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Q: Breathing problems , stress , and anxiety attacks
asked by: DoctorQuestion on July 30th, 2008
Doctor Question
I have had a problem were i cant breathe and it hurts my rib cages to where i cant do anything and they feel restricted. There are sharp pain in my side, and i cant move sometimes. I know its not asthma. I get short breaths and sometimes i wake up in the middle of the night/early morning because i cant breathe or i get sharp pains in my sides and rib cages, im lacking in rest, and im always tired. I'm never satisfied with any breaths that i take, and deep breaths are a difficult challenge for me, and i feel i cant overcome that challenge. I breathe VERY heavy at night, and when im on the phone. I feel that my ribs are too close to each other, when i bend to a certain point. They rub against each other and it is an excruciating pain. I played sports since i was young and it hasn't affected me until now, im always use to being active, and now that i currently quit SOME of my sports its hard for me to breathe, and i loose breathe even walking up the stairs to my bedroom. Please help me.


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DoctorAnswer replied on July 31st, 2008
Doctor Answer
Lungs and Respiratory Disorders Answer A4505
First, you need several medical tests to confirm if you really have breathing problems or not.

A physical examination (inspection, palpation, percussion and auscultation) is the first step. Then, depending upon the physical examination results you can be referred for an ECG, chest X-ray and lung functional tests (functional capacity, FEV and PEF). Standard blood tests plus certain specific blood tests for evaluating the lung function (hemoglobin saturation, pO2 and pCO2 levels, alcal reserve, blood’s pH, etc. in the blood) can also be done. If all these tests are okay you probably don’t have breathing problems.

Sometimes breathing problems can be due to a neuro-muscular disorder that affects the nerves or muscles that maintain the breathing. Bone disorders of the spine, ribs or sternum can also affect the breathing.

A final option, but one very common in young women like you, is anxiety and panic attacks.

You may want to consult your family doctor first and then a pulmonologist, if necessary.





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