Painful breathing is an alarming symptom.
The pain can range from mildly unpleasant to sharp and severe, and it
can occur as you breathe regularly or only when you inhale deeply.
Conditions that make you experience pain with breathing vary greatly -
both milder short-term health issues and life-threatening conditions
that involve vital organs like the lungs and heart could be the cause.
Medical tests are usually required to rule out these serious medical
emergencies and diagnose the root cause of the symptom, That is why you
should always see a healthcare professional when you experience painful
respiration. We look into the possible causes of this symptom below.
Respiratory infections
For many people, the first concern they
think of when someone experiences painful breathing is pneumonia. As you
will find out later, that’s not necessarily the case, but respiratory
infections are certainly a possible cause of painful respiration. Even
though the lungs don't have pain receptors, surrounding tissues can
become inflamed, tender, and painful, so lung conditions can actually
cause pain while breathing.
Painful breathing caused by respiratory infections is more pronounced
when you take a deep breath or lie down, and it’s rarely the only
symptom. Shortness of breath, coughing, wheezing, fever, chills,
fatigue, night sweats, or other cold and flu symptoms usually co-occur
with painful respiration and help point your physician in the right
direction.
The following respiratory infections can cause pain with breathing:
Pneumonia - an infection of the lungs caused by either a virus,
bacterium, or fungus.
Bronchitis - an infection of the bronchi, which are the tubes in
your lungs that carry air throughout the lungs.
Pleurisy - an infection of the pleura, a membrane that lines the
lungs and separates it from the rest of the thoracic cavity.
Tuberculosis - a serious lung infection caused by the Mycobacterium
tuberculosis bacterium (uncommon in the US but common around the world).
Shingles - a dangerous infection that, in rare cases, can cause
viral pneumonia. The condition is caused by the same virus that’s
responsible for chickenpox - the Varicella zoster virus.
COVID-19
Here’s an important side note. Pain with
breathing can be a sign of severe COVID-19 - according to the Centers
for Disease Control and Prevention (CDC). If you were diagnosed with
Covid or experience any of the following symptoms, seek immediate
medical help:
Loss of taste and smell
Sore throat
Fever
Chills
Fatigue
Muscle pain.
Painful breathing is also sometimes reported in patients with long Covid
or post COVID-19 syndrome for as long as 3 months after the initial
COVID-19 diagnosis.
If you experience difficulty breathing and
pain with respiration, don’t assume that an infection is to blame.
Certain lung injuries and disorders can produce identical symptoms. Some
of the most common respiratory conditions that fall within this group
are:
Pneumothorax - a medical emergency when air enters the pleural
cavity and causes either partial or complete lung collapse. Severe chest
pain and shortness of breath are the most common symptoms. Pneumothorax
is usually a complication of chronic lung issues, severe lung
infections, or injuries.
Pulmonary embolism - another emergency that occurs when a blood clot
travels from other parts of the body and gets stuck in the lungs. This
is the most common life-threatening cause of pain with breathing,
accounting for 5-21% of painful respiration cases. Pulmonary embolism
can develop as a result of deep vein thrombosis, heart disease, or as a
side effect of surgery.
Pulmonary infarction - the death of some lung tissue caused by the
restriction of blood supply.
Chronic lung issues, such as chronic obstructive pulmonary disease
(COPD) and asthma.
Lung injuries caused by chemicals or smoke.
Certain cancers, such as lung cancers or mesothelioma (cancer in the
pleura).
Conditions that affect the musculoskeletal system
In some cases, pain in the chest may not be
linked to your vital organs at all. The chest area contains a lot of
bones, cartilage, muscles, and other connective tissue that could be
responsible for pain while breathing. This pain can get worse when you
breathe more deeply or with certain movements. The pain may also get
better when you reposition the body or move after a long period of
sitting or standing.
Here are a few of such conditions:
Problems with the thoracic spine, such as nerve compression,
thoracic osteoarthritis, degenerative disc disease, etc. With a pinched
nerve, the back pain can sometimes even radiate to the hand and mimic
the symptoms of a heart attack.
Rib fracture - sudden pain that gets worse when you breathe more
deeply or cough. This is a medical emergency, as the broken rib can
potentially puncture vital organs or blood vessels.
