Chest Tightness After Consuming Cold Juices: A Medical Insight - Pulmonology

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After drinking iced lemon juice, one may experience chest tightness and difficulty breathing?


Hello Dr.
Yang, I have a question I would like to ask you.
About ten years ago, one summer morning, I stopped by a breakfast shop near my school to buy breakfast.
I ordered a cup of iced kumquat juice (concentrated juice mixed with water) to drink.
Shortly after finishing my breakfast, I began to experience chest tightness and a feeling of not being able to breathe, which lasted for about ten minutes before gradually subsiding.
Since that incident, I have rarely consumed kumquat juice, and the feelings of chest tightness and breathlessness have seldom occurred.
Recently, one morning, I drank cranberry juice, and I experienced similar chest tightness and breathlessness again, although this time the symptoms were milder and lasted less than ten minutes.
I researched online and found that both cranberry juice and kumquat juice are considered "cooling" foods, so I suspect that the cranberry juice caused this reaction.
I would like to ask: 1.
Is it possible that due to my constitution, consuming cooling foods triggers feelings of chest tightness and breathlessness? 2.
Should I avoid consuming cooling foods as much as possible?

Afu, 20~29 year old female. Ask Date: 2009/06/03

Dr. Yang Wenda reply Pulmonology


Hello, A-Fu: According to traditional Chinese medicine, foods have different properties such as cold, hot, warm, and cool.
Cranberry juice may be considered cool, while orange juice is less likely to be so.
Oranges and tangerines may also lean towards being cool, but watermelon juice, papaya milk, sugarcane juice, and coconut water are generally considered cold.
You may have consumed these without experiencing discomfort.
Some vegetables also have cold properties, which you might have eaten without causing any issues.
It is speculated that this could be related to the speed of consumption, or it is advisable to continue observing! Best wishes!

Reply Date: 2009/06/03

More Info


Chest tightness and difficulty breathing after consuming cold juices can be concerning symptoms, and your experience raises important questions about the relationship between food, body reactions, and individual health conditions. Let's delve into your questions based on medical knowledge.

1. Is it due to my constitution that I experience chest tightness and difficulty breathing after consuming cold foods?
Your symptoms could indeed be related to your body's response to cold foods or beverages. In traditional Chinese medicine, certain foods are classified as "cold" or "cooling," and it is believed that consuming these can lead to various physical reactions in individuals who may have a "cold" constitution. This concept suggests that some people may be more sensitive to cold foods, leading to symptoms such as chest tightness, abdominal discomfort, or respiratory issues.

From a Western medical perspective, the symptoms you describe could also be linked to a few potential mechanisms:
- Esophageal Spasm: Cold beverages can sometimes trigger spasms in the esophagus, leading to sensations of tightness in the chest. This is often temporary and resolves as the esophagus relaxes.


- Gastroesophageal Reflux Disease (GERD): Cold drinks can sometimes exacerbate reflux symptoms, leading to discomfort in the chest area. If you have a predisposition to GERD, this could explain your symptoms.

- Anxiety Response: If you have a history of experiencing these symptoms, the anticipation of discomfort from consuming cold beverages may trigger an anxiety response, which can manifest as chest tightness and difficulty breathing.

2. Should I avoid cold foods?
If you have noticed a consistent pattern where consuming cold foods or beverages leads to discomfort, it may be wise to limit or avoid them. However, it is essential to consider the following:
- Individual Variation: Everyone's body reacts differently to various foods. If cold juices consistently cause discomfort, it may be beneficial to avoid them, especially if you have a history of similar reactions.

- Moderation: You might not need to eliminate cold foods entirely. Instead, consider consuming them in moderation and observing how your body responds. For instance, you could try letting cold juices sit at room temperature for a while before drinking them.

- Consult a Healthcare Professional: If your symptoms persist or worsen, it is crucial to consult a healthcare provider. They can help rule out any underlying conditions, such as asthma, allergies, or gastrointestinal issues, that may be contributing to your symptoms.

In conclusion, your experience with chest tightness and difficulty breathing after consuming cold juices may be related to your body's unique response to cold foods. While it may be prudent to avoid these items if they consistently cause discomfort, consulting with a healthcare professional can provide personalized guidance and help ensure that there are no underlying health concerns. Remember, maintaining a balanced diet that suits your body's needs is essential for overall health and well-being.

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