Breathing Difficulties and Chest Tightness: What Could Be Wrong? - Pulmonology

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Shortness of breath and chest tightness?


Last week, I started experiencing dizziness and headaches, so I went to the hospital.
The doctor said it might be an initial viral infection, and I had a fever of 37.5 degrees Celsius.
After taking medication, my symptoms improved until yesterday when the pain returned.
I went back to the hospital, and the doctor mentioned that I might be sleep-deprived, but I usually go to bed around 10 PM.
Last night, I started waking up in the middle of the night feeling short of breath and tightness in my chest.
When I changed positions, it didn't take long for the discomfort to return, and I spent the entire night tossing and turning.
This morning, I have been experiencing persistent shortness of breath, tightness in my chest, a sore throat, and ongoing headaches.
What could be wrong with me, and which specialist should I see?

Xue, 20~29 year old female. Ask Date: 2011/02/23

Dr. Zhou Ziguang reply Pulmonology


If you are experiencing difficulty breathing or discomfort in your chest, please visit the pulmonary medicine department for further evaluation.
Thank you for your attention.
Sincerely, Dr.
Chou Tzu-Kuang, Director of the Pulmonary Function Department, Chest Hospital, Ministry of Health and Welfare.

Reply Date: 2011/02/23

More Info


It sounds like you're experiencing a combination of symptoms that can be quite distressing, including dizziness, headaches, chest tightness, and difficulty breathing. These symptoms can arise from various causes, and it's essential to approach them with a comprehensive understanding of potential underlying issues.

Firstly, the symptoms you describe, particularly the chest tightness and difficulty breathing, can be associated with anxiety and stress, especially if you've been under significant pressure recently. Anxiety can lead to hyperventilation, where rapid or shallow breathing can create a sensation of not getting enough air, which may feel like chest tightness. This can be exacerbated by physical symptoms such as headaches and dizziness, which can further increase feelings of anxiety, creating a cycle that can be hard to break.

On the other hand, your recent history of a viral infection, as indicated by your fever and subsequent symptoms, could also be contributing to your current condition. Viral infections can lead to inflammation in the respiratory tract, which may cause symptoms such as chest tightness and difficulty breathing. Additionally, if you have a history of allergies or asthma, these conditions can be triggered by respiratory infections, leading to exacerbated symptoms.

The fact that you mentioned waking up at night with difficulty breathing and a tight chest could suggest a few possibilities. One common issue is sleep apnea, a condition where breathing repeatedly stops and starts during sleep, leading to disrupted sleep and feelings of fatigue during the day. However, this typically involves snoring or gasping for air, which you did not mention. Another possibility is that you may be experiencing nocturnal asthma, where asthma symptoms worsen at night, leading to difficulty breathing and chest tightness.

Given your symptoms, it would be advisable to consult with a healthcare professional who specializes in respiratory issues, such as a pulmonologist or an ear, nose, and throat (ENT) specialist. They can perform a thorough evaluation, which may include a physical examination, lung function tests, and possibly imaging studies to assess your respiratory health. Additionally, if anxiety is a significant factor, a mental health professional could provide support and coping strategies to manage stress and anxiety effectively.

In the meantime, consider some self-care strategies to help alleviate your symptoms. Practicing relaxation techniques such as deep breathing exercises, mindfulness, or yoga can help reduce anxiety and improve your overall sense of well-being. Ensuring you have a comfortable sleep environment and maintaining a regular sleep schedule can also be beneficial.

In summary, while your symptoms could be related to anxiety, they may also stem from a recent viral infection or underlying respiratory issues. Seeking medical advice from the appropriate specialists will be crucial in determining the exact cause of your symptoms and developing an effective treatment plan. Remember, it's essential to listen to your body and seek help when needed.

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