Presentation
ANALYSIS OF DATA Values for PC 20 FEV 1 were log transformed to allow statistical analysis and presented as a geometric mean. All other data are presented as mean with standard deviation (SD) or standard error (SE). [thorax.bmj.com]
This is regardless of silly ideas about the overbreathing present in popular medical sources, such as Wikipedia: click here. [normalbreathing.com]
Our experience indicates, to the contrary, that these syndromes are common, generally have a chronic course, present diverse clinical pictures that often mimic serious organic disease, and are usually attended by marked disability. 1 PATHOGENESIS In 1937 [jamanetwork.com]
Overview Hyperventilation syndrome is one of the most common causes of dizziness and paresthesias presenting to neurologists, and yet, it is underdiagnosed. [medlink.com]
Entire Body System
- Hypoxemia
Inflammation and extra mucus may occur - Bronchospasm is narrowing of bronchi and bronchioles due to alveolar hyperventilation - Hypoxemia (low levels of oxygen in the blood), in cases of chronic diseases, is most likely to be caused by chronic overbreathing [nirvana.fitness]
Respiratoric
- Tachypnea
Hyperventilation syndrome is anxiety-related dyspnea and tachypnea often accompanied by systemic symptoms. Hyperventilation syndrome most commonly occurs among young women but can affect either sex at any age. [msdmanuals.com]
The symptoms of acute hyperventilation are mainly caused by the hypocalcemia. 4 Symptoms Tachypnea Muscle spasms Paresthesia Dizziness Anxiety Spasms of the muscles of the lower arm and hands ( hyperventilation tetany ) can lead to the characteristic [flexikon.doccheck.com]
Acute hyperventilation with obvious tachypnea accounts for about 1% of all cases of hyperventilation ( Lum 1975 ). [medlink.com]
Gastrointestinal
- Choking
Features of Hyperventilation Syndrome Panic attacks - fear, terror and impending doom - accompanied by some or all of the following: dyspnoea (trouble getting a good breath in) palpitations chest pain or discomfort choking sensation dizziness paraesthesiae [depression-guide.com]
Respiratory Disorders: Asthma, choking, chest tightness, irritable cough, dyspnea, shortness of breath or air hunger. [iamheart.org]
Feeling of choking or suffocation. Wheezing. Sweating. Loss of consciousness (uncommon). [patient.info]
However, if you are worried about choking, then it is a good idea to drink through a straw. Ask a Question 200 characters left Include your email address to get a message when this question is answered. Submit Video. [wikihow.com]
Cardiovascular
- Heart Disease
Many chronic diseases (including heart disease, diabetes, asthma, COPD, cancer, sleep apnea, obesity hyperventilation syndrome, liver cirrhosis, hyperthyroidism, cystic fibrosis, epilepsy, panic disorder, bipolar disorder, dystrophia myotonica) are possible [normalbreathing.com]
We have already considered over a hundred of medical research studies that have proven that chronic hyperventilation and abnormal respiratory parameters is a typical clinical finding in heart disease, diabetes, asthma, COPD, cystic fibrosis, epilepsy, [nirvana.fitness]
Heart disease,... Anemia Anemia is the condition of having less than the normal number of red blood cells or less than the normal quantity of hemoglobin... [medicinenet.com]
Musculoskeletal
- Muscle Spasm
This directly affects the ability of of smooth muscle to relax. Hence, hyperventilation is associated with spasms in smooth muscle. [iamheart.org]
The symptoms of acute hyperventilation are mainly caused by the hypocalcemia. 4 Symptoms Tachypnea Muscle spasms Paresthesia Dizziness Anxiety Spasms of the muscles of the lower arm and hands ( hyperventilation tetany ) can lead to the characteristic [flexikon.doccheck.com]
However, low carbon dioxide levels in the blood also have a number of physical effects, including: dizziness bloating feeling lightheaded numbness or muscle spasms in the hands and feet discomfort in the chest area confusion dry mouth tingling in the [healthline.com]
Excessive breathing can cause dizziness, lightheadedness, weakness, shortness of breath, a sense of unsteadiness, muscle spasms in the hands and feet, and a tingling feeling around the mouth and fingertips. [medicinenet.com]
