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
- Weakness
[…] 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 tiredness, unsteadiness, or diffuse weakness [inspire.com]
They tend to focus on other physical symptoms – chest pain, feeling dizzy or faint, palpitations, digestive complaints, weakness, irritability and sleep disturbance among many others. [drweil.com]
The dizziness inability to concentrate, weakness. The fact that's it's all in my head and other people have suffered years with it, I can't do that. I can't imagine a prolonged life this way, it's making me severely depressed to the point of tears. [patient.info]
People with HVS may have symptoms such as Shortness of breath, confusion, chest pain, tightness in the chest, irregular heart beats, tiredness, weakness, muscle twitching and sweating. [depression-guide.com]
- Sepsis
Sepsis Sepsis (blood poisoning) is a potentially deadly infection with signs and symptoms that include elevated heart rate, low or high... Shock (Medical) Medical shock is a life-threatening medical condition. [medicinenet.com]
Other risk factors include cardiac disorders, infections, sepsis head injuries, asthma, and emphysema. People who suffer panic disorders and lung diseases are more likely to experience episodes of hyperventilation. [symptomfind.com]
Other less common causes include stimulant use; excessive use of aspirin; pulmonary disease such as asthma, chronic obstructive pulmonary disease (COPD), and pulmonary embolism ; infection such as pneumonia or sepsis; heart disease such as congestive [wikiofscience.wikidot.com]
Respiratoric
- Dyspnea
(also known as dyspnea or breathlessness) is difficult or labored breathing accompanied by unpleasant awareness about own breathing. [nirvana.fitness]
When stress induces a need to take a deep breath, the deep breathing is perceived as dyspnea. The sensation of dyspnea creates anxiety, which encourages more deep breathing, and a vicious circle is created. [emedicine.medscape.com]
Symptoms and Signs Patients with acute hyperventilation syndrome present with dyspnea sometimes so severe that they liken it to suffocation. [msdmanuals.com]
- Nasal Congestion
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]
Nasal congestion and hyperventilation syndrome. Am J Rhinol. 2005 Nov-Dec. 19(6):607-11. [Medline]. Castro PF, Larrain G, Perez O, et al. Chronic hyperventilation syndrome associated with syncope and coronary vasospasm. [emedicine.medscape.com]
Gastrointestinal
- Abdominal Bloating
Digestive symptoms include reflux, abdominal bloating, frequent belching and sub-costal pain. Less severe hyperventilation may be associated with a tendency for headaches, as well as neck, back and shoulder pain. [massagetherapy.com]
Jaw & Teeth
- Mouth Breathing
Large numbers of young children are mouth-breathing. [breatheability.com]
Causes, symptoms, and treatment of syndrome of chronic hyperventilation Main causes of hyperventilation are lifestyle risk factors such a sedentary lifestyle (lack of physical exercise), mouth breathing, chest breathing, poor posture, overeating leading [normalbreathing.com]
When sitting resting, do you breath through Your Nose? Your Mouth? 2. Can you hear your breathing? Yes No 3. How many breaths do you take in one minute? 8-12 13-16 17+ 4. [physiotherapyforbpd.org.uk]
The aspects of the modern lifestyle that represent causes of hyperventilation are: stress, supine sleep, mouth breathing, exercise with mouth respiration, laziness, overeating, oversleeping, overheating, slouching, addictions, and many other "innovations [nirvana.fitness]
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]
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]
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]
- 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]
Fetus
- Quickening
Initially, there may be a quickening of reactions, as in ’psyching oneself up’ by rapid breathing, and, an increase in pain threshold (witness for example the testing during a performance of ‘Sanchin Kata’ and the 'Iron-Shirt' training of some Kung-Fu [breathing.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]
- Irritability
[…] yawning chest pains not heart related chest tightness 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 [inspire.com]
The lack of sufficient oxygen switches on the sympathetic nervous system—our “fight or flight or freeze” reflex—which makes us tense, anxious, and irritable. [dennislewis.org]
Da Costa reasoned that "the heart has become irritable, from its over-action and frequent excitement...." [medlink.com]
They tend to focus on other physical symptoms – chest pain, feeling dizzy or faint, palpitations, digestive complaints, weakness, irritability and sleep disturbance among many others. [drweil.com]
- Paresthesia
He reported that paresthesias were occasionally asymmetrical and could even be unilateral. [medlink.com]
Neurological: Paresthesia and numbness, headaches, syncope, diplopia, feeling of chilliness, hot/cold sensations, dizziness, hyperactivity, epileptic fits and seizures. [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]
The most commonly noted symptoms of hyperventilation syndrome are an ill-defined lightheadedness associated with perioral and digital paresthesias, tightness in the chest, a lump in the throat, sweating, trembling, palpitations, and possible ringing in [depression-guide.com]
The respiratory alkalosis leads to changes in the way the nervous system fires and leads to the paresthesia, dizziness, and perceptual changes that often accompany this condition. [en.wikipedia.org]
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]