Loud Breathing: Allergies, Symptoms, and Solutions - Otolaryngology

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Loud breathing sounds?


Hello Doctor: My breathing is quite loud, which often disturbs others when I study in the library, and it bothers me a lot.
I usually breathe through my mouth unconsciously, but the sound is still loud (breathing through my nose is even louder).
I have allergic rhinitis, and four years ago, a doctor told me it was hereditary and that surgery wouldn't cure it.
I would like to know if loud breathing is related to my nasal allergies.
Additionally, when I encounter dust, changes in weather, or temperature fluctuations, I tend to sneeze violently.
I find that very painful because my nose becomes red from blowing it, and I don't understand why my sneezes are so loud; it feels like all my organs vibrate with each sneeze, especially my ears and throat, which hurt a lot.
My ears also have a buzzing sound, and my whole body feels hot.
The mucus changes from clear to a thick yellow-green color and is often bitter, lasting for a long time, and I end up using over 60 tissues.
Sometimes, I can't even tell if I have nasal allergies or a cold.
Could you please advise me on ways to improve my symptoms? Will my symptoms lead to sinusitis or other nasal conditions? Thank you.

Ying, 10~19 year old female. Ask Date: 2005/07/14

Dr. Hu Kexin reply Otolaryngology


Hello: Based on the symptoms you described, the following analysis can be made: 1.
Allergic rhinitis, although an incurable condition, can be effectively managed with medication to improve symptoms such as nasal congestion, sneezing, rhinorrhea, and mouth breathing.
Severe rhinitis can lead to irreversible hypertrophy of the inferior turbinate, which exacerbates nasal congestion and increases nasal breathing sounds.
Clinically, we can achieve effective improvement through nasal laser surgery or submucosal resection of the inferior turbinate.
2.
Sinusitis, Eustachian tube dysfunction, otitis media, and chronic pharyngitis are common complications of allergic rhinitis, primarily due to inadequate control of the condition.
Based on your described symptoms, it is highly likely that complications have already developed.
We recommend that you visit an otolaryngologist for further evaluation and treatment.
Thank you very much for your message.
Sincerely, Hook Sin.

Reply Date: 2005/07/14

More Info


Loud breathing can be a source of discomfort, especially in quiet environments like libraries. Your concern about the connection between loud breathing and allergic rhinitis is valid. Allergic rhinitis, commonly known as hay fever, can lead to nasal congestion, which may cause you to breathe through your mouth more often. This can result in louder breathing sounds, as mouth breathing is generally noisier than nasal breathing.
When you have allergies, exposure to triggers such as dust, pollen, or changes in weather can lead to symptoms like sneezing, nasal congestion, and increased mucus production. The fact that you experience loud sneezing, along with a sensation of pressure in your ears and throat, suggests that your body is reacting strongly to these allergens. The loudness of your sneezes and the accompanying discomfort could be due to the force with which you expel air, which can create a vibration that resonates through your body, causing the sensations you describe.

The transition of your nasal discharge from clear to yellow-green and thick indicates a possible secondary infection, such as sinusitis. This can occur when allergens lead to inflammation and swelling in the nasal passages, creating an environment conducive to bacterial growth. The pain in your ears and throat, along with the buzzing sensation, could also be related to pressure changes caused by sinus congestion.

To address your symptoms, consider the following strategies:
1. Allergy Management: Since you have a history of allergic rhinitis, it’s essential to manage your allergies effectively. This may include avoiding known triggers, using air purifiers, and keeping your living space clean to minimize dust and allergens.

2. Medications: Over-the-counter antihistamines can help reduce allergy symptoms, including nasal congestion and sneezing. Nasal corticosteroids may also be beneficial in reducing inflammation in the nasal passages. Consult with a healthcare provider to determine the best medication regimen for your situation.

3. Nasal Irrigation: Using a saline nasal spray or a neti pot can help clear mucus and allergens from your nasal passages, providing relief from congestion and potentially reducing the loudness of your breathing.

4. Consultation with an Allergist: If your symptoms persist or worsen, consider seeing an allergist. They can perform tests to identify specific allergens and may recommend allergy shots (immunotherapy) if appropriate.

5. Hydration and Humidity: Staying well-hydrated can thin mucus, making it easier to expel. Additionally, using a humidifier in your home can help keep your nasal passages moist, reducing irritation and congestion.

6. Avoiding Irritants: Try to avoid exposure to smoke, strong odors, and other irritants that can exacerbate your symptoms.
7. Monitoring Symptoms: Keep a diary of your symptoms, noting when they occur and any potential triggers. This information can be valuable for your healthcare provider in determining the best course of action.

In summary, loud breathing can indeed be related to your allergic rhinitis, and managing your allergies effectively is key to alleviating your symptoms. If you notice a pattern of worsening symptoms or if you develop new symptoms, it’s important to seek medical advice to rule out any complications such as sinusitis or other respiratory issues. With the right approach, you can improve your quality of life and reduce the impact of your symptoms on daily activities.

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