Breathing Difficulties While Showering: Causes and Solutions - Pulmonology

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Difficulty breathing while showering?


Recently, I have been experiencing nasal congestion without a runny nose, and I often have difficulty breathing while showering.
My lungs feel itchy, making it hard to take deep breaths, and if I try to inhale deeply, I end up coughing.
When I am sitting, I feel like the air is thin and I need to take deep breaths.
I am from Kaohsiung.
Could this be related to PM2.5 levels, or am I sick? Which specialty should I consult? What should I be aware of?

Ms. Tseng, 20~29 year old female. Ask Date: 2016/01/23

Dr. Yang Wenda reply Pulmonology


Hello: Your symptoms resemble those of respiratory allergies.
For nasal allergies, you should consult an otolaryngologist.
For respiratory allergies, you can see a pulmonologist to arrange for pulmonary function tests.
Best wishes!

Reply Date: 2016/01/23

More Info


Breathing difficulties while showering can be a concerning experience, especially when accompanied by symptoms like nasal congestion and a persistent cough. Based on your description, it seems that you are experiencing a combination of nasal obstruction and respiratory discomfort, which could be influenced by various factors, including environmental conditions, allergies, and possibly underlying health issues.

Firstly, the sensation of nasal congestion without the presence of mucus can often be attributed to inflammation of the nasal passages. This inflammation can be caused by several factors, including allergies, irritants in the air, or even changes in temperature and humidity, which are common in a shower environment. The steam from the hot water can also exacerbate feelings of congestion, as it may cause the nasal tissues to swell further, leading to a sensation of tightness or difficulty in breathing.

Given that you mentioned living in Kaohsiung, a city known for its air quality issues, it is plausible that PM2.5 (particulate matter) could be contributing to your symptoms. Exposure to high levels of air pollution can lead to respiratory problems, including chronic cough, wheezing, and shortness of breath. Individuals with pre-existing conditions such as asthma or allergies may be particularly sensitive to these environmental factors.

In terms of what you should do next, it would be advisable to consult with a healthcare professional, specifically an ear, nose, and throat (ENT) specialist or a pulmonologist. An ENT specialist can evaluate your nasal passages for any structural issues, such as a deviated septum or nasal polyps, which could be contributing to your breathing difficulties. They may also perform allergy testing to determine if you have sensitivities to common allergens that could be exacerbating your symptoms.

On the other hand, a pulmonologist can assess your lung function and determine if there are any underlying respiratory conditions that need to be addressed. They may conduct tests such as spirometry to measure your lung capacity and airflow, which can help identify conditions like asthma or chronic obstructive pulmonary disease (COPD).

In the meantime, there are several strategies you can implement to alleviate your symptoms. Here are a few recommendations:
1. Use a Humidifier: If you find that the steam from the shower helps temporarily, consider using a humidifier in your home to maintain moisture in the air, which can help soothe irritated nasal passages.

2. Stay Hydrated: Drinking plenty of fluids can help thin mucus and keep your airways moist, making it easier to breathe.

3. Avoid Irritants: Try to minimize exposure to known irritants, such as tobacco smoke, strong perfumes, or cleaning products that may trigger your symptoms.

4. Nasal Saline Rinse: Using a saline nasal spray or rinse can help clear out allergens and irritants from your nasal passages, providing relief from congestion.

5. Monitor Air Quality: Keep an eye on local air quality reports, especially regarding PM2.5 levels. On days when pollution levels are high, try to limit outdoor activities and keep windows closed to reduce exposure.

6. Breathing Exercises: Practicing deep breathing exercises can help improve lung function and reduce feelings of breathlessness. Techniques such as diaphragmatic breathing can be particularly beneficial.

In summary, your breathing difficulties while showering could be linked to a variety of factors, including environmental irritants, allergies, and potential underlying health conditions. Seeking medical advice from the appropriate specialists will be crucial in identifying the root cause of your symptoms and developing an effective treatment plan.

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