- Muscle Cramp
Learn more: Causes of hyperventilation Common symptoms of hyperventilation include bronchospasm, constipation, coughing, muscle cramps, anxiety, nasal congestion, sighing, shortness of breath, angina pain, ... [normalbreathing.com]
These patients complained not only of anxiety or panic, but also feelings of air hunger, chest pain, dizziness and faintness, visual disturbances, fatigue, muscle cramps and poor sleep. [yogaphysiology.wordpress.com]
- Myalgia
Neuromuscular: Muscular stiffness and aching, myalgia, cramps, fibromyostis, muscle spasm. [iamheart.org]
Psychiatrical
- Anxiety Disorder
Abstract Arterial blood gases were measured and base excess calculated in 18 nonpanicking panic disorder (PD) patients, 12 subjects suffering from other anxiety disorders, and 18 normal control subjects. [ncbi.nlm.nih.gov]
Most patients require treatment for underlying mood or anxiety disorders; such treatment includes cognitive therapy, stress reduction techniques, drugs (eg, anxiolytics, antidepressants, lithium ), or a combination of these techniques. [msdmanuals.com]
Panic Disorder: A Hyperventilation Interpretation. In Cognitive-behavioral assessment and treatment of anxiety disorders, (eds. L. Michelson and M. Ascher). Guilford Press, New York. Google Scholar Lum, L. C. (1976). [link.springer.com]
Anxiety on the other hand has a definite relation to syncopal attacks. Also you have mentioned that you are afraid of open spaces (agarophobic). This also results in syncope by adding to your anxiety disorder. [doctorspring.com]
- Visual Hallucination
Déjà vu or auditory and visual hallucinations can rarely occur. [medlink.com]
Neurologic
- Tingling
Symptoms include shortness of breath, chest pain, and tingling in the fingertips or around the mouth. Often, people with CHS feel they cannot get enough air. [patientslikeme.com]
Palpitations, for instance, may be interpreted as the beginning of a heart attack, or tingling sensations as symptomatic of a brain tumor. The problem is the way the symptoms are perceived. [myptsd.com]
"They go to their GP with all these vague symptoms like racing heart, tingling fingers, stiff shoulders and insomnia, but no one can find anything wrong, so they are fobbed off with tranquillisers. [independent.co.uk]
- Tremor
[…] coughing wheezing breathlessness sneezing reduced loss of smell heart palpitations sweating syncope (fainting) dizziness trembling slurred speech cold, tingling, or numb lips or extremities nausea or irritable bowel syndrome aching muscles or joints, or tremors [inspire.com]
[…] to: Breathlessness at rest for no apparent reason Frequent deep sighs or yawns Chest wall pain Palpitations Light headedness and feeling spaced out Tingling or numb lips or extrmeties Gut upsets or irritable bowel syndrome Achy muscles or joints, or tremors [invitedbygrace.com]
High CO 2 tends to have a calming effect on the nervous system, while low CO 2 causes increased sympathetic tone, decreased parasympathetic tone, paresthesia and numbness, twitching eyelids, visual and auditory disturbances, seizures and fits, tremors [iamheart.org]
Proprioceptors in the lung and chest wall signal the brain with a “suffocation alarm” that triggers release of excitatory neurotransmitters that are responsible for many of the symptoms such as palpitations, tremor, anxiety, and diaphoresis. [emedicine.medscape.com]
- Giddiness
Headache, giddiness, disturbed sleep, and dizziness were "all indicative of disturbed circulation in the cerebro-spinal centres." Da Costa reasoned that "the heart has become irritable, from its over-action and frequent excitement...." [medlink.com]
Treatment
Chronic Hyperventilation treatment really is a rare and wonderful thing. It is rare because there are few practitioners that know how to treat this breathing disorder and wonderful because treatment when you can get it is life altering. [breathingwise.blogspot.com]
The effect was most pronounced in the first 2 weeks of treatment. [ncbi.nlm.nih.gov]