Costochondritis - a relatively rare inflammatory condition affecting
the cartilage that connects the ribs and the breastbone. It causes
sharp pain and tenderness in the breastbone that can mimic a heart
attack. The causes of costochondritis are not always identifiable, but
the condition can develop as a result of chest injury, respiratory
infections, and severe coughing. Costochondritis sometimes goes away on
its own.
Heart-related conditions
Several types of heart disease can trigger
chest pain while breathing, shortness of breath, or other types of
breathing discomfort. The pain can also spread to the arm, shoulder,
neck, and jaw. Statistical data reveals that more than a quarter of all
patients with heart-related health issues seek medical help because of
breathing discomfort.
Some other symptoms that point towards a heart-related condition are an
irregular heartbeat, lightheadedness, heart palpitations, excessive
sweating, dizziness, burning sensations, and nausea.
What conditions can produce these symptoms? There are a great many of
them, but we feature some of the most serious and common ones below:
Heart attack - serious medical emergency characterized by the
restriction of blood flow to the heart.
Heart failure - another potentially life-threatening condition that
occurs when the heart isn’t capable of effectively pumping blood.
Pericarditis - a condition that arises when the pericardium, a
fluid-filled membrane that protects the heart, becomes inflamed. Sharp
chest pain that improves with sitting upright or leaning forward is a
common sign of pericarditis.
Myocarditis - an inflammation of the heart muscle (myocardium).
Myocarditis can affect the heart's ability to pump blood. Infections,
adverse drug reactions, or other inflammatory conditions can trigger the
condition. Shortness of breath, sharp chest pain, and an irregular or
fast heartbeat are the primary symptoms.
Gastroesophageal reflux disease (GERD)
Gastroesophageal reflux disease (GERD),
commonly known as acid reflux, is a health condition that occurs because
the muscle that prevents stomach acids from going up into the esophagus
is malfunctioning. When the acids leak out into the esophagus, they
damage and irritate the lining of the esophagus, which usually causes a
burning sensation in the chest known as heartburn.
GERD is very common - it affects 1 in 5 Americans. Although heartburn is
the most common symptom of this condition, some patients also report a
chronic cough and pain with breathing. However, the majority of symptoms
associated with GERD still involve the digestive system - difficulty
swallowing, nausea, and bad breath.
Even though GERD isn’t considered a life-threatening condition, it could
lead to complications and should be addressed by your doctor.
Panic attacks
Panic attacks are extreme and unbearable.
Sudden waves of anxiety and fear, often accompanied by shallow
breathing, are the hallmark of panic attacks. For those who have never
experienced a panic attack, the symptoms can resemble a heart attack or a
respiratory issue, but symptoms usually go away after 20-30 minutes.
Panic attacks occur as a response to stress, excessive exercise, or even
after drinking too much coffee. These events send your body into stress
mode, and you will start breathing very quickly. The resulting
hyperventilation usually causes even more troubling symptoms, including
painful breathing, heart palpitations, sweating, shortness of breath,
and losing the sense of reality.
Some people experience panic attacks regularly, whereas others only get
them once or twice, if ever. Breathing techniques and spending time in a
calm and safe space can help a person experiencing a panic attack
recover more quickly.
When is painful respiration a sign of a medical emergency?
Painful respiration can point to a number
of very serious conditions, so it shouldn’t be taken lightly. Any
unexplained chest pain, even if it seems minor, is best reported to a
medical professional. Your healthcare provider can help you rule out
serious conditions or make sure that the condition you have isn’t
progressing.
Contact emergency services IMMEDIATELY if you have chest pain with any
of the following symptoms:
Fever
Shortness of breath
Gasping for air
Rapid breathing
Choking
Dizziness
Confusion or loss of consciousness
Sweating profusely
Pale skin or blue lips, toes, or fingers
Coughing up blood.
This is only for your information, kindly take the advice of your doctor for medicines, exercises and so on.
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Labels: bronchitis, chest pain, chronic lung issues, heart attack, loss of taste n smell, pleurisy, pneumonia, pulmonary embolism, pulmonary infarction, Shingles, TB