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Dyspnea

AMBULATORY CARE:

What is dyspnea?

Dyspnea is breathing difficulty or discomfort. You may have labored, painful, or shallow breathing. You may feel breathless or short of breath. Dyspnea can occur during rest or with activity. You may have dyspnea for a short time, or it might become chronic. Dyspnea is often a symptom of a disease or condition. An allergic reaction, anxiety, or travel to high altitudes can increase your risk for dyspnea. Your risk is also increased by a lung condition such as asthma, a heart condition such as heart failure, or a nerve condition. Being overweight or smoking cigarettes can also lead to dyspnea.

Signs and symptoms that can occur with dyspnea:

  • Chest tightness or pain
  • Cough or a coarse or high-pitched noise when you breathe
  • Pale and sweaty, cool skin
  • Confusion and tiredness
  • Bluish-gray lips or nails

Seek care immediately if:

  • Your signs and symptoms are the same or worse within 24 hours of treatment.
  • You have shaking chills or a fever over 102°F.
  • You have new pain, pressure, or tightness in your chest.
  • You have a new or worse cough or wheezing, or you cough up blood.
  • You feel like you cannot get enough air.
  • The skin over your ribs or on your neck sinks in when you breathe.
  • You have a severe headache with vomiting and abdominal pain.
  • You feel confused or dizzy.

Contact your healthcare provider if:

  • You have questions or concerns about your condition or care.

Treatment:

You will work with your healthcare provider to treat the condition causing your dyspnea. You may need the following to improve your symptoms:

  • Oxygen therapy may be used to help you breathe easier. You may need oxygen if your blood oxygen level is lower than it should be.
  • Medicines may be used to treat the cause of your dyspnea. Medicines may reduce swelling in your airway or decrease extra fluid from around your heart or lungs. Other medicines may be used to decrease anxiety and help you feel calm and relaxed.
  • Pulmonary rehabilitation is used to reduce your symptoms while keeping you active. You may learn breathing techniques, muscle strengthening, and how to pace yourself when you are active.

Manage long-term dyspnea:

  • Create an action plan. You and your healthcare provider can work together to create a plan for how to handle episodes of dyspnea. The plan can include daily activities, treatment changes, and what to do if you have severe breathing problems.
  • Lean forward on your elbows when you sit. This helps your lungs expand and may make it easier to breathe.
  • Use pursed-lip breathing any time you feel short of breath. Breathe in through your nose and then slowly breathe out through your mouth with your lips slightly puckered. It should take you twice as long to breathe out as it did to breathe in.
    Breathe in Breathe out
  • Do not smoke. Nicotine and other chemicals in cigarettes and cigars can cause lung damage and make it harder to breathe. Ask your healthcare provider for information if you currently smoke and need help to quit. E-cigarettes or smokeless tobacco still contain nicotine. Talk to your healthcare provider before you use these products.
  • Reach or maintain a healthy weight. Your healthcare provider can help you create a safe weight loss plan if you are overweight.
  • Exercise as directed. Exercise can help your lungs work more easily. Exercise can also help you lose weight if needed. Try to get at least 30 minutes of exercise most days of the week. Your healthcare provider can help you create an exercise plan that is safe for you.

Follow up with your healthcare provider or specialist as directed:

Write down your questions so you remember to ask them during your visits.

© Copyright IBM Corporation 2018 Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or IBM Watson Health

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

Learn more about Dyspnea (Ambulatory Care)

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