Treatment by metoprolol (80mg/kg) and diazepam (6mg/kg) alleviated symptoms and improved the values in arterial gases as well as the slow recovery of PET CO 2 after HVPT. Diazepam was stopped and treatment was maintained with only metoprolol. [jstage.jst.go.jp]
Both treatment programs were equally effective in reducing symptoms, said Meuret. But CART was the only treatment to physiologically alter panic symptoms by actively reversing hyperventilation in the patients. [sciencedaily.com]
Prognosis
Prognosis Prognosis is generally good but will depend on the underlying cause and comorbidity. [ 12 ] Management of associated disorders (such as agoraphobia) will alter the course of the hyperventilation. [patient.info]
Pneumothorax (Symptoms, Causes, Types, and Prognosis) A pneumothorax is free air in the chest outside the lung, that causes the lung to collapse (collapsed lung). There are two types... [medicinenet.com]
Without the complete withdrawal of medication on long term, a definite healing is impossible Nevertheless that the patient has the subjective feeling of despair about the possibility of healing, the prognosis with the right treatment is good. [15minutes4me.com]
Hyperventilation Prognosis With appropriate training, a person may use stress -reduction techniques, breathing exercises, and certain medications to reduce the number and severity of the hyperventilation attacks. [emedicinehealth.com]
Etiology
Because of its bizarre manifestations and its basic etiology, it is seen by everyone regardless of the limitation of one's practice. Too many of us have been lulled into a sense of false security by medical school teachings. [aafp.org]
Etiology The cause of HVS is unknown, but some persons who are affected appear to have an abnormal respiratory response to stress, sodium, lactate, and other chemical and emotional triggers, which results in excess minute ventilation and hypocarbia. [emedicine.medscape.com]
The etiology of effort syndrome. Am J Med Sci. 1938;196:840-51. [ Links ] 5. Cowley DS, Roy-Byrne PP. Hyperventilation and panic disorder. Amer J Med. 1987;83(5):929-37. [ Links ] 6. Klein DF. [scielo.br]
Epidemiology
Epidemiology It is quite common but precise prevalence is unknown. [patient.info]
[…] addition, asthma status was seen to significantly influence the probability of HVS occurrence, with the ORs for HVS in adolescents with lifetime asthma, current episodic asthma, and current active asthma calculated as 11.2, 8.9, and 41.5, respectively. [4] Epidemiology [emedicine.medscape.com]
Pathophysiology
[…] from Greek: ὑπέρ ("iper") - over and Latin: ventilare - breathe German : Hyperventilation Contents 1 Definition 2 Forms 3 Pathophysiology 4 Symptoms 5 Therapy 1 Definition Hyperventilation is defined as unphysiological deeper and/or faster breathing that [flexikon.doccheck.com]
Adrogue, Metabolic acidosis: pathophysiology, diagnosis and management. J Nephrol. 19 Suppl. 9, S62 (2006) M. Kosch et al., Störungen des Säure-Basen-HaushaltsRationale Diagnostik und ökonomische Therapie. Dtsch. Ärzteblatt 102, B 1603 (2005) Y.S. [charite.de]
However, the underlying pathophysiology has not been clearly elucidated. [emedicine.medscape.com]
Lewis contended that acute and chronic hyperventilation syndrome occurred frequently and described the common and atypical presentations, pathophysiology, and therapy ( Lewis 1953 ). [medlink.com]
Prevention
This means that if you can stop hyperventilating, you can potentially reduce the severity of your panic attacks and perhaps prevent them altogether. [calmclinic.com]
Average trial results show 75 percent fewer symptoms, 90 percent reduction in reliever medication use and 49 percent reduction in preventer medication use just after three months. [faim.org]
Examples of medications for hyperventilation include: alprazolam (Xanax) doxepin paroxetine (Paxil) You can learn breathing and relaxation techniques to help prevent hyperventilation. [healthline.com]
If you find they are hunching, rotate your palms outwards at either side of the body, and this will prevent the shoulders from rising. * A poor posture can prevent this new breathing technique from becoming a habit: the pelvis tipped excessively under [naturalnews.com]