your hands, feet, and face can also be a result of hyperventilation. When you breathe too quickly, your body may not be able to maintain adequate levels of carbon dioxide, which can lead to constriction of blood vessels and reduced blood flow to certain areas, causing these sensations.
3. Chest and Limb Discomfort: The feeling of tightness or discomfort in the chest, along with numbness, can be alarming and may mimic symptoms of more serious conditions such as cardiac issues. However, given your history of autonomic nervous system problems, it is plausible that these symptoms are related to anxiety or stress rather than a primary cardiac issue.

4. Speech Difficulties: The inability to speak clearly when experiencing these symptoms may be due to a combination of anxiety and physical discomfort. Anxiety can lead to muscle tension, including in the throat, which can affect speech.

Recommendations for Management
1. Breathing Techniques: Learning and practicing controlled breathing techniques can be beneficial. Techniques such as diaphragmatic breathing or pursed-lip breathing can help you regain control over your breathing and reduce feelings of panic. When you feel the onset of symptoms, try to focus on taking slow, deep breaths in through your nose and out through your mouth.

2. Mindfulness and Relaxation: Engaging in mindfulness practices, such as meditation or yoga, can help manage anxiety and improve your overall sense of well-being. These practices can help you become more aware of your body and its responses, allowing you to better manage your symptoms when they arise.

3. Physical Activity: Since you mentioned that cycling does not provoke your symptoms, consider incorporating regular physical activity into your routine. Exercise is a powerful tool for reducing anxiety and improving overall health. However, ensure that you listen to your body and avoid overexertion.

4. Consultation with Specialists: Given your history of autonomic nervous system issues, it may be beneficial to consult with a neurologist or a specialist in autonomic disorders. They can conduct a thorough evaluation and may recommend tests to rule out any underlying neurological conditions. Additionally, a mental health professional can help address any anxiety or stress-related issues that may be contributing to your symptoms.

5. Medication Review: If you are currently on medication for your autonomic issues, it may be worth discussing with your healthcare provider whether these medications could be contributing to your symptoms. Adjustments or changes in medication might be necessary.

6. Emergency Plan: If your symptoms worsen or you experience severe difficulty breathing, chest pain, or other alarming symptoms, seek immediate medical attention. It’s important to have a plan in place for emergencies.

Conclusion
Your symptoms of breathing difficulties, numbness, and anxiety are interconnected and may be exacerbated by your history of autonomic nervous system issues. By implementing breathing techniques, engaging in mindfulness practices, and consulting with healthcare professionals, you can work towards managing your symptoms effectively. Remember, it’s crucial to listen to your body and seek help when needed.

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