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These studies suggest shortness of breath can feel like difficulty breathing and may be caused by various underlying medical conditions, requiring clinical assessment for proper management.
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Shortness of breath, also known as dyspnoea, is a subjective experience of breathing discomfort that varies in intensity and is described in various ways by different individuals. Common descriptions include feelings of chest tightness or an inability to get enough air . This sensation can occur during physical activities such as walking, climbing stairs, or even while at rest.
Shortness of breath can be a symptom of numerous underlying conditions. These include cardiac issues like myocardial infarction and arrhythmias, pulmonary conditions such as asthma and chronic obstructive pulmonary disease (COPD), and other causes like panic attacks, thyroid disease, anemia, and obesity . In patients with cancer, breathlessness is often cited as one of the most distressing symptoms, significantly impacting their quality of life.
The sensation of breathlessness can lead to significant functional limitations and impairments in physical functioning. It can also cause considerable emotional distress, including anxiety and panic, especially when individuals feel they cannot get a good breath . This emotional response can exacerbate the sensation of breathlessness, creating a vicious cycle of discomfort and anxiety.
A thorough clinical history and physical examination are crucial for diagnosing the cause of dyspnoea. For instance, intermittent breathlessness triggered by specific factors may suggest asthma, while a history of heavy smoking and a productive cough may indicate COPD. In cases where the cause is not immediately apparent, especially in younger, previously healthy individuals, a comprehensive diagnostic evaluation is necessary.
Management of breathlessness involves addressing the underlying cause when possible. For patients with chronic conditions or those in palliative care, treatment focuses on alleviating the symptom itself. This can include both pharmacological and non-pharmacological interventions, such as breathing exercises, oxygen therapy, and medications to reduce anxiety .
Shortness of breath is a complex and multifaceted symptom that can arise from a variety of medical conditions. It significantly impacts physical and emotional well-being, necessitating a comprehensive approach to diagnosis and management. Understanding the subjective nature of this sensation and its potential causes is essential for effective treatment and improving patients' quality of life.